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Physical Therapy

How Mediflows Billing Solutions Helps Physical Therapy Providers?

Mediflows Billing Solutions is a professional company based in Boston, Massachusetts. Medical billing process for physical therapy practices is highly complicated with timed and untimed codes, Medicare caps, and documentation requirements for functional goals. Our billing experts give their best to help you achieve beneficial outcomes. The patient billing specialist of Mediflows knows physical therapy billing codes, including therapeutic exercises, manual therapy, neuromuscular reeducation, and modalities. A mistake free billing process helps you minimize the claim losses and increase revenue on a constant basis. Providers throughout the USA suffering from business losses and denials can avail our expertise.

At Mediflows Billing Solutions, we provide you with the best physical therapy billing services. A team of experts decodes the intricacies related to physical therapy services, ensures accuracy, and submits claims on time. A seamless financial gain with elevation in your practice is what we have been delivering for years. We allow you to focus on patient rehabilitation and advanced physical therapy care.

Our Physical Therapy Medical Billing Process

Mediflows Billing Solutions offers a complete billing process for physical therapy practices:

Patient Registeration

Insurance Verification

Documentation Review

Claim Scrubbing

Claim Submission

Denial Management

What We Deliver

Timely patient statements

On-time claim submission

100% regulatory compliance

Electronic claims submission

Dedicated billing specialist

Why to Outsource Physical Therapy Billing Services

Outsourcing physical therapy billing services to a medical billing company helps you focus on your primary duty, i.e., patient rehabilitation and functional recovery. Professional billing companies such as Mediflows Billing Solutions have expertise in physical therapy billing, know exactly what to do with complex coding and billing regulations, and thus ensure accuracy and compliance. Outsourcing reduces your administrative burden and proves to be cost-effective. This approach results in:

Gradual withdrawal of overused medications

Preventive migraine therapy (low-dose beta-blockers)

Lifestyle modifications (diet, hydration, screen-time management)

Cognitive Behavioral Therapy (CBT) sessions

Regular follow-up every 2 weeks

Enhanced Revenue Cycle Management

Timely Reimbursement

Decreased rate of claim denials

Improved overall cash flow

How do you handle billing for timed codes using Medicare's 8-minute rule?

Medicare's 8-minute rule requires calculating billable units based on total timed procedure minutes per day. One unit = 8-22 minutes, two units = 23-37 minutes, three units = 38-52 minutes. Mediflows Billing Solutions ensures accurate minute tracking, correct unit calculation, and proper documentation of direct one-on-one time as per Medicare guidelines.

How to get credentialed for Medicare as a physical therapist?

For physical therapy professionals, getting credentialed for Medicare to provide rehabilitation services involves various steps like: Obtaining a National Provider Identifier (NPI), Completing the Medicare Enrollment Application, Submitting Required Documentation (NPI, CV, Liability Insurance, state license, board certification, etc), Working with your Medicare Administrative Contractor (MAC), Keeping Enrollment Information up-to-date. Mediflows Billing Solutions handles all these steps for you.

What are the most common physical therapy coding errors that cause denials?

The top errors include incorrect timed unit calculation, missing functional goal documentation, unbundling of therapeutic procedures, wrong code selection for modalities versus therapeutic exercises, and lack of medical necessity for ongoing treatment. Mediflows Billing Solutions performs pre-submission audits to catch these errors before claims leave your practice.

How do you handle billing for physical therapy modalities and therapeutic procedures?

Modalities (CPT 97001-97039) are passive treatments like hot packs and ultrasound. Therapeutic procedures (CPT 97110-97599) are active treatments like exercises and manual therapy. Mediflows Billing Solutions manages correct code selection, proper time documentation, and appropriate modifier usage for these different types of physical therapy services.

What is the cost of physical therapy billing and credentialing for a new practice?

Mediflows Billing Solutions offers transparent, affordable pricing. Credentialing starts at $399 per physical therapist. Physical therapy billing services are typically 4-7% of monthly collections based on patient volume and service complexity. New PT practices receive discounted package rates when bundling credentialing and billing services together. No long-term contracts required.

Practice Profile

Practice Type:

Multi-Provider Physical Therapy Group

Chief Complaint:

High denial rates on timed code calculations, Medicare 8-minute rule errors

Treating Billing Team

Mediflows RCM Specialists

Results Achieved

99% clean claim rate, 50% faster reimbursements, 58% cash flow increase

Number of Providers

8 (5 Physical Therapists, 3 Physical Therapist Assistants)

Annual Collections Before/After

1.9M→3.0M (+58% increase)

Still Have More Questions?

Contact Our Support Team.

+1-888-305-4084

Trusted Care. Proven Excellence

You Focus on Patients. We’ll Manage Billing

At Medi Flows, we are dedicated to delivering exceptional billing support for over 20 years, we have been offering a comprehensive medical services in USA

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