Physical Therapy & Rehab Medical Billing Solutions

Maximize your PT practice revenue with specialized billing expertise in therapeutic procedures, functional limitation reporting, and therapy threshold management. Our certified PT billing specialists understand the 8-minute rule, G-codes, and modifier requirements unique to rehabilitation services.

Proven Results

Common Billing Challenges

Therapy Cap & Threshold Complexities

Navigating Medicare therapy caps, KX modifiers, and threshold requirements creates confusion and potential revenue loss.

Functional Limitation Reporting

G-code reporting requirements for functional limitations demand precise documentation at evaluation, progress, and discharge.

Medical Necessity Documentation

Proving medical necessity for ongoing therapy requires detailed progress notes and measurable functional outcomes.

Time-Based vs Service-Based Coding

Confusion between timed codes requiring 8-minute rule calculations and untimed service codes leads to billing errors.

Modifier Usage for Multiple Procedures

Proper use of modifiers (GP, GO, GN, 59, XS) for multiple therapy services on the same day is critical and complex.

Evaluation vs Treatment Distinction

Properly coding initial evaluations, re-evaluations, and treatment sessions with appropriate CPT codes.

Our Solutions

PT-Certified Billing Specialists

Our team includes physical therapy billing experts trained in therapy-specific CPT codes, modifiers, and documentation requirements.

Medical Necessity Documentation Support

We help ensure your documentation meets payer requirements for demonstrating continued medical necessity.

Therapy Threshold & Cap Management

Expert handling of Medicare therapy thresholds and KX modifier requirements to maximize allowable payments.

Real-Time Billing Compliance

Advanced systems track therapy sessions, units, and documentation to ensure billing compliance.

Specialized Services

Evaluation & Re-evaluation Billing

Accurate coding for initial evaluations, re-evaluations, and discharge assessments.

Therapeutic Procedures

Expert billing for therapeutic exercises, manual therapy, and neuromuscular re-education.

Modality Billing

Proper coding for physical agent modalities and their supervised/constant attendance requirements.

Functional Limitation Reporting

Complete G-code management for mobility, changing positions, carrying, and other functional categories.

Client Testimonial

Medtransic's physical therapy billing team understands the nuances of the 8-minute rule, G-code reporting, and therapy thresholds better than anyone. They've increased our revenue by 32% while reducing claim denials to nearly zero. Their expertise in PT-specific coding has been invaluable to our growing practice.

Related Billing Resources

Key Services

Contact Medtransic today for expert physical therapy billing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.