Medical Billing · Nationwide
Physical Therapy & Rehabilitation Medical Billing Services
Time-based modal therapy billing governed by Medicare's 8-minute rule, therapy caps, KX modifier tracking, and plan-of-care certifications.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to physical and occupational therapy practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical physical therapy & rehabilitation CPT range we work: 97110, 97140, 97112, 97161–97163.
Why physical therapy & rehabilitation billing leaks revenue
Medicare 8-Minute Rule calculation errors resulting in over-billing or under-billing of timed units
Therapy threshold cap tracking: Failure to append Modifier KX when claims exceed Medicare's annual threshold results in automatic rejection
Missing physician signatures on the 90-day Plan of Care (POC) recertification halting payment entirely
Manual therapy (97140) bundled with physical therapy evaluation (97161–97163) under NCCI edits unless Modifier 59 is justified
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Physical Therapy & Rehabilitation billing FAQ
How do you calculate Medicare 8-minute rule units?
Our claim scrubbing system audits total timed minutes against Medicare's table (e.g., 8–22 mins = 1 unit, 23–37 mins = 2 units) to prevent audit recoupments.
How do you track the Medicare therapy cap and KX modifier?
We continuously track cumulative therapy expenditures per patient and automatically apply Modifier KX when reaching the annual limit, while alerting your staff when targeted medical review thresholds approach.