Who we serve
Physical Therapy Billing Services
Visit limits and re-authorizations tracked, so therapy claims do not stall.
Physical Therapy
- Key challenges
- Visit limits, therapy-cap rules and frequent re-authorizations.
- Relevant services
Challenges
What makes physical therapy billing hard
Visit limits
Plans cap the number of visits per year or per authorization.
Therapy threshold rules
Medicare claims above the annual threshold need the KX modifier and supporting documentation.
Frequent re-authorizations
Ongoing care needs new approvals, often every few weeks.
Timed codes
Units for timed services must match the minutes documented.
How Ace helps
The services that fit this setting
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Medical Billing
Timed units, therapy modifiers and visit counts checked on every claim.
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Denial Management
Authorization and threshold denials appealed with the right documentation.
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A/R Management
Balances followed up before authorizations and filing limits expire.
Workflow example
How a typical claim is handled
Therapeutic exercise under a signed plan of care, visit nine of twelve authorized.
Measurement
KPIs that matter in physical therapy
Monthly KPI reviewTracked from day one
- Authorization-related denials
- Clean-claim rate
- Days in A/R
Questions
Physical Therapy billing FAQ
Do you track visit limits?
Yes. Visits are counted against each authorization and plan limit, and re-authorizations are requested before they run out.
Do you apply the KX modifier?
Yes, when Medicare therapy services pass the annual threshold and documentation supports continued care.
How do you bill timed codes?
Units are checked against the minutes documented for each timed service.
Can you keep up with frequent re-authorizations?
Yes. Re-authorization dates are tracked so care isn't interrupted and claims aren't denied.
Next step
Let's Find the Opportunities in Your Revenue Cycle
Tell us about your practice and current revenue-cycle challenges. Our team will help identify practical next steps.