Physical therapy billing refers to the process of submitting and managing claims to insurance carriers for reimbursement of physical therapy services provided to patients. It involves accurate CPT and ICD-10 coding, proper use of modifiers, insurance verification, timely claim submission, and compliance with payer-specific requirements. ProMantra provides complete billing support to improve coding accuracy, reduce denials, and ensure faster payment cycles.
Our team ensures coding accuracy, faster denial resolution, and greater visibility across the revenue cycle. With structured workflows and expert oversight, we reduce errors, enhance collections, and support full compliance with payer requirements
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We manage the full physical therapy billing cycle, from eligibility checks and coding to claim submission, payment posting, and denial management. Our focus on accurate modifiers, coding compliance, and payer-specific rules helps reduce rejections and improve revenue performance
ProMantra offers dedicated physical therapy billing services built on deep industry knowledge, flexible delivery models, and a combination of human expertise and technology. Our approach helps practices improve accuracy, reduce administrative burden, and maintain financial control.
Our team is trained in the unique structure of physical therapy billing, including time-based codes, documentation rules, modifier requirements, and payer-specific policies. This ensures accurate claims and reduced denial rates across therapy services.
We adapt our billing workflows to fit your clinic’s operations, staffing structure, and EMR system. Whether you’re a solo practitioner or a multi-provider group, our solutions scale with your needs while maintaining consistency and compliance.
Our billing process includes automated checks for coding, modifiers, and documentation completeness. With electronic claim submissions, real-time eligibility verification, and built-in payer rules, we ensure faster processing and fewer rejections.
Our dedicated account teams provide continuous support throughout the billing cycle. We offer direct access to billing specialists who can resolve issues quickly, coordinate with payers, and answer practice-specific questions with accuracy and clarity.
Our solutions address the unique requirements of physical therapy practices, including time-based coding, modifier use, and visit limitations. We help clinics improve reimbursement rates, reduce claim denials, and maintain billing compliance while minimizing administrative burden
Physical therapy billing often involves time-based CPT codes that require accurate tracking of direct treatment minutes. Our coders apply the 8-minute rule correctly, calculate the appropriate number of billable units per session, and ensure that start/stop times are consistently supported by documentation. This prevents underbilling and helps reduce denials due to time discrepancies.
We ensure correct and consistent use of therapy-specific modifiers, including GP (physical therapy plan of care), 59 (distinct procedural service), and KX (threshold justification). Accurate modifier use is essential for claims to be processed correctly, especially when services are bundled or exceed frequency or financial limits.
We monitor therapy benefit caps and session limits as defined by commercial insurance plans and government payers. When authorization is required, we submit supporting documentation and progress notes to justify continued treatment. Our team ensures that ongoing care is not interrupted due to overlooked authorization windows or exceeded visit allowances.
We review therapist documentation to ensure it supports skilled care, outlines treatment goals, and reflects appropriate frequency and duration. This alignment is critical for proving medical necessity and supporting audit readiness. We also ensure billing is synchronized with plan-of-care updates and progress evaluations required by payers.
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ProMantra revolutionized our prior authorization process. Their expertise and automation tools significantly improved our approval rates and boosted revenue. We now focus on patient care without the hassle of administrative delays.
ProMantra has been a game-changer for our practice. Their proactive approach and expertise in denial management significantly reduced our claim denials and improved our bottom line. We highly recommend their services!
ProMantra’s medical coding services have streamlined our entire revenue cycle. Their precision and efficiency have significantly reduced our claim denials and boosted our revenue. Highly recommended
Physical Therapy billing covers services such as evaluations, therapeutic exercises, manual therapy, modalities like ultrasound, and neuromuscular re-education.
Yes, we handle billing for both outpatient and inpatient Physical Therapy services, ensuring accurate coding for both settings.
We use the latest CPT and ICD-10 codes, ensuring services are appropriately coded, and review payer guidelines to avoid denials and rejections.
We verify patient insurance coverage and eligibility prior to treatment, ensuring that services will be covered and reducing claim rejections.
Focus on patient care while we take care of coding, claims, and reimbursements accurately and efficiently.
Promantra, established in 2003, specializes in AI and RPA driven revenue cycle management and IT solutions for the healthcare sector. We offer comprehensive end-to-end services, including medical billing, coding, eligibility verification, accounts receivable management, and denial management. Our commitment to quality and security is underscored by ISO 9001 and ISO 27001 certifications.
