Home Specialities Physical Therapy
Physical therapy runs on time-based codes, evaluation levels, and reauthorization rules. The eight-minute rule and visit caps catch out many billers and lead straight to denials.
Evaluations: Assessments coded to the correct complexity tier.
Treatments: Time-based units billed accurately under the eight-minute rule.
Reauthorization: Authorizations tracked and renewed before they lapse into denials.
Physical therapy runs on time-based codes, evaluation levels, and reauthorization rules. The eight-minute rule and visit caps catch out many billers and lead straight to denials.
Evaluations: Assessments coded to the correct complexity tier.
Treatments: Time-based units billed accurately under the eight-minute rule.
Reauthorization: Authorizations tracked and renewed before they lapse into denials.
Accurate billing. Faster reimbursements. Stronger revenue cycle management for cardiology practices focused on exceptional patient care.
Our mission is to simplify cardiology billing workflows, reduce denials, improve collections, and maximize reimbursements while supporting better heart care.
Cardiology Practices Trust Us
Reduce denials and speed up approvals.
Improve cash flow and reimbursement cycles.
Secure and compliant cardiology billing process.
Physical therapy billing operates under coding rules and payer policies that general billing services consistently mismanage. Our team ensures every claim is accurate, compliant, and supported by the treatment documentation needed to protect your reimbursement across every patient and every payer your practice works with.
PT benefits, therapy caps, authorization requirements, and network participation verified before treatment plans begin
Therapeutic exercise, manual therapy, and neuromuscular re-education coded using accurate eight-minute rule calculations
Functional limitation codes and severity modifiers applied correctly during required reporting intervals for compliance purposes
Therapy cap utilization tracked per patient with KX modifiers applied beyond annual treatment thresholds
Evaluations and re-evaluations coded at correct complexity levels with documentation supporting full clinical reimbursement
Aging PT accounts identified, prioritized, and worked with transparent financial reporting delivered to your practice on a regular basis.
Our billing process keeps every visit compliant and every unit count accurate so your clinic collects its full allowable on every patient it treats.
Daily treatment notes, evaluation records, and functional outcome documentation are securely submitted through our platform after every session.
Our specialists review timed code units, functional reporting status, and cap thresholds before any claim is transmitted to a payer.
Claims are electronically batched and transmitted to payers within 24 to 48 hours of receiving complete visit documentation.
We track every claim through adjudication and contact payers directly when processing delays or medical necessity requests surface.
Denied claims get reviewed with supporting clinical documentation and resubmitted through the appropriate appeal channel without delay.
Payments get posted and reconciled against expected reimbursement, with regular financial reports delivered to your practice on schedule.
The right billing support for every physical therapy practice structure.
Independent and group outpatient PT clinics managing a high daily treatment volume who need accurate timed code billing, KX modifier compliance, and consistent Medicare and commercial payer follow-up across the full active caseload
Independent and group outpatient PT clinics managing a high daily treatment volume who need accurate timed code billing, KX modifier compliance, and consistent Medicare and commercial payer follow-up across the full active caseload
PT practices focused on post-surgical rehabilitation, orthopedic injuries, and sports medicine who need accurate manual therapy and therapeutic exercise coding and payer-specific coverage management across a procedure-intensive patient mix.
PT practices focused on post-surgical rehabilitation, orthopedic injuries, and sports medicine who need accurate manual therapy and therapeutic exercise coding and payer-specific coverage management across a procedure-intensive patient mix.
Physical therapy practices treating neurological conditions, stroke recovery, and movement disorders who need accurate neuromuscular re-education coding and Medicare functional limitation reporting managed through extended episodes of care.
Physical therapy practices treating neurological conditions, stroke recovery, and movement disorders who need accurate neuromuscular re-education coding and Medicare functional limitation reporting managed through extended episodes of care.
Physical therapy departments within hospital or health system settings who need professional fee billing, place-of-service compliance, and coordinated reimbursement tracking across inpatient, outpatient, and home health PT claims.
Physical therapy departments within hospital or health system settings who need professional fee billing, place-of-service compliance, and coordinated reimbursement tracking across inpatient, outpatient, and home health PT claims.
General billing services do not have the timed code knowledge physical therapy billing requires. The result is units counted without applying the 8-minute rule, untimed codes billed multiple times in a session, KX modifiers missed on Medicare claims above the therapy threshold, functional limitation reporting periods not tracked, visit limits not monitored until payers deny entire claim batches, and prior authorization renewals missed mid-episode.
Our physical therapy billing team improves visit reimbursement, strengthens plan-of-care compliance, and reduces denials tied to authorization and visit limitations.
Healthcare providers across the country rely on OneMed Billing to manage their revenue cycle with accuracy, consistency, and specialty-specific expertise. Here is what some of them have to say.
“Timed unit counts were being entered based on scheduled treatment time rather than the 8-minute rule and we were overbilling on some codes and underbilling on others without knowing it. OneMed corrected the unit calculation process and our claim accuracy improved across the board within the first billing cycle. ”
“KX modifiers were being missed on a consistent portion of our Medicare claims above the therapy threshold because no one was tracking the cap systematically. OneMed built a threshold monitoring process and those denials stopped.”
“"Functional limitation reporting periods were not being tracked at all and we were getting Medicare claim rejections we could not explain. OneMed identified the reporting gap, built the tracking into our billing workflow, and the rejections stopped. ”
Yes. We track each Medicare patient's therapy expenditure against the current threshold and apply the KX modifier on all claims that exceed it, with treatment documentation reviewed to support medical necessity before submission.
Yes. We work with most major physical therapy practice management and documentation platforms and can integrate with your current workflow without requiring a system change.
We apply the 8-minute rule across the total timed minutes for the visit, allocating units to each timed code based on the time spent and the correct rounding methodology, per payer-specific requirements.
Yes. We manage functional limitation reporting within the required reporting periods and ensure the correct severity and goal codes are included on all applicable Medicare PT claims.
We review the denial, confirm whether a prior authorization or medical exception applies, and resubmit with supporting documentation where coverage can be reinstated. Patients approaching visit limits are flagged in advance to prevent future mid-episode denials.
