Articles
How to Choose a Physical Therapy Billing Company
Selecting a billing partner requires more than comparing percentages. Focus on whether the company understands the 8-minute rule, KX thresholds, and state-specific workers' compensation requirements before you sign.
Read articleTelehealth Physical Therapy Billing: What the 2027 Extension Means for Your Practice
Medicare telehealth flexibilities for physical therapists remain in place through 2027. Understanding which services qualify, proper modifier use, and documentation requirements helps you maintain compliant billing during the extension period.
Read articleUHC Prior Authorization for Physical Therapy: What Changed in 2025
UHC refined its Medicare Advantage therapy prior authorization rules in 2025. The first six follow-up visits within eight weeks no longer require clinical review in many cases, but full plan submission remains mandatory.
Read articleWorkers' Compensation Billing for Physical Therapy Practices
Workers' compensation billing differs from commercial insurance in authorization, documentation, and fee schedules. Understanding these differences helps reduce denials and speed payment.
Read articlePlan of Care Recertification for PT: The Documentation Gap That Costs Practices Money
A valid plan of care requires a physician or NPP signature. A rubber stamp does not qualify. A verbal order needs a countersignature within 14 days. Here is what CMS actually requires.
Read articleHow to Negotiate a Physical Therapy Payer Contract
Payer contracts are not take-it-or-leave-it documents. Here is how to build a rate proposal, identify what payers will actually move on, and time re-negotiations correctly.
Read articleDays in A/R for Outpatient PT: What Good Looks Like and How to Get There
A days-in-AR number above 50 is a cash flow problem waiting to fully surface. Here is how to read your aging report, find the drag, and bring it down.
Read articleManaging the KX Threshold: Keeping Medicare Patients in Care Past the $2,480 Cap
Appending KX is not a billing formality. It is a clinical attestation with real audit exposure. Here is how to manage the threshold correctly.
Read articleHow to Open a Physical Therapy Practice: The Revenue Cycle You Build Before Day One
Revenue cycle setup begins months before your first patient. Follow this sequence to avoid the 90-to-120-day payment gap.
Read articleMIPS 2026 for Physical Therapy: What to Know Before the Deadline
The 2026 MIPS performance year carries a 75-point threshold. Know whether you must report and which measures apply to your practice.
Read articlePhysical Therapy Credentialing: How Long It Takes and Why
Credentialing timelines vary by payer. Knowing what to expect helps you plan cash flow and avoid revenue gaps.
Read articleHow Prior Authorization Works for Outpatient PT in 2026: A Payer-by-Payer Guide
Prior authorization rules for outpatient PT continue to shift. Here is what you need to know for 2026 across key payers.
Read articlePhysical Therapy Denial Rates: What the Data Shows and How to Bring Yours Down
Your denial rate is one of the clearest signals of billing health in a PT practice. The data shows the industry runs higher than it should — and the reasons are almost always the same.
Read articleGP, GO, and GN Modifiers: What Every Outpatient Therapy Practice Needs to Know
Three modifiers. One letter each separates physical therapy from occupational therapy from speech-language pathology on every Medicare claim. The consequences of getting them wrong range from automatic denial to compliance risk.
Read articleKX Modifier in Physical Therapy: When to Use It and What Happens When You Don't
Applying the KX modifier is a formal attestation to CMS. The documentation needs to exist before you append it — not after the ADR arrives.
Read articleThe 8-Minute Rule: What It Actually Requires and Why PT Practices Get It Wrong
The 8-minute rule isn't complicated. But it is precise — and most PT billing errors trace back to a misread of exactly what CMS requires.
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