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Physical Therapy medical billing services
Therapy practices bill timed codes, plan-of-care rules and visit limits. We apply the 8-minute rule correctly and track authorizations and therapy thresholds.
Why physical therapy billing is different
These are the issues that most often cause denials and lost revenue in physical therapy. Our team handles each one.
- Timed codes and the CMS 8-minute rule
- Plan of care certification and recertification
- Visit limits and authorizations
- KX modifier and therapy threshold tracking
Services and procedures we handle
Everything your physical therapy practice needs
Medical Billing & Coding
Certified coders and billers who turn every encounter into a clean, compliant claim.
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Credentialing & Enrollment
Get providers enrolled with payers faster, and keep them active.
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Denial Management
Work every denial, win the appeal, and fix the root cause.
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A/R Recovery & Follow-Up
Turn aging receivables into cash, starting with the highest-value claims.
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Eligibility & Benefits Verification
Know coverage, copays and deductibles before the patient walks in.
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Prior Authorization
Authorizations requested, tracked and approved before care is delayed.
Explore serviceSwitching is simpler than you think
Free revenue audit
We review your A/R aging, denial history, payer mix and coding patterns, then show you what is recoverable.
Onboarding
BAA signed, secure system access set up, workflows mapped and your dedicated team assigned.
Daily operations
Claims, payments, denials, A/R and patient billing are worked every business day.
Monthly review
A KPI report and a call with your account manager covering results and next steps.
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Frequently asked questions
Straight answers about how ClaimEdgeSolutions works with your practice.
Ask us anything01Do you track therapy thresholds?
Yes. We monitor visit counts and apply the KX modifier when documentation supports it.
02Do you support OT and speech therapy?
Yes, along with physical therapy.
03Do your coders have physical therapy experience?
Yes. Your account is assigned coders and billers with physical therapy experience who know its codes, modifiers and payer rules.
04How quickly can we switch to ClaimEdgeSolutions?
Most practices are fully live in 2–4 weeks. We work alongside your current team or vendor during the transition so cash flow is not interrupted.
Get a free physical therapy billing audit
We review your denials, coding patterns and A/R and show you exactly where revenue is being lost.