Is your physical therapy practice losing revenue due to billing errors, claim denials, or confusing ICD-10 codes? At Mental Health Services, we offer expert Physical Therapy Billing Services tailored for outpatient physical therapy, speech therapy, and occupational therapy providers.
Our goal? To optimize your revenue cycle management, ensure proper reimbursement, and let your team focus on what really matters — exceptional patient care.
We understand the crucial role that accurate documentation, real-time claim submission, and billing compliance play in the success of a physical therapy practice. With our team of certified billing specialists and healthcare professionals, you’ll experience:
- Higher Reimbursement Rates with accurate PT billing units and time-based codes
- Reduced claim denials using best practices and payer-specific billing policies
- Seamless insurance eligibility verification and Medicare billing expertise
- Streamlined payment posting, insurance claims follow-ups, and patient collections
- Customized training to train staff on the latest CPT codes, timed code use, and the KX modifier
Billing for physical therapy services is complex — especially with Medicare’s 8-minute rule, 15-minute increments, and differentiating between time-based services and service-based units.
Common Time-Based Procedures Include:
- Therapeutic Exercise
- Neuromuscular Re-education
- Manual Therapy
- Gait Training
- Group Therapy (with constant attendance)
We ensure each treatment session is coded properly, maximizing billable units without overstepping payer guidelines.
At Mental Health Services, we provide specialized Physical Therapy Billing Services tailored for clinics, private practices, and healthcare providers. Our goal is to maximize proper reimbursement, reduce claim denials, and ensure every physical therapy service is billed accurately according to payer guidelines, including those of Medicare and Medicaid Services.
We begin each billing cycle with thorough insurance eligibility verification, confirming the patient’s insurance coverage before any treatment session begins. This critical step prevents costly errors and denials by ensuring coverage for each specific service.
We ensure accurate documentation and coding using ICD-10 codes, Common CPT Codes, and the standardized Coding System approved by the American Medical Association. This guarantees that every medical claim is clean, compliant, and ready for fast reimbursement.
Our billing experts are fully trained in handling time-based codes, 15-minute increments, and calculating PT billing units accurately in accordance with Medicare’s 8-minute rule. We distinguish between timed code and service-based units, ensuring compliance while maximizing billable units.
We accurately code every physical therapy evaluation, whether it’s a low-complexity evaluation or more advanced assessment. Based on the patient’s condition, we select the correct evaluation code and ensure proper alignment with the treatment plan.
We manage claim submission through a certified clearinghouse, providing real-time claim tracking and faster payouts. Our system reduces delays and increases accuracy, ensuring every insurance claim meets the standards of all insurance providers.
We specialize in compliant Medicare billing for Medicare Part B patients and Medicaid Services. From tracking additional units to applying the correct KX modifier, our team ensures every claim meets the required documentation for optimal Medicare payment.
Our full-service revenue cycle management includes everything from patient information entry and insurance verification to payment posting and patient collections. We handle every administrative touchpoint in your billing system to improve financial outcomes.
Every claim starts with accurate documentation and coding. Our billing staff uses:
- The latest International Classification of Diseases (ICD-10)
- Common CPT Codes approved by the American Medical Association
- Clear mapping of total treatment time, direct treatment, and minutes of service
We audit treatment plans, track minutes of therapeutic exercise, and ensure the correct evaluation code is assigned — whether for low complexity, moderate, or high evaluations.
We don’t just support physical therapists — we’re here for the full spectrum of rehabilitation and therapy providers:
- Speech-Language Pathology
- Occupational Therapists
- Physical Therapist Assistants
- Mental Health & Behavioral Health Integration
We bill for all physical therapy services, including:
- Therapeutic exercise
- Neuromuscular re-education
- Manual therapy
- Gait training
- Group therapy with constant attendance
- Speech Therapy
- Occupational Therapists
We calculate total treatment time, log minutes of therapeutic exercise, and track direct treatment time to ensure compliant and profitable billing.
From therapy plan of care creation to submitting claims, our team handles every aspect of your billing system so you stay compliant and paid.
At Mental Health Services, we proudly offer Physical Therapy Billing Services across the United States. Whether you're a solo physical therapist, a growing outpatient physical therapy clinic, or a multi-specialty practice with occupational therapists and speech-language pathologists, we’re equipped to handle your billing needs with precision and compliance.
Our experienced billing specialists are familiar with state-specific payer guidelines, Medicare billing regulations, and insurance provider policies in all 50 states. We ensure your practice is always aligned with best practices, accurate use of CPT, and the latest updates from the American Physical Therapy Association and Medicaid Services.
We Serve Healthcare Providers In:
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
If your physical therapy practice is located in a state not listed above—don’t worry! Our team is fully trained in state-specific claim submission rules, ICD-10 codes, Medicare’s 8-minute rule, and clearinghouse protocols across the country.
At Mental Health Services, we understand that efficient physical therapy billing starts with seamless data flow between your EHR (Electronic Health Record) and Practice Management Software (PMS). That’s why we offer full integration with the industry’s leading systems to ensure accurate patient information, streamlined claim submission, and effective revenue cycle management.
Benefits of EHR & PMS Integration include:
- Real-time insurance verification
- Faster claim submission and payment posting
- Accurate tracking of minutes of therapeutic exercise
- Streamlined billing system and compliance with Medicare’s 8-minute rule
- Fewer claim denials through clean data and accurate documentation
- Easy access to medical records and patient information
Whether you're managing physical therapy services, speech therapy, or occupational therapy, our billing team works directly within your existing software environment to minimize disruption and reduce administrative tasks.
We Integrate With the Following EHRs & PMS Platforms:
- Kareo
- SimplePractice
- Fusion Web Clinic
- Athenahealth
- DrChrono
- AdvancedMD
- TherapyNotes
- Practice Fusion
- Office Ally
- eClinicalWorks (eCW)
- NextGen
- ChiroTouch (for chiropractic and rehab-integrated PT)
- Valant (commonly used for mental health + therapy practices)
If you don’t see your system listed — don’t worry. We offer custom integration and manual workflows to match your software, whether you're tracking 15-minute increments, PT billing units, direct treatment minutes, or therapy plan of care documentation.
