Physical Therapy Billing Services
Physical Therapy Billing Services
Billing and credentialing for PT clinics and private practices, built around timed codes, modifiers and plan-of-care rules.
PT billing depends on the details
Physical therapy claims are mostly time-based, and payers look closely at how minutes, units and modifiers are reported. Medicare’s 8-minute rule, NCCI code-pair edits, plan-of-care certifications and visit limits all affect whether you get paid in full.
Vantix Med manages the full billing cycle for physical therapy practices, from checking therapy benefits and visit limits before the first appointment to appealing underpaid claims.
- Therapy benefit checks, visit limits and authorization tracking
- Accurate unit calculation for timed codes
- Correct GP, KX, CQ and 59/X modifiers
- Plan-of-care and certification tracking for Medicare patients
- Denial management, appeals and A/R follow-up
Who we work with
Outpatient rehab practices of every size across the United States.
Common problems we solve
Where physical therapy practices lose the most revenue.
Unit and timing errors
We calculate billable units from documented treatment minutes, following the 8-minute rule for Medicare and each commercial payer’s own timing rules.
Modifier denials
Missing GP modifiers, unsupported 59 modifiers and incorrect CQ reporting for PTA services cause many PT denials. We apply modifiers correctly on every claim.
Visit limits and authorizations
We track authorized visits and plan-of-care dates for each patient, and alert you before coverage or certifications expire.
PT codes we bill every day
Our team works with the core evaluation and treatment codes used in outpatient physical therapy.
Modifiers we manage
Modifiers are one of the biggest causes of physical therapy denials. We make sure each one is used correctly and supported by your documentation.
- GP for services delivered under a physical therapy plan of care
- KX when Medicare therapy services exceed the annual threshold and are medically necessary
- CQ for services furnished in whole or in part by a physical therapist assistant
- 59 and X modifiers for distinct services under NCCI edits
How we work
A simple onboarding process for your clinic.
Free audit
We review your recent claims, denials and A/R to find lost revenue.
Onboarding
We connect to your rehab EMR, such as WebPT or your current system.
Clean claims
Visits are coded, checked for edits and submitted quickly.
Follow-up
We work every denial and unpaid claim until it is resolved.
Reporting
You get clear monthly reports on collections and outstanding A/R.
Frequently asked questions
Answers to common questions from physical therapy practices.
How do you handle the 8-minute rule?
For Medicare and payers that follow Medicare rules, we calculate units from total timed minutes as the 8-minute rule requires. For commercial payers with different rules, we follow each payer’s own timing policy.
Do you bill for physical therapist assistants?
Yes. We apply the CQ modifier when services are furnished in whole or in part by a PTA, as Medicare requires, and track how it affects your reimbursement.
Do you also bill occupational and speech therapy?
Yes. Many of our rehab clients offer PT, OT and speech therapy together, and we bill all three with the correct discipline modifiers.
Which EMR systems do you work with?
We work inside your existing rehab EMR or practice management system, including common platforms such as WebPT. There is no need to switch software.
Can you help my clinic get credentialed with insurance?
Yes. Our credentialing team handles CAQH, Medicare, Medicaid and commercial payer enrollment for new therapists and new clinic locations.
Get a free physical therapy billing audit
Find out how much revenue your clinic is leaving on the table.
Professional medical billing and credentialing services for US healthcare providers. Over 4 years of experience.
Contact
- hellomed@vantixmed.com
- Mon–Fri, 9am–6pm EST
- 106 E Lincolnway Suite 305A
Cheyenne, WY 82001, USA
