About
Services
Revenue Cycle Management Out-of-Network Billing Virtual Front Office Ambulatory Surgery Center Practice Launch Growth & Exit All Services →
Specialties
Emergency Medicine Anesthesia Radiology All Specialties →
AI Marketing Platform
Platform Overview AI Features Pricing Plans Case Studies
Locations
Texas Lewisville, TX (HQ) Oklahoma New Mexico New York
Blog
Start Free A/R Trial📞 +1 469 312 1407
Physical Therapy Billing

Physical Therapy Billing That Captures Every Dollar You've Earned

8-minute rule accuracy, therapy cap tracking, and a dedicated OON negotiation layer built for physical therapy — so every unit is reimbursed at the level it deserves.

Start Free A/R Trial See Services
Up to 6×
OON Recovery
Medicare Rate
100%
8-Min Rule
Compliant
98%+
Clean Claims
First Pass
🦴 The Challenge

The Physical Therapy
Billing Challenge

Physical therapy billing revolves around the 8-minute rule for timed CPT codes, where incorrect unit calculation is the most common cause of PT claim underpayment. Therapy cap tracking requires ongoing monitoring against payer-specific limits. Documentation must support medical necessity for every visit, and payers increasingly require progress notes with specific functional outcome measures to authorize continued treatment.

Our Approach

What REL1EF Does Differently

8-minute rule accuracy for every timed code unit
Therapy cap tracking and exception documentation
Functional outcome documentation to support medical necessity
OON Upside

The OON Opportunity
in Physical Therapy

Physical therapy practices with OON patients often accept initial payer offers without negotiation, leaving significant revenue on the table. REL1EF's dedicated negotiation layer recovers up to 6× Medicare rates on PT OON claims — the same timed code units that payer vendors routinely reprice to a fraction of billed charges.

Physical Therapy OON Reimbursement — Same Units
Medicare Baseline1×
Unmanaged OON0.8–1.2×
REL1EF Negotiated OONUp to 6×
Based on UCR benchmarking & Fair Health data. Results vary by payer and geography.
Scope

Services Included

8-Minute Rule Compliance Timed Code Billing Therapy Cap Tracking Functional Outcome Documentation Evaluation Code Selection Re-Evaluation Billing OON Negotiation Prior Authorization Denial Management A/R Recovery
Get Started

No-Win, No-Fee
Physical Therapy Billing

Start with the free A/R recovery trial to see our work firsthand — or contact us directly about physical therapy billing services.

Start Free A/R Trial → 📞 +1 469 312 1407
✓No-win, no-fee A/R recovery trial
✓HIPAA compliant · BAA signed before access
✓8-minute rule compliance built in
✓Works with 50+ EHR systems
Request Your Free PT Billing Assessment
🔒 HIPAA compliant · BAA signed before any data access
Physical Therapy FAQ

Physical Therapy
Billing Questions

Common questions about PT billing, the 8-minute rule, and therapy cap management.

Start Free A/R Trial
The 8-minute rule determines how many units of timed CPT codes can be billed per session. A minimum of 8 minutes must be spent on a service to bill one unit, and additional units follow specific time thresholds. Incorrect unit calculation is the most common cause of PT claim underpayment. REL1EF ensures every timed code is billed to the correct number of units based on documented treatment time.
Therapy caps set payer-specific dollar limits on annual physical therapy services. Once a patient approaches the cap, additional services require exception documentation proving medical necessity. REL1EF tracks each patient's cap status in real time, prepares exception requests proactively, and ensures claims are submitted with proper KX modifiers to prevent denials.
Payers require progress notes with specific functional outcome measures — including standardized tests, measurable goals, and documented improvement — to authorize continued treatment. REL1EF works with your clinical team to ensure documentation supports every visit with the functional data payers require for approval.
Start Free A/R Trial Call Us