Physical Therapy Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

Our Physical Therapy billing and coding services are built on a thorough understanding of rehabilitation procedures, treatment modalities, and therapeutic interventions. We offer solutions that streamline billing workflows and support efficient claim processing for outpatient clinics, rehabilitation centers, and independent practices.


As evidence-based treatments and therapy techniques advance, our services adjust to meet the specific demands of modern physical therapy billing and documentation. This allows therapists to concentrate fully on patient recovery and quality care.

Physical Therapy Billing Services

Maximizing claim efficiency and compliance for superior revenue management

Physical therapy billing demands specialized expertise because of its distinct reimbursement rules and strict medical necessity criteria. Many procedures must satisfy specific insurance eligibility requirements, making precise coding and thorough documentation essential for smooth claim approval.


Our expert billing solutions are designed to expertly manage these complexities, ensuring adherence to regulations while supporting efficient reimbursement processes.

  • Detailed verification of insurance eligibility and medical necessity
  • Comprehensive handling and organization of clinical documentation
  • Targeted approaches to improve reimbursement accuracy
  • Continuous compliance monitoring to reduce claim denials and audits


Our physical therapy billing services encompass the full range of specialties, delivering thorough support tailored to the unique requirements of each practice. Whether addressing cardiopulmonary rehabilitation, neurological therapy, or other specialized treatments, we expertly manage the billing complexities across all service types.


  • Extensive coverage of specialty-specific procedures
  • Proficient management of varied therapeutic modalities
  • Strategic billing solutions across multiple physical therapy disciplines
  • Seamless coordination with leading insurance providers


We utilize top-tier billing technologies and maintain strict alignment with evolving healthcare regulations. Our team is proficient in ICD-10 and HIPAA 5010 standards and works seamlessly across leading EMR platforms to ensure accuracy and efficiency in every stage of the billing cycle.


  • Skilled in EMR systems including Epic, Cerner, NextGen, and eClinicalWorks
  • Implementation of cutting-edge coding tools for accurate charge capture
  • Full adherence to HIPAA privacy and security standards
  • Consistent updates to meet CMS and payer-specific regulations


Mastering Every Code for Physical Therapy Specialty

Our expertise spans the full code range, ensuring precision and compliance in every claim we process

Evaluation Services

97161-97164

Physical therapy evaluations

97165-97168

Occupational therapy evaluations

97169-97172

Athletic training evaluations

Therapeutic Procedures

97110

Therapeutic exercise

97112

Neuromuscular re-education

97116

Gait training

Wound Care

97597-97610

Active wound care management

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.