Physical therapy billing that counts every minute. PT and OT units, plans of care, visit authorizations and Medicare’s therapy threshold, each billed to its payer’s rules.
The AI drafts the codes and units from the daily note and your therapist approves them. From there our billing team takes the claim to the deposit.
- PT and OT practices of 1–20 therapists
- Works inside your EMR
- Commercial, Medicare, Medicaid
What we fix
What physical therapy practices miss. We bill all of it.
Every claim, start to finish
From your note to your bank. Every step on the record.
You see who touched each claim, and when.
Your dashboard
Every number, live. Down to each visit.
Collections, denials, days to payment and open AR.
Try the live demo
Denials and appeals
We fight every denial. Even the $58 ones.
In therapy, the usual ones are visit limits, plan-of-care certification, and the Medicare KX threshold.
How we fight denials- 01Fix and resendSame claim
- 02Appeal with the recordsBilling manager signs
- 03Chase claims with no replyStatus, then a call
- 04Check what was paidAgainst your contract
Start with a free physical therapy audit.
Free · no obligation · no patient data in the form.
Start the audit- Sign a short BAAWe email it to you.
- Upload two reports12 months of 835s and your AR aging.
- Get your practice profileDenials ranked by dollars, walked through on a call.
The rules we bill by
Therapy billing runs on minutes, plans and thresholds.
These are the Medicare rules our team bills by. Commercial plans often follow them, with their own visit limits and authorizations on top.
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8-minute rule
Units follow total timed minutes
Medicare adds up the minutes of all timed codes in a visit: 8 to 22 minutes is one unit, 23 to 37 is two, and so on. Some commercial plans count each code on its own.
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KX · $2,540
The 2027 therapy threshold
Once a patient’s yearly PT and speech therapy charges pass $2,540 in 2027 ($2,480 in 2026, and separately for OT), claims need the KX modifier to confirm the care is medically necessary.
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GP · GO · CQ · CO
Therapy modifiers on every line
GP marks physical therapy and GO occupational therapy. CQ and CO mark care given in part by an assistant, which Medicare pays at a reduced rate.
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Plan of care
Certified, then recertified
The plan needs a physician or NPP signature, and a recertification at least every 90 days. A progress report is due at least every 10 treatment days.
Sources: CMS therapy services · Medicare Benefit Policy Manual, ch. 15. Rules as of November 2026; commercial plans and Medicaid set their own.
Questions owners ask.
Do you bill occupational therapy too?
Yes. OT follows the same timed-code and plan-of-care rules, with the GO modifier and its own Medicare threshold. We bill PT and OT in the same practice.
Which EMR do we need?
None in particular. We work inside the system you chart in today, through our clearinghouse connection, your vendor’s API or exports you control.
Do you handle visit authorizations?
Yes. We track visits used against each approval and request the next authorization before the last approved visit, so care doesn’t stop for paperwork.
What will this cost us?
3.5–5.5% of collections · annual agreement · 45-day opt-out. Payers pay you directly, into your bank account. We invoice our fee monthly from posted collections. See pricing.
How long does switching take?
About 30–45 days, with a parallel run before go-live. Your EHR, bank account and payer contracts stay the same. See how switching works.
What if it isn’t working for us?
If it isn’t working in your first 45 days, you can leave, no questions asked. After that it’s an annual agreement, which sets out the notice and how your files come back to you.
Every minute, billed right. Let’s look at yours.
3.5–5.5% of collections · annual agreement · 45-day opt-out
Rather start with your numbers? Get a free billing audit.