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AI-Powered Revenue Cycle · PT Billing

Practice Pro — Physical Therapy Billing Software & Medical Billing Services

Stop Revenue
Leakage.
Get Paid Faster.

Eliminate leakage from referral to final payment — physical therapy billing, authorizations, claims, and denials in one connected platform. Physical therapy billing and scheduling software, plus an optional US-based billing team.

Connected Revenue Workflow

Move Seamlessly from Care to Cash Flow.

Most revenue leaks happen in the gaps between systems: front desk to billing, authorization to claims, payment to reporting. Practice Pro removes the handoffs because the entire cycle runs inside one platform.

  1. 1

    Eligibility & authorization verified upfront

    At scheduling, insurance is checked in real time and visit-based or unit-based authorizations are tied to the plan of care — before a single charge is created.

    ✓ No care without coverage
  2. 2

    Charges captured from the signed note

    CPT codes, modifiers, and timed units flow straight from documentation. The 8-minute rule, GP/GO/GN, and KX modifiers are enforced at charge entry.

    ✓ Zero duplicate entry
  3. 3

    Claim scrubbed & submitted same day

    Payer rules and compliance checks run automatically. Clean claims transmit to the clearinghouse with real-time validation — no extra logins, no portals.

    97.4% clean-claim rate
  4. 4

    ERAs auto-posted, denials worked at the root

    Remittances reconcile against your fee schedule. Underpayments surface, and our embedded team works denials by root cause — not just resubmission.

    $94K denials avoided
Right-Sized RCM

Built for your practice size. Not a generic biller.

The revenue challenges of a solo clinic and a 40-location group are nothing alike. Pick your size and see how Practice Pro's RCM handles it.

Solo · In Practice Pro

Single Clinic

When you're the clinician and the biller, the revenue cycle can't need babysitting. We run eligibility, scrub claims, post payments, and chase A/R for you — with full transparency from your phone.

27dAverage A/R, down from 45+
Key RCM features for solo

Done-for-you billing

Our team handles claims, posting, and follow-up so you can treat.

Same-day submission

Charges flow from your signed note and go out clean, daily.

Transparent revenue view

Every claim, payment, and denial visible in one dashboard.

Eligibility at booking

Insurance verified up front so you never treat without coverage.

Group · In Practice Pro

Mid-Size Practice

With several therapists and a shared front desk, revenue leaks between intake and billing. Practice Pro closes those gaps with enforced workflows, payer-rule automation, and a dedicated RCM team.

<3%Denial rate across providers
Key RCM features for groups

Multi-provider charge capture

Every therapist's units, modifiers, and codes enforced at entry.

Authorization safeguards

No visit delivered without valid, tracked coverage.

Front-desk-to-billing visibility

One workflow eliminates the swivel-chair between systems.

Denial root-cause work

Appeals and trend reporting stop the same denial repeating.

Enterprise · In Practice Pro

Multi-Site Enterprise

Across dozens of locations, revenue performance has to be consistent and reportable in one place. Practice Pro centralizes RCM while each site runs its day — with HIPAA-compliant security throughout.

40+Sites, one revenue dashboard
Key RCM features for enterprise

Centralized revenue reporting

A/R, yield, and denial trends across every site, live.

HIPAA-compliant RCM & SSO

Role permissions and full audit trails on every transaction.

Payer-mix optimization

Benchmarks tuned per location's Medicare vs commercial split.

Underpayment recovery

Contracted-rate reconciliation flags variances by CPT and payer.

End-to-End RCM · Built In
Benefit Verification

Verify coverage before the visit happens.

Eligibility runs automatically at booking and at check-in. Clean intake — accurate insurance data, validated referrals, benefit screening — prevents the downstream billing errors that cause most denials.

  • Real-time eligibility & benefit checks
  • Co-pay, deductible & coinsurance surfaced upfront
  • Referral validation tied to the plan of care
  • Patient balance workflows synced to scheduling
See eligibility in action →
app.practicepro.com / eligibility
Eligibility Check
real-time · 270/271
ActiveStatus
$25Co-pay
$340Deductible
Avery Kim · Aetna PPOMember #W83920184 · PT active
Verified
Referral on fileDr. Patel · 12 visits authorized
Valid
Lucas B. · UHCDeductible not met · $340 left
Patient owes
Authorization Control

Never treat without valid coverage again.

Authorization failures are a top cause of denied therapy claims. We actively manage visit-based and unit-based approvals, date-range coverage, and renewals — with inline alerts before the visit, not after the denial.

  • Visit-based & unit-based authorization tracking
  • Utilization tracking with expiry & limit alerts
  • One-click renewal & extension follow-ups
  • Payer-specific authorization rule enforcement
See authorization tracking →
app.practicepro.com / authorizations
Authorization Tracking
156 active · 8 expiring
156Active
8Expiring
$94KSaved
Riya S. · Aetna PPO2 of 24 visits remaining
Renew now
Lucas B. · UHCExpires Jun 18 · date-range
Expiring
Avery K. · Aetna PPO12 of 24 units used
On track
Clean Claim Submission

Claims go out right the first time.

Our AI scrubber detects coding errors, compliance risks, and payer-rule conflicts before submission. Strong first-pass acceptance means faster reimbursement and far less costly rework.

  • CPT / ICD-10 coding & modifier accuracy
  • Medicare 8-minute rule & therapy compliance
  • Automated scrubbing & daily electronic submission
  • Timely-filing protection across every payer
See the claim scrubber →
app.practicepro.com / claims
Claim Scrubber
pre-submission validation
97.4%Clean
CPT 97110 + 97140 — units valid
GP modifier applied correctly
8-minute rule — 4 units justified
Dx pointer missing → auto-fixed
Denial Management

We don't just resubmit. We fix the root cause.

Denials are delayed or lost revenue. Our team performs root-cause analysis, runs structured appeals with documentation, and reports trends so the same denial doesn't happen twice.

  • Structured denial categorization & corrected claims
  • Formal appeals & medical-necessity justification
  • Payer escalation workflows
  • Trend reporting & prevention strategy
See denial recovery →
app.practicepro.com / denials
Denial Workboard
root-cause analysis
14Open
91%Overturn
$38KRecovered
CO-197 · Auth missingUHC · appeal filed w/ records
Appealing
CO-16 · Dx pointercorrected claim resubmitted
Reworked
CO-50 · Medical necessityoverturned · $1,840 paid
Recovered
Payment Posting & Reconciliation

Know exactly what you're owed — and what you got.

Payment posting is financial intelligence, not bookkeeping. ERAs and EOBs post automatically, contractual adjustments are validated, and underpayments surface against your contracted rates.

  • Automated ERA / EOB posting
  • Contractual adjustment & fee-schedule reconciliation
  • Underpayment detection by CPT & payer variance
  • Integrated card processing & patient ledgers
See payment posting →
app.practicepro.com / payments
ERA Reconciliation
835 auto-post
$48.2KPosted today
100%Auto-match
3Underpaid
Aetna PPO · ERA #88241$1,284 · matches fee schedule
Reconciled
Cigna · CPT 97530paid $38 vs $52 contracted
Underpaid
Patient card on file$25 co-pay · ledger updated
Captured
Revenue Analytics

Total financial clarity, in real time.

Dashboards give you A/R intelligence, yield-per-visit tracking, denial trends, and multi-location benchmarking — so you can find bottlenecks and fix them at the root.

  • Live KPI dashboard — A/R days, yield, denial rate
  • Aging analysis & smart A/R prioritization
  • Multi-location & payer-mix benchmarking
  • Export to PDF / Excel or scheduled email
See the analytics →
app.practicepro.com / reports
Revenue Dashboard
YTD · all locations
$2.84MNet revenue
27dA/R days
+18%YoY
Collections by monthtrending ▲
01 / 06
Everything You Need

A complete revenue cycle engine for therapy practices

Every capability is purpose-built for PT, OT, Speech, and pediatric therapy billing — not adapted from a generic medical biller. Hover any card to see the numbers behind it.

Benefit Verification

Real-time eligibility, co-pay and deductible visibility, and referral validation — done at booking so intake is clean from the start.

Benefit Verification

Eligibility checks / mo12,400
Auto-verified at booking98%
Intake-error denials cut−63%

Authorization Tracking

Visit-based and unit-based authorizations tied to the plan of care, with expiry alerts and one-click renewals before care is delivered.

Authorization Tracking

Active auths managed156
Denied claims prevented$94K
Caught before expiry100%

AI Claim Scrubbing

Coding, modifier, and payer-rule checks run before submission. Errors are caught and auto-fixed for a strong first-pass acceptance rate.

AI Claim Scrubbing

Clean-claim rate97.4%
Same-day submissionYes
Rework reduction−71%

Denial Management

Root-cause analysis, structured appeals, and medical-necessity documentation — plus trend reporting so the same denial never repeats.

Denial Management

Appeal overturn rate91%
Avg denial rate<3%
Recovered / quarter$148K

ERA / EOB Posting

Remittances post automatically and reconcile against your fee schedule, with underpayment detection by CPT and payer variance tracking.

ERA / EOB Posting

Auto-match rate100%
Underpayments flaggedLive
Posting hours saved−85%

Patient Collections

Compliant patient billing with card-on-file, payment plans, and a mobile-friendly portal — A/R follow-up that protects your reputation.

Patient Collections

Patient pay collected+34%
Point-of-service captureYes
Statement-to-pay time−6 days

Clearinghouse Integration

Trusted clearinghouse partners deliver claims and download ERAs reliably — no extra logins or portals, with options matched to your volume.

Clearinghouse Integration

Claim delivery rate99.9%
Extra logins requiredZero
ERA downloadAuto

Smart A/R Prioritization

AI ranks accounts receivable by recovery likelihood and value, so your team works the claims that move cash flow — not a flat aging list.

Smart A/R Prioritization

A/R days27
From legacy baseline41d
>90-day A/R reduced−48%

Revenue Analytics

Real-time dashboards for yield per visit, denial trends, and multi-location benchmarking — full visibility across your revenue cycle.

Revenue Analytics

ReportingLive
Yield per visit ▲+22%
Locations benchmarked∞
Physical Therapy Billing Guide

Physical therapy billing, explained in plain English.

Physical therapy billing is the process of turning each documented visit into a clean insurance claim and a paid balance: verifying eligibility, coding the visit with CPT codes, units and modifiers, submitting the claim, posting the payment and working any denial. Physical therapy medical billing follows Medicare and payer rules that general medical billing doesn't, such as the 8-minute rule, therapy modifiers and plan-of-care certification.

Physical therapy billing guidelines every clinic should follow

Most denied claims break one of these physical therapy billing guidelines. Practice Pro checks each one before the claim goes out.

  • Verify eligibility and authorizations before the first visit and after any plan change.
  • Bill timed codes by the minutes documented, using the Medicare 8-minute rule.
  • Add the discipline modifier — GP, GO or GN — on every therapy line.
  • Keep the plan of care certified and add KX when medically necessary services pass the annual threshold.
  • Pair each CPT code with an ICD-10 code that supports it.
  • Submit within timely filing limits and work every denial by its root cause.

Physical therapy billing example: billing minutes for physical therapy

A patient receives 23 minutes of therapeutic exercise (97110) and 15 minutes of manual therapy (97140). That's 38 timed minutes, which the 8-minute rule converts to 3 billable units.

ServiceMinutesUnits billed
97110 Therapeutic exercise232
97140 Manual therapy151
Total timed minutes383 (38–52 min = 3 units)

More physical therapy billing examples: Medicare 8-minute rule · 8-minute rule chart · PT CPT codes list

Billing software, billing services or a billing company?

Billing for physical therapy clinics usually takes one of three forms. Practice Pro gives you the first two in one place — physical therapy billing programs your own staff can run, plus physical therapy medical billing services from our US-based team, working in the same system.

OptionWho does the workWith Practice Pro
Physical therapy billing softwareYour in-house team, using physical therapy medical billing software connected to the EMRCharges flow from the signed note; claims are scrubbed before they go out
Physical therapy billing servicesAn outside team works claims, denials and payment posting for youOur RCM team works inside your Practice Pro system, so you keep full visibility
Physical therapy billing companyA separate physical therapy medical billing company, often in its own systemNo second system: documentation, scheduling and billing share one record

When comparing the best physical therapy billing services, ask who works denials, how fast claims go out, whether the team bills in your system or theirs, and how they report results. Medical billing and claims for physical therapy only work well when coding and billing start from accurate documentation.

Denial management guide Patient collections Eligibility verification KX modifier Plan of care certification
The Humans Behind the Revenue
4.7 / 5
average rating across Capterra, GetApp & Software Advice — 600+ reviews from real practitioners.
The owners, billers, and
operators who turned
leakage into cash flow.
★★★★★
“
We moved billing in-house onto Practice Pro and our clean-claim rate jumped to 97%. A/R days dropped from the mid-40s to under 30 in one quarter. The denial work alone paid for the platform.
SL
Sarah L., DPT
Practice Owner · Physical Therapy · 3 Locations
★★★★★
“
The authorization tracking has saved us from billing disasters more than once. For a multi-discipline pediatric clinic, having auths tied to visits and units across PT, OT, and SLP in one chart is everything.
MR
Marcus R., OTR/L
Clinic Director · Multi-Specialty · 8 Locations
★★★★★
“
We scaled from 2 to 22 locations without changing billers. One dashboard, consistent denial rates everywhere, and an embedded team that fixes root causes instead of just resubmitting. Real revenue we'd have lost.
TK
Teresa K., MBA
VP Operations · Multi-Specialty Group · 22 Locations
Frequently Asked Questions

Physical therapy billing and RCM, answered.

Everything clinics ask about physical therapy billing software, physical therapy medical billing services and revenue cycle management - clean claims, denial management, eligibility, billing minutes and RCM for PT, OT, and SLP.

Request a Demo

Physical therapy billing software is the system that turns documented visits into clean claims and collected revenue. Practice Pro is a complete physical therapy billing system with built-in revenue cycle management - combining claims management, denial management, eligibility verification, and payment posting in one workflow. Because billing connects directly to your clinical documentation, charges are captured accurately and claims go out clean the first time. You can run billing in-house with your own team or hand it entirely to our US-based RCM experts.

Physical therapy billing is the process of turning each documented therapy visit into a paid claim: verifying eligibility, coding the visit with CPT codes, units and modifiers, submitting the claim, posting the payment and working any denials. Physical therapy medical billing follows therapy-specific rules such as the Medicare 8-minute rule, GP/GO/GN modifiers and plan-of-care certification. See the full PT CPT codes list.

Revenue cycle management is the end-to-end process of getting paid - from insurance verification and coding at the front end, through claim submission and scrubbing, to denial management, payment posting, and collections at the back end. Practice Pro's physical therapy RCM software automates each step so fewer claims slip through the cracks and cash flows faster. Instead of chasing denials after the fact, the system catches issues before claims go out. For clinic owners, strong RCM is the difference between a practice that leaks revenue and one that captures every dollar it earns - all visible in your financial reporting.

Denials are usually preventable, and Practice Pro is built to stop them at the source. Built-in insurance and eligibility verification confirms coverage before the visit, CPT coding checks and Medicare 8-minute rule logic keep units accurate, and claim scrubbing catches errors before submission. Because billing is connected to documentation, the units you bill match the units you documented - a common denial trigger when the two live in separate systems. The result is a higher clean-claim rate, fewer denials, and faster reimbursement. See our 8-minute rule guide for the billing details.

Yes. You choose how hands-on you want to be. Run billing in-house with Practice Pro's tools, or hand the entire revenue cycle to our US-based RCM experts who submit claims, work denials, and post payments on your behalf. Because your team and our billing team work in the same platform, you keep full visibility into every claim, denial, and dollar - even when the work is outsourced. It is therapy billing service and software in one, so growing practices get expert billing without losing control of their numbers.

Physical therapy billing services, also called physical therapy medical billing services, are outsourced teams that submit claims, follow up on unpaid claims, work denials and post payments for a clinic. Practice Pro's US-based RCM team provides these services inside your own Practice Pro system, so you get billing help without moving your data to another company.

It depends on your team. Physical therapy billing software suits clinics with in-house billers; a physical therapy billing company or physical therapy medical billing company suits clinics that want the work done for them. Practice Pro combines both: billing software for physical therapists and an optional billing team working in the same system.

The best physical therapy billing services know therapy rules (the 8-minute rule, GP/GO/GN and KX modifiers, plan-of-care certification), work denials by root cause, bill inside your EMR rather than a separate system, and report results clearly. Ask every provider who works denials, how quickly claims are submitted and what reporting you'll see.

Physical therapy billing and scheduling software should verify eligibility and authorizations at booking, track visits against authorizations, create charges from the signed note, scrub claims against payer rules, post ERAs automatically and report A/R and denials. Practice Pro combines scheduling, documentation and billing on one patient record.

Key Medicare physical therapy billing guidelines are: bill timed codes by the 8-minute rule, add the GP, GO or GN modifier to every therapy line, keep a certified plan of care, add the KX modifier when medically necessary services pass the annual therapy threshold, use the CQ or CO modifier for assistant services, and submit within timely filing limits.

For Medicare, add up the minutes of all timed services in the visit and convert them with the 8-minute rule: 8 to 22 minutes is 1 unit, 23 to 37 minutes is 2 units, 38 to 52 minutes is 3 units and 53 to 67 minutes is 4 units. For example, 23 minutes of 97110 plus 15 minutes of 97140 is 38 minutes, billed as 3 units: two of 97110 and one of 97140.

Physical therapy coding and billing means assigning the right CPT codes, units, modifiers and ICD-10 diagnosis codes to each visit and turning them into a clean claim. In Practice Pro, AI suggests codes from the note, units are calculated from documented minutes, and payer rules are checked before submission.

Yes. Practice Pro handles occupational therapy billing and speech therapy billing alongside PT, with the right codes and modifiers for each discipline - GO for OT, GN for SLP, and the timed-code logic PT relies on. Multi-disciplinary clinics bill PT, OT, and SLP from one system, so the same billing and RCM workflow covers every service line. For rehab groups, that means one consistent billing process instead of a separate tool or team for each discipline.

Yes. Front-end mistakes cause most back-end denials, so Practice Pro verifies insurance eligibility and flags authorization requirements before the first visit. Real-time benefits checks, authorization tracking, and coverage details are attached to the patient's record and carried through to the claim. That means your team knows what is covered and what needs authorization up front, right from scheduling - preventing the eligibility and authorization denials that quietly drain revenue from many therapy practices.

Billing is only as clean as the documentation behind it, which is why Practice Pro connects them. Charges are captured automatically from the clinical note, so the units billed match the units documented, and every claim rolls up into financial reporting. Clinic owners can track collections, denials, days in A/R, and revenue by provider or location from one dashboard. This connection between documentation, billing, and analytics is what gives practices real-time control over the money instead of surprises at month-end.

Yes. Practice Pro is HIPAA-compliant and SOC 2 Type II, so billing, claims, and payment data run on an encrypted, secure platform with access controls and audit trails. Patient and financial information stays protected from verification through payment posting, and secure communication runs through the portal. Whether you are a single clinic or a national multi-location group, your billing and revenue data stay protected across the practice.

Increase Cash Flow. Deliver Better Care.

Empower your therapists to prescribe personalized home exercise programs with video demonstrations, written instructions, progress tracking, and anytime access.

Schedule a Demo Talk With a Practice Solutions Specialist