Specialties

Billing for Physical Therapy and Rehabilitation

APM Billing handles the revenue cycle for physical therapy, occupational therapy, and rehabilitation practices, with attention to eligibility, authorizations, claims, and the follow-up that keeps reimbursement moving.

Specialty Overview

Rehabilitation billing follows a treatment plan. Services are delivered across a series of visits, coverage may limit how many are allowed, and payers usually require authorization before treatment continues. When verification or authorization lapses, the practice can deliver care that is difficult to bill. Claims also depend on clean, consistent data, and a mismatch between the authorized service and what was billed typically appears as a denial weeks later. APM Billing manages these steps across the full course of care.

Common Billing Challenges

Benefit verification for therapy services

Therapy benefits can include visit maximums, separate deductibles, and coinsurance that differs from medical coverage, and those terms have to be identified before treatment starts.

Authorization across a plan of care

Approvals may cover a set number of visits or a certification period. Knowing when an authorization nears its limit lets a renewal be requested in time.

Claims that depend on authorization and documentation

Claims deny when the authorization on file does not line up with the services billed, or when required information is missing from the submission.

Timely filing pressure on corrected claims

Correcting and resubmitting a claim takes time, and payer filing limits are not extended because a claim was denied.

How APM Billing Supports Your Practice

Therapy Benefits and Eligibility Verification

We confirm coverage status, visit limitations noted by the payer, deductibles, and patient responsibility before treatment begins.

Prior Authorization and Renewals

Authorizations are requested and tracked, approval periods are monitored, and renewals are flagged so services remain covered through the plan of care.

Provider Credentialing and Enrollment

New therapists and providers are enrolled and credentialed with the payers you bill so claims can be submitted under an effective contract.

Re-Credentialing and CAQH Maintenance

Re-credentialing cycles and CAQH attestations are maintained so provider records stay active and billing continues.

Claims Submission, Tracking, and Corrected Claims

Therapy claims are submitted and monitored through acceptance and adjudication, and denials are resolved through correction, appeal, or additional information as the payer requires.

Receivables, Patient Billing, and Collections

Open claims and balances are worked on a scheduled basis, patient responsibility is billed and explained, and aging balances move through patient-friendly outreach before escalation.

Our Process

1

Practice Assessment

We review your visit volume, payer mix, authorization process, and the denials that most often affect therapy claims.

2

Onboarding and Transition

Payer contracts, fee schedules, credentialing records, and system access are collected, then billing moves to APM Billing on an agreed timeline with open authorizations and outstanding claims carried through.

3

Ongoing Billing and Reporting

Verification, authorizations, submissions, denials, and patient balances are handled as routine work across the course of care, with regular reporting and a direct point of contact.

Keep your therapy services paid, not denied

Tell us about your practice and we will follow up to discuss how APM Billing can support your revenue cycle.