Built by people who run PT billing every single day.
Physical therapy billing is our home turf. HealthFlow was built inside an outpatient PT clinic, which means we know the 97xxx code family, the 8-minute rule, timed versus untimed units, and the exact documentation payers look for before they pay.
Once a patient crosses the annual therapy threshold, every claim needs the KX modifier with documentation to back it. Miss it and Medicare auto-denies. We track every patient against the threshold and apply KX correctly so revenue never stops.
Every PT claim to Medicare needs the GP modifier and a certified plan of care. We verify POC certifications and recertifications are current before claims go out.
The 8-minute rule trips up more PT practices than any other billing issue. We audit units on 97110, 97140, 97530 and every timed code so you bill the maximum defensible units on every visit.
MPPR cuts reimbursement on second and subsequent procedures. We structure claims to minimize the reduction impact legally and correctly.
Commercial plans limit PT visits. We track remaining visits and authorization windows so you never treat a visit that will not be paid.
We know every code you bill: 97161-97164 evaluations, 97110 therapeutic exercise, 97140 manual therapy, 97112 neuromuscular re-education, 97530 therapeutic activities, 97116 gait training, G0283 for Medicare e-stim, and every modality in between.
Free billing review. We look at your last 90 days of claims, find the leaks, and show you exactly what fixing them is worth. No commitment.
Request your free review →Or call (323) 327-2764 · contact@healthflowbilling.com