Physical Therapy

Physical Therapy Medical Billing Services

Specialized Billing for Physical Therapy Practices

Physical therapy practices provide essential rehabilitative care to patients recovering from injuries, surgeries, or managing chronic conditions. From musculoskeletal therapy to neurological rehabilitation, accurate billing is critical to ensure proper reimbursement. At Apple Med Billing, we understand the unique complexities of physical therapy billing and provide expert solutions to maximize revenue while reducing administrative burdens.

Why Physical Therapy Billing is Challenging

ENT billing is unique because patients often receive multiple services in one visit. Without the correct coding, modifier use, and documentation, claims can easily be rejected. Key challenges include:

Therapy Caps & Limitations

Payers often impose visit or dollar limits on therapy services.

Medical Necessity Documentation

Detailed treatment notes and progress reports are required for reimbursement.

Multiple Modifiers

Use of modifiers like GP, KX, and 59 is critical for compliance and approval.

Time-Based CPT Codes

Many physical therapy codes are billed in 15-minute increments, requiring precise documentation of time spent.

Frequent Claim Denials

Without proper coding, therapy claims are often denied or underpaid.

Prior Authorization Requirements

Many insurers require pre-authorization for extended therapy care.

Common Physical Therapy Services We Handle

Our billing specialists at Apple Med Billing manage a wide range of therapy services, including:

Musculoskeletal rehabilitation

Neurological and stroke rehabilitation

Sports injury therapy

Post-surgical rehabilitation

Orthopedic physical therapy

Pediatric physical therapy

Geriatric physical therapy

Manual therapy and therapeutic exercises

Modalities (ultrasound, electrical stimulation, heat/cold therapy)

Balance, mobility, and gait training

Common CPT Codes in Physical Therapy

We ensure accurate coding and billing with the most common CPT codes used in physical therapy, including:

Evaluation Codes:

97161 – 97163 (Physical therapy evaluation), 97164 (Re-evaluation)

Therapeutic Procedures:

97110 (Therapeutic exercise), 97112 (Neuromuscular re-education), 97530 (Therapeutic activities)

Manual Therapy:

97140

Gait Training:

97116

Modalities (Supervised):

97010 (Hot/cold packs), 97012 (Mechanical traction), 97014 (Electrical stimulation – unattended)

Modalities (Constant Attendance):

97032 (Electrical stimulation – manual), 97035 (Ultrasound therapy)

Key Benefits of Choosing Apple Med Billing

Faster Reimbursements

Claims submitted quickly and accurately to avoid delays.

HIPAA & Compliance First

Stay aligned with MACRA, MIPS, and No Surprises Act regulations.

Patient-Friendly Support

Clear communication and easy payment options for patients.

Frequently Asked Questions

1. Why is billing challenging for this specialty?

Because of complex codes, procedures, and payer rules, claims often get denied without specialty-focused billing.

2. How can Apple Med Billing help my practice?

We provide accurate coding, denial management, and timely reimbursements, ensuring you get paid faster.

3. Is patient data secure with you?

Absolutely. We follow HIPAA compliance and use secure systems to protect sensitive information.

4. Do I need a referral?

Referral requirements depend on your local insurance or clinic policy; check with your provider.

Partner With Us

At Apple Med Billing, we take care of your billing while you focus on patient care. Our solutions are designed for practices of all sizes — ensuring accuracy, faster payments, and less paperwork.

Physical Therapy