Medical Billing And Revenue Cycle Management Solutions For Physical Therapy Facilities
A physical therapist assesses a patient's condition, develops a personalized treatment plan, and guides the patient through exercises and other interventions to improve movement, strength, and overall function. We understand the distinctive billing complications that physical therapists usually face, including frequent insurance verifications, high visit volumes, and strict documentation requirements. At StafGo Health, we specialize in providing professional end-to-end medical billing and strategic revenue cycle management (RCM) services for Physical Therapy (PT) practices.

Expert Code Management For Physical Therapy Facilities With Stafgo Health
Physical therapy billing involves a wide variety of important CPT (Current Procedural Terminology) codes that are specific to different therapeutic services provided to patients. Our highly experienced coders and billers efficiently manage the common CPT codes in physical therapy, including 97110 for therapeutic exercises, 97112 for neuromuscular reeducation, 97140 for manual therapy techniques, 97530 for therapeutic activities, and 97010 for the application of modalities like hot or cold packs. We are also well-versed in the management of additional CPT codes such as 97032 (electrical stimulation), 97035 (ultrasound therapy), and 97750 (physical performance testing), which are frequently used depending on the treatment plan.
Why Outsource Medical Billing And RCM To Stafgo Health For Your Physical Therapy Practice?
As a physical therapist, you know that every patient has certain unique needs that require a recovery plan and requirements specifically for their condition. Your practice’s medical billing requires the same amount of care and passion that you put into your patients’ well-being. Outsourcing medical billing and RCM to StafGo Health for your Physical Therapy practice ensures the precision, compliance, and optimized reimbursements of all your claims. Our goal is to help your practice maximize reimbursements, reduce claim denials and delays, and streamline administrative processes so that you can focus on the best care for your patients.
- Time-Based Coding Complications- The services provided by Physical Therapists are time sensitive. Physical therapy billing relies heavily on time-based CPT codes like 97110, 97112, and 97530. Hence, it is very crucial to track and document service time accurately. If not, it often leads to billing errors and underpayments.
- Incorrect Use of Modifier—Modifiers such as -59, -GP, and -KX are critical in PT billing, and improper or missing modifiers often trigger denials, especially when billing multiple units or services on the same day.
- Visit Limitations and Therapy Caps—Many government and commercial payers have annual therapy caps or visit limits associated with physical therapy services. Exceeding these limits or using an incorrect modifier like KX can lead to compliance issues and denials.
- Insurance Verification Delays - Insurance verification and authorization are crucial steps in a therapist's struggles. Lack of proper insurance verification and authorization before treatment leads to eligibility issues and claim rejections, impacting cash flow.
- Navigating Varying Payer Policies - Different insurance companies have different rules and guidelines regarding visit limits, modality coverage, and reimbursement rates, which is very difficult to track and manage individually.
- Limited Use of Revenue-Enhancement Codes- Due to the lack of awareness, many PT practices miss billing legitimate services like 97750 (physical performance testing), 97161–97163 (evaluations), or group therapy (97150), leading to revenue loss.
- Accurate Time-Based Coding Support- Our certified coding experts are well aware of CPT codes like 97110 (therapeutic exercises), 97112 (neuromuscular re-education), and 97530 (therapeutic activities). We make sure about the correct application of codes to reduce denials and maximize reimbursements.
- Precise Modifier Application—Our team ensures the correct application of modifiers such as -59, -GP, and -KX to pass payer edits and meet compliance standards.
- Therapy Cap and Proper Visit Tracking—Our team monitors the visit utilization and payer-specific caps, using correct modifiers and documentation to support the services beyond standard limits.
- Real-Time Insurance Verification - Our team obtains the prior authorizations and verifies insurance coverage even before treatments begin, preventing eligibility issues that can delay or block your payments.
- Automation for High-Volume Visit Management - With the help of automatic systems, our team can efficiently handle frequent and recurring visits, reducing manual entry errors and problems, ensuring timely claim submission, and lowering the chances of denials.
- Customized Payer Rule Management - Our skilled team maintains an up-to-date database of payer-specific guidelines, including visit caps and reimbursement rates, and applies them to each claim submission for accuracy.
Why Choose Stafgo Health For Your Practice Needs
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