Killer 01
8-minute rule unit leakage
Unit calculation misses suppress reimbursement on high-volume visits.
Physical therapy billing built around
the 8-minute rule.
Time-based units, distinct service modifiers, and plan-of-care compliance for reliable therapy reimbursement.
Aetnapaneled
BCBSpaneled
UnitedHealthcarepaneled
Cignapaneled
Humanapaneled
Kaiser Permanentepaneled
Tricarepaneled
Anthempaneled
Centenepaneled
Molinapaneled
Medicarepaneled
ElevancepaneledAetnapaneledBCBSpaneledUnitedHealthcarepaneledCignapaneledHumanapaneledKaiser PermanentepaneledTricarepaneledAnthempaneledCentenepaneledMolinapaneledMedicarepaneledElevancepaneledQuiet killers
Where physical therapy revenue leaks. Three patterns we audit on every onboarding and fix first.
Killer 02
Modifier 59 and X misuse
Distinct service logic must be documented and coded accurately.
Killer 03
Plan of care expiration
Recertification misses cause avoidable denials.
How we work
Physical therapy operations, built right.
A specialty pod that lives inside your workflow, not a call-center model. These are the controls we run on every claim from day one.
Physical therapy pod · operating playbookActive
01
8-minute rule audit and coaching
✓02
Recertification alerts
✓03
Modifier governance
✓04
PTA supervision rule alignment
✓Reviewed quarterly · last update May 2026v2.6
Codes & modifiers
The physical therapy code family.
What we actively scrub on every claim. Coders in this pod work these codes daily with payer edits and documentation patterns mapped into weekly QA.
CPT/HCPCS reviewed quarterly · payer LCD/NCD subscriptions · CCI updates · claim-level audit logs.
97110
Therapeutic exercise
97140
Manual therapy
97530
97535
97161-97164
PT evaluation tiers
GP
KX
Threshold exceeded
59
XS
XU
Credentialing
Panels we already work for physical therapy. Enrollment, revalidation, and CAQH upkeep included.
✓Medicare therapy enrollment
✓Commercial plans
✓State Medicaid where available
FAQ
Frequently asked.
Practical questions we get during diligence. Ask anything we missed.
Do you handle KX threshold tracking?+
Yes.
Can you support hybrid cash and insurance models?+
Yes.
Do you work with WebPT and similar systems?+
Yes.
30-day review
A quick conversation, not a long form.
Six short questions. We use them to route your request to the right specialist and return a focused recommendation summary.
HIPAA-safe by default
We don't ask for PHI. Practice-level data only.
~ 90 seconds
Press Enter to continue. No long intake form.
Based on what you've told us...
We route your request to the billing pod that can move fastest.