PT revenue depends on timed codes, the 8-minute rule, therapy caps/thresholds, and plan-of-care discipline. Medflux helps therapy practices keep daily notes connected to billable units and stop avoidable unit and auth denials.
Physical Therapy 4 key challenges4 ways we help3 FAQs
Specialty edits that generic billers miss — and denials that keep recycling.
01Timed CPT codes (e.g., 97110, 97140) must follow the 8-minute rule and total-unit logic correctly.
02Evaluations, re-evaluations, and progress notes must support ongoing medical necessity.
03Medicare thresholds and commercial visit limits require tracking before the claim is filed late.
04Assistant modifiers and supervision rules create silent underpayments when ignored.
How we help
Medflux approach for Physical Therapy
Operational ownership — not a ticket queue that goes quiet after submission.
Unit and modifier scrubbing aligned to therapy coding reality – not generic multi-specialty defaults.
Auth and visit-limit awareness baked into submission habits when in scope.
Denial management for medical necessity and unit disputes with documentation requests handled cleanly.
Aging work that prioritizes high-unit claims still inside timely filing.
Engagement path
From specialty audit to steady paid claims
01
Specialty audit
Review recent claims, denials, and CPT patterns for your panel.
02
Edit set tuned
Scrubbing and denial playbooks aligned to your specialty reality.
03
Daily ownership
Submission, follow-up, and appeals with a named next step every time.
04
Clear reporting
Production, collections, and aging in plain language — monthly.
FAQ
Physical Therapy billing questions
We bill with awareness of common Medicare PT patterns (timed codes, thresholds, documentation expectations). Local MAC nuances are confirmed against your region.
Most therapy EMRs can feed billing via export or integration. We validate the path during onboarding before promising go-live dates.
OT/ST/PT combinations need clean provider and code separation. We map that structure so claims do not collide.
Related
Nearby specialties
Related panels with similar CPT and denial patterns.