Reimbursement challenges plague many physical therapy clinics. Under‑billing, denials, and slow payments are common causes of lost revenue. But a specialized physical therapy billing company can reverse that trend.

The Revenue Leak Problem

Many clinics struggle with:

  • Under-coding – Missing out on billing for all CPT codes provided.

  • Denials – Coding/documentation issues and payer errors lead to uncollected payments.

  • Slow billing cycles – Manual data entry delays submission.

  • Patient balance confusion – Complex billing can result in poor collections.

These factors reduce collections and impact growth.

How Expert Billing Makes a Difference

  1. Accurate CPT Coding
    Billing experts ensure CPT codes are correctly paired with documentation — e.g., properly documenting time increments for timed codes like therapeutic exercise, and bundling appropriately to avoid payer flags.

  2. Denial Prevention & Appeals
    Billing teams detect red flags before submission, reducing denials. When denials occur, they systematically appeal on your behalf.

  3. Faster Turnaround Times
    Electronic claims are submitted rapidly—ideally daily. Quick corrections and resubmissions translate to faster reimbursement.

  4. Structured Patient Billing
    Professional statements, understandable online access, and proactive follow-ups result in better patient collections.

Real Results

Many clinics working with billing companies report:

  • 20–40% increase in collections — More accurate billing and denial recovery significantly boost revenue.

  • Shorter A/R cycles — Average time to collect shrinks from 60–90 days to 30–45 days.

  • Higher staff satisfaction — Teams no longer struggle with billing errors and paperwork.

ROI That Makes Sense

A billing service typically charges 4–8% of collections, easily offset by revenue gains. With a conservative 25% boost in collections, a $1 million‑revenue PT practice could increase collections by $250k—yielding $166k–$200k net benefit even after fees.

Qualities of a Top Billing Company

  • PT-specialized staff

  • Robust software and reporting tools

  • Transparent pricing

  • Scalable services for multi-clinic setups

  • Strong client support and communication

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