Physical Therapy Billing & RCM
Physical Therapy billing and revenue cycle, 50-state coverage.
Physical therapy billing services from ASP-RCM Solutions. 44,289 NPPES physical therapy billing providers across all 50 states + DC. BHCOE channel partner. HIPAA + SOC 2 Type II compliant. Senior partners on every account.
What good physical therapy billing execution looks like.
The operating discipline we install on every physical therapy billing engagement.
- 8-minute rule + timed code billingPT billing under Medicare 8-minute rule converts treatment minutes to billable units for timed codes (97110, 97112, 97140, 97530). Accurate time tracking is foundational.
- GP modifier disciplineAll PT services bill with GP modifier identifying physical therapy discipline. Missing GP triggers denial.
- Plan of Care + recertification cycleMedicare requires physician-signed Plan of Care every 90 days. Recertification timing must be tracked to avoid lapse.
- KX modifier above therapy thresholdMedicare therapy threshold ($2,330 in 2025) requires KX modifier and supporting documentation for continued medically necessary therapy.
- Outpatient vs home health PT distinctionyour state PT practices serving home health must coordinate billing under home health PPS rather than outpatient. Wrong billing channel triggers denial.
- Direct access state + PA-aware workflowyour state direct access PT rules vary. Some states allow PT without physician referral; others require POC signature. Workflow needs to match state law.
Top physical therapy billing markets by NPPES org count.
State-level RCM guides for the largest physical therapy billing markets in the U.S.