PHYSICAL & OCCUPATIONAL THERAPY
Physical and Occupational Therapy Billing Services
Therapy billing depends on time and documentation. Timed codes, visit limits, plan-of-care requirements and medical necessity rules mean errors are easy to make and costly. AviRex RCM provides billing support for physical therapy, occupational therapy and rehab practices, so your claims reflect the care you delivered and stand up to payer review.
BILLING CHALLENGES
Billing challenges in Physical & Occupational Therapy
- ✓Timed code rules and unit calculation (such as the 8-minute rule for Medicare)
- ✓Therapy-specific modifiers
- ✓Visit limits, authorization requirements and re-authorization
- ✓Plan of care and recertification documentation
- ✓Medical necessity and progress note requirements
- ✓Different rules for Medicare, Medicaid and commercial payers
- ✓Patient copays and balances with frequent visits
AREAS WE WORK WITH
Outpatient physical therapy, occupational therapy, rehab and multi-therapist clinics.
COMMON QUESTIONS
Physical and Occupational Therapy Billing Services — FAQ
It is a Medicare method for counting timed therapy units based on total treatment minutes. Many commercial payers use similar or different rules, so we check each payer.
Common reasons are exceeded visit limits, missing authorizations, unsupported medical necessity and timing or unit errors.
Bill every therapy visit accurately.
Request a free billing audit from our team.