PHYSICAL THERAPY BILLING
Flat fee, not a percentage

Physical Therapy Billing, Without a Cut of Your Collections

Remittance processing, payment posting, reconciliation, and denial work for outpatient PT practices.

Most billing companies charge a percentage of everything they collect for you, so the same work costs more every year you grow. We charge a flat monthly fee and build the automation that does the work. Your collections climb. The fee stays where it is.

We run this today for a multi-location physical therapy practice, from the payer remittance files through to the bank reconciliation. See the case study ›
WHAT WE HANDLE

Four Jobs, Automated

The money side of billing, from the payer's file to your bank statement.

Remittance processing

Payers send an 835 remittance file explaining how every claim line was paid, reduced, or denied. We pull those files on a schedule and parse them to the claim line rather than the check total, so nothing disappears into a lump sum.

Payment posting

Parsed remittances post straight to the EMR. Nobody logs into a payer portal, downloads a PDF, and keys the numbers in by hand. Posting stops being a weekly chore and becomes a scheduled run.

Reconciliation

Every deposit gets matched to the remittance that explains it, across the EMR, the clearinghouse, and the bank. When the three disagree, the difference shows up as a named exception instead of a number nobody can account for.

Denials and appeals

Denials and short payments surface the day they post, sorted by reason and by dollar value, with the appealable ones flagged and prioritized. Your staff works a queue instead of hunting through remittances.

HOW WE CHARGE

A Flat Monthly Fee

Billing companies almost always take a percentage of what they collect for you. It sounds fair until you grow. A practice that doubles its collections pays its billing company twice as much to process roughly the same files. The work did not get harder. The invoice did.

You keep the upside

Grow collections and the fee stays put. The gain is yours rather than your vendor's.

You own what we build

The pipeline, the schema, and the documentation belong to the practice and export on request.

Nothing proprietary to get stuck on

What we build is automation running on standard tools, not a platform you have to stay on to keep using it.

GETTING STARTED

Three Steps

No cutover happens on a promise.

1

Discovery call

Forty-five minutes on your payer mix, your EMR, and where the posting time goes today. No deck, no pitch.

2

Written scope and BAA

We send a scope naming the deliverables, the timeline, and the fee. Billing data carries protected health information, so we sign a Business Associate Agreement before any of it moves.

3

Parallel run

The new pipeline runs alongside your current process until the two agree. You watch it match before anything switches over.

WHAT WE DO NOT DO

The Honest Boundaries

Three things you should hire someone else for.

Credentialing and payer enrollment

Applications, CAQH upkeep, and re-credentialing every few years, with rules that differ by payer and by state. It is follow-up calls and paperwork, and automation does not make it faster. Keep it in-house or with a specialist.

Coding

We process what your clinicians and coders produce. We do not assign CPT codes, advise on modifiers, or make compliance calls about the eight-minute rule.

Replacing your EMR

We build on what you already run. If it has an export or an API, we can work with it.

Practices that need monthly financials and analytics on top of billing should start at our healthcare operations practice. Not sure which kind of help your practice needs? Our guide to who does what in PT practice finance breaks it down.

FAQ

Frequently Asked Questions

Usually on the remittance and posting side, yes. Some practices keep a biller for the phone work with payers and hand us the data side. Both arrangements work, and the scope document says which one you are buying.
Most billing services are people doing the work by hand, often offshore, priced as a share of what they collect. We build automation, run it, and staff the exceptions. That is why the fee does not climb with your collections.
We have worked across EMRs, practice management systems, and clearinghouses. If yours has an export or an API, we can build on it. We do not ask you to switch systems.
Remittance files carry protected health information, so yes for the billing work, and we sign a BAA before any of it moves. Analytics and reporting run on a de-identified copy with the HIPAA identifiers stripped or hashed.
It depends on how many payers and systems are in play, but a remittance pipeline is usually a matter of weeks rather than months. It then runs in parallel with your current process until the numbers agree.
Outpatient physical therapy practices from roughly $500K to $10M in annual collections. Below that, the manual process is usually cheap enough. Above it, you likely have a billing department already.
GET STARTED

Start With a Discovery Call

Forty-five minutes on your payer mix, your EMR, and where the posting time goes. No pitch deck, no commitment.