Florida’s Trusted Partner for Physical Therapy Billing Services: Accurate Claims, Faster Payments

In the fast-paced world of physical therapy, providing quality patient care is the top priority. However, managing the billing side of the practice can be time-consuming, complex, and prone to costly errors—especially when dealing with changing payer rules, coding updates, and insurance denials. That’s why physical therapy clinics across Florida are turning to specialized billing partners to streamline operations, improve cash flow, and ensure compliance.

Why Specialized Physical Therapy Billing Services Matter

Physical therapy billing isn’t the same as general medical billing. It requires:

• Detailed knowledge of CPT and ICD-10 coding specific to therapy services

• Understanding of time-based billing units (8-minute rule, Medicare guidelines)

• Navigating therapy caps and medical necessity documentation

• Handling prior authorizations and patient eligibility verifications

Mistakes in any of these areas can lead to delayed or denied reimbursements, hurting your practice’s financial health.

Common CPT Codes Used in Physical Therapy

Understanding and applying the correct CPT codes is crucial for accurate billing and timely payments. Some of the most frequently used codes in physical therapy include:

CPT Code Description

97110 Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes)
97112 Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception
97116 Gait training therapy
97530 Therapeutic activities, direct patient contact (e.g., functional performance)
97140 Manual therapy techniques (e.g., mobilization, manipulation)
97535 Self-care/home management training
97035 Ultrasound therapy (conducted by a therapist)
97161-97163 Physical therapy evaluation (low to high complexity)
97164 Re-evaluation of physical therapy established plan of care

Our billing experts understand how to properly document time and medical necessity for each of these codes—especially those requiring time-based billing or subject to modifier 59 usage.

Key Challenges Faced by Physical Therapy Providers in Florida

• High claim rejection rates due to CPT code misuse or insufficient documentation

• Delayed payments from Medicare and commercial insurers

• Complicated state-specific regulations

• Underpayments and missed charges

• Staff burnout from managing administrative workloads

Our Physical Therapy Medical Billing Services: Designed for Florida Practices

As Florida’s trusted billing partner, we offer end-to-end revenue cycle management tailored for physical therapy practices. Our goal is simple: accurate claims and faster payments—without the hassle.

Accurate Coding & Documentation

Our certified coders are proficient in therapy-specific CPT coding, ensuring precise documentation that supports the medical necessity of treatments. We also assist in applying correct modifiers like GP, KX, or 59, and ensure compliance with the 8-minute rule.

Eligibility Verification & Authorizations

We handle insurance verification and prior authorizations upfront—so you know what’s covered before services are rendered.

Claim Submission & Follow-Up

We file clean claims the first time, track each submission, and follow up on any delayed payments or denials with persistence and accuracy.

Denial Management & Appeals

Our team examines denials, corrects coding or documentation issues, and files appeals when necessary to recover lost revenue.

Patient Billing & Collections

We manage patient billing with care, offering clear statements and flexible payment options that keep your patients satisfied and your collections on track.

Compliance & Reporting

We ensure HIPAA compliance and provide transparent reports so you can track KPIs, denial trends, and revenue performance.

Why Physical Therapy Clinics Across Florida Choose Us

• Florida-specific payer knowledge and compliance expertise

• Thorough understanding of CPT codes and time-based billing models

• Customized solutions for solo practices, outpatient clinics, and rehab centers

• Faster reimbursements and lower denial rates

• Full revenue cycle visibility with real-time reporting

Focus on Patient Care. Let Us Handle the Billing.

Your focus should be on helping patients regain mobility and strength—not navigating the complexities of insurance billing. Our team of physical therapy billing experts is here to ensure every code, every claim, and every dollar is accounted for.