Physical Therapy Billing
Physical & Occupational Therapy
HNA's Dedicated PT Billing Specialists
PT Billing That
Recovers
Every Therapy Unit.
PT billing is unit-based, time-sensitive, and heavily scrutinized by payers. Missing therapy units, wrong KX modifiers, or incorrect evaluation levels costs PT practices thousands per month. HNA's PT billing specialists recover every billable unit from every session.
Physical Therapy CPT Coverage
All therapy codes billed accurately & maximally
HNA PT Billing Specialists
Every therapy unit captured using the 8-minute rule
Therapeutic Exercise
97110Manual Therapy
97140Neuromuscular Re-ed
97112PT Evaluation
97161–97163E-Stim / Ultrasound
97014 / 97035Therapeutic Activities
9753097%
First Pass
2–4%
Our Rate
$0
Setup
Why Choose HNA
HNA's PT Specialists — 200+ Physical Therapy Practices Nationwide
Why HNA is the Best Choice for Physical Therapy
PT billing requires mastery of timed therapeutic codes, Medicare therapy thresholds, KX modifier requirements, functional reporting, and plan of care certifications. Our dedicated PT coders ensure every therapy unit is captured and every Medicare rule is followed.
HNA's Physical Therapy Advantage
PT billing is unit-based and time-tracked — every 15-minute therapy unit must be correctly counted and coded. HNA's PT coders capture every unit, apply correct KX modifiers, manage Medicare therapy thresholds, and ensure functional reporting compliance. On average, $32,000+ recovered per PT practice per year.
200+
PT Practices
$32k
Avg Recovery
97%
First-Pass
99%
Accuracy
Timed Unit Billing Expertise
Every 15-minute therapy unit counted and billed correctly using the 8-minute rule — zero missed units per session.
KX Modifier Management
Correct KX modifier application when Medicare therapy thresholds are exceeded — preventing automatic denials.
Functional Reporting Compliance
Medicare G-codes and severity modifiers submitted correctly and on time — zero compliance denials.
Plan of Care Tracking
Physician certification and recertification of plans of care tracked and flagged — no claims denied for missing POC.
2-Week Notice — No Lock-In
Cancel anytime with just 2 weeks notice. No contracts, no penalties, no questions asked.
Revenue Recovery — Without vs With HNA
Billing Area
Without HNA
With HNA
Therapy units (8-min rule)
Undercounted
All units captured
KX modifier Medicare
Missing — denied
Applied correctly
Evaluation level 97161–63
Low level default
Correct level billed
Functional G-codes
Missing/late
On-time compliance
Plan of care certification
Expired — denied
Tracked & renewed
Modality codes
Often missed
Always captured
Prior auth management
Expired auth
Proactively managed
Avg monthly gap
–$2,700
Recovered ✓
Common Challenges
Where PT Practices Lose Revenue
Physical therapy billing has some of the most detailed unit-counting and modifier requirements of any specialty. Here's where most practices lose money — and how HNA fixes it.
Therapy Unit Undercounting
PT billing uses the 8-minute rule for timed codes — most practices round down or miss partial units entirely. Losing just 1 unit per patient per visit across 30 patients/day costs $45,000+ annually.
HNA counts every therapy unit using the 8-minute rule
Missing KX Modifier
When Medicare patients exceed the therapy threshold, the KX modifier must be appended to certify medical necessity. Missing this modifier causes automatic denial of all claims above the threshold.
HNA tracks thresholds and applies KX modifier correctly
Wrong Evaluation Level
PT evaluation codes (97161–97163) are complexity-based. Most practices default to 97161 regardless of actual complexity, leaving significant reimbursement on the table for every evaluation performed.
HNA bills correct complexity-based evaluation levels
Plan of Care Expiration
Medicare requires physician certification of PT plans of care every 90 days. Practices that don't track recertification dates have claims denied retroactively — often not caught until months of revenue are lost.
HNA tracks and alerts for all POC expirations
Missed Modality Codes
Electrical stimulation (97014), ultrasound (97035), hot/cold packs (97010) are separately billable. Many practices focus only on therapeutic exercise and manual therapy, missing modality revenue entirely.
HNA captures all billable modality codes every visit
Prior Authorization Lapses
Commercial payers require prior authorization for PT services with strict visit limits. When authorizations expire without renewal, all subsequent visits are denied — sometimes retroactively across weeks of treatment.
HNA proactively manages all prior authorizations
Our Services
Complete Physical Therapy Billing Services
Every billing service a PT practice needs — evaluations, timed therapy codes, modalities, Medicare compliance, and prior auth management.
Therapeutic Procedure Billing
Complete billing for all timed therapeutic codes using the 8-minute rule — therapeutic exercise (97110), manual therapy (97140), neuromuscular re-education (97112), therapeutic activities (97530), and all other timed procedures. Every unit captured.
97110971409711297530
⭐ Core Revenue — Fully Optimized
Medicare Compliance Billing
Full Medicare PT billing compliance — KX modifier management, functional reporting G-codes, plan of care tracking and alerts, and PQRS reporting. Zero Medicare denials from compliance issues.
KX ModifierG-codesPOC Tracking
💰 $32k Avg Annual Recovery
PT Evaluation Billing
Correct complexity-based evaluation coding (97161–97163) and re-evaluation billing (97164) at the right level
971619716297163
Modality & E-Stim Billing
All physical modalities billed — electrical stimulation (97014/97032), ultrasound (97035), hot/cold packs (97010)
970149703597010
Prior Auth Management
Proactive prior authorization tracking, renewal, and management for all commercial payers — zero lapsed auths
Denial Management & AR
Aggressive appeals and AR recovery for all denied PT claims — units, modifiers, and authorization denials
Get Started
Physical Therapy Billing Specialists
More Patients Treated.
Every Therapy Unit Collected.
Get a free PT billing audit — we identify missed therapy units, wrong evaluation levels, lapsed KX modifiers, and prior auth gaps. Most PT practices find $25,000–$40,000 in annual missed revenue in their first audit.
200+
PT Practices
Physical therapy clients served
$0
Setup Fee
Start immediately
2–4%
Our Rate
vs 5–8% market avg
14
Day Notice
Cancel anytime
🔒 HIPAA
✅ No Setup Fee
🏥 800+ Practices
⭐ 4.8/5 Google
🦿 PT Specialists
📋 KX Certified
📅 2-Week Notice