Physical Therapy Billing Services
Cure Core Solutions
Minimize Denials. Optimize Revenue for Your PT Practice
Cure Core Solutions provides specialized physical therapy billing services tailored to meet the unique documentation, compliance, and reimbursement needs of physical therapists, outpatient rehab clinics, and multi-specialty practices. We ensure accurate coding, timely claim submissions, and full compliance with Medicare, Medicaid, and private insurance carriers.
What is Physical Therapy Billing?
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Physical therapy billing is the process of submitting claims for therapeutic and rehabilitative services provided by physical therapists (PTs). Billing is typically based on timed units and procedural services using CPT codes, and must align with payer-specific rules, including Medicare’s 8-minute rule and documentation standards.
Successful PT billing requires accurate coding, modifiers, fee schedule adherence, and comprehensive documentation to avoid denials or underpayments.
Patient Registration & Insurance Verification
Authorization Management (if required)
Daily Charge Entry Based on Units (Timed & Untimed)
ICD-10 & CPT Coding by Licensed Professionals
Claim Submission (Clearinghouse or Direct to Payer)
Payment Posting & Denial Resolution
Patient Billing (Statements, Collections, etc.)
Physical Therapy Billing Workflow
Cure Core Solutions – Expert PT Billing Services
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We help physical therapy practices focus on patients — not paperwork. Our dedicated billing experts understand the complexity of physical therapy coding and reimbursement.
Our PT Billing Services Include:
- Eligibility & Benefits Verification
- Authorization and Referral Management
- Accurate CPT/ICD-10 Coding by Certified Coders
- Timed Unit Calculations (8-Minute Rule Compliance)
- Clean Claim Submission
- Denial Management and Appeals
- Patient Statements & Collection Services
- Monthly Reporting & KPI Dashboards
Top 20 CPT Codes in Physical Therapy Billing
Therapeutic exercise, 15 minutes
Manual therapy, 15 minutes
Therapeutic activities, 15 minutes
Neuromuscular reeducation, 15 minutes
Gait training, 15 minutes
Self-care/home management training, 15 minutes
Hot/cold packs (untimed)
Ultrasound therapy, 15 minutes
Mechanical traction therapy
Physical performance test or measurement
Orthotic management and training, initial encounter
Prosthetic training, initial encounter |
Massage therapy, 15 minutes |
Work hardening/conditioning, initial 2 hours
Work hardening/conditioning, each additional hour |
Physical therapy eval – moderate complexity |
Physical therapy eval – high complexity |
Physical therapy eval – low complexity |
Frequently Asked Questions
The 8-minute rule (used by Medicare and some commercial payers) allows billing one unit of a timed service when you provide at least 8 minutes of treatment.
Yes. Most PT claims require the GP modifier to indicate physical therapy services. Some services may also require modifiers like 59 for distinct procedural services.
We analyze the reason codes, rework the claim, attach additional documentation if needed, and resubmit or appeal based on payer-specific guidelines.
Absolutely. We ensure full Medicare compliance, including 8-minute rule adherence, appropriate use of KX modifiers, and documentation for medical necessity.
Yes. We serve outpatient PT clinics, solo practitioners, multi-provider groups, and rehab centers with scalable solutions.