PT Revenue Cycle

Your billing company says everything is fine. Your collections say otherwise.

Authorization denials, KX modifier misuse, and workers-comp claims that sit in A/R for ninety days. In clinics we have worked with, these three account for most of the PT revenue that quietly disappears. Free 15-minute assessment to map yours.

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15 minutes. Custom financial scorecard for your practice.

At a glance

Starts withFree 15-minute assessment

FormatEducational diagnostic, no cost

You getA scorecard of your top revenue leaks and where to focus

Next step/free-assessment

Is This Right for You?

This is for physical therapy practice owners who:

Prior authorizations are getting denied and your staff spends hours on the phone fighting with payers

You suspect your therapists are not documenting well enough to support the billing codes being used

Medicare KX modifier thresholds are costing you patients mid-plan and you have no system to track them

Your billing company says everything is fine but your collections have been flat for two years

Workers comp claims sit in accounts receivable for 90+ days and nobody follows up

Want ongoing financial oversight? Our Fractional CFO service for physical therapy practices may be a better fit.

What We Analyze

Where Physical Therapy Practices Lose Revenue

We trace every dollar from claim submission to bank deposit in your physical therapy practice.

Authorization & Compliance

•Prior authorization denial rate and root cause analysis
•Visit cap tracking and patient communication workflows
•Payer-specific documentation requirement audit

Coding & Documentation Review

•CPT code utilization analysis (timed vs untimed codes)
•8-minute rule compliance audit
•Documentation sufficiency for billed units
•Evaluation code level selection accuracy

Collection Effectiveness

•Days in AR by payer type
•Workers comp collection process audit
•Patient responsibility collection rate

Denial Pattern Analysis

•Top denial reasons by payer and procedure
•Medical necessity denial trends
•Appeal success rates and turnaround time
•Preventable denial identification

Results

What Physical Therapy Practices Recover

Finding	Typical Outcome
Revenue recovered	$223,000 from productivity improvements and billing corrections
AR reduction	$142,000 collected from aged workers comp claims
Location 3 turnaround	From -$4,200/mo to +$2,800/mo in 5 months

Case Study

Real results from a practice like yours

6-therapist PT practice, three locations, mix of orthopedic and sports rehab. Revenue grew 22% over two years after adding a third location, but profit actually declined. The owner was working more and earning less.

What we found:

•Two therapists were averaging 7.5 visits per day against a target of 10, costing $198K in unrealized revenue annually
•Workers comp claims were sitting an average of 97 days in AR. $142K was collectible but had not been followed up on
•The third location was running at 58% capacity but carrying full staffing costs, losing $4,200 per month
•The practice was not billing for re-evaluations, leaving an estimated $38K per year uncollected

The results

$223,000 from productivity improvements and billing corrections

Revenue recovered

$142,000 collected from aged workers comp claims

AR reduction

From -$4,200/mo to +$2,800/mo in 5 months

Location 3 turnaround

“I thought I had a revenue problem. Turns out I had a visibility problem — I just could not see where the money was stuck.”

— Practice Owner, Mid-Atlantic

Common Questions About Revenue Cycle Analysis for Physical Therapy Practices

Find out where your physical therapy practice revenue goes.

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