Physical Therapy & Rehabilitation Billing Services
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What We Do:
Accurate claim submission for timed and untimed CPT codes
Verification of therapy-specific insurance benefits and visit limits
Pre-authorization and medical necessity documentation support
AR follow-up and appeal handling for denied therapy claims
HIPAA-compliant workflow integrated with leading EMRs
Maximizing Reimbursement for Physical Therapy Services
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Billing support for modalities like manual therapy, gait training, and neuromuscular re-education
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Tracking and billing per-unit timed services in accordance with 8-minute rule
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Handling therapy cap limitations and medical necessity documentation
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Managing authorizations for extended sessions or multiple provider care
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Accurate claim bundling for therapeutic procedures and assessments
Physical therapy billing requires detailed attention to timed services, session frequency, and plan limitations. At Horizon Healthcare Solutions, we bring specialized expertise in therapy billing to ensure you receive full and timely reimbursement for every treatment provided.
Our team ensures accurate capture of services based on therapy documentation, compliance with Medicare’s 8-minute rule, and tracking of visit caps or authorization requirements. From initial evaluation to progress updates and discharge planning, we align your documentation with billing expectations.
We serve outpatient rehab clinics, private PT practices, and multidisciplinary therapy centers. Our HIPAA-compliant systems and real-time claim tracking provide you with a clear view of revenue, helping your practice grow while staying audit-ready.
Common Challenges in PT & Rehab Billing
01
Confusion Around Timed vs. Untimed Codes
Misreporting units for services like manual therapy or therapeutic exercise often results in underpayment or claim rejection.
02
Limited Visit Caps & Documentation Requirements
Many payers impose visit limits or demand periodic progress notes, which, if not tracked properly, lead to denials.
03
Inconsistent Authorization Management
Missing or expired authorizations for extended therapy plans can result in denied claims for otherwise valid treatments.
04
Bundling & Modifier Misuse
Incorrect use of modifiers for therapy procedures performed on the same day often leads to bundled or rejected claims.
05
Lack of Understanding of the 8-Minute Rule
Improper calculation of service duration leads to billing errors, especially for Medicare or insurance plans following the rule strictly.
06
Denied Claims Due to Incomplete Plan of Care
Absence of clearly defined goals, physician signatures, or evaluation notes can result in compliance flags and payment delays.
Therapy Billing That Matches the Pace of Your Patient Care
At Horizon Healthcare Solutions, we understand the specific requirements of physical therapy billing—from unit-based time tracking to medical necessity documentation. We tailor our billing approach to match the clinical and operational flow of your practice.
Our proactive team helps minimize denials by ensuring compliance with payer policies and proper documentation submission. We focus on maximizing your reimbursement while giving you more time to focus on improving patient outcomes.
With HIPAA-compliant practices and real-time AR monitoring, we are a trusted partner for therapy clinics seeking billing accuracy, compliance, and growth. Let us handle the complexity so you can focus on mobility, recovery, and care.
How We Add Value to Your Practice
Redefining Industry Excellence
HIPAA Compliant
Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.
Proven Results and Cost Efficiency
Customized, Client-Centric Approach
Committed to Your Success
Comprehensive Claims Reviews
Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.
Ease and Simplicity
Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.
Reliable Support, When You Need It
Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.
Get started with Horizon Healthcare Solutions today
Elevate your revenue cycle management to new heights.
Connect with us today and see how our expertise can drive growth and efficiency for your practice!
