Physical Therapy Medical Billing & Credentialing Services

Optimize Reimbursements. Minimize Denials. Grow Your PT Practice.

For physical therapists, staying compliant with payer rules, managing prior authorizations, and submitting clean claims is a constant battle—especially while juggling a packed treatment schedule. At Oakview Medical Billing Solutions, we specialize in helping physical therapy practices increase cash flow, reduce denials, and gain payer access through proven billing and credentialing strategies.

Whether you're a solo outpatient therapist, multi-location PT group, or hospital-based rehabilitation provider, our tailored services are designed to support your revenue cycle from the ground up.

Challenges in Physical Therapy Billing & Credentialing

The nature of physical therapy makes billing more complex than many realize. Here are some of the most common challenges PTs face:

• Time-Based Coding Complexity: Many CPT codes in PT are time-based (like 97110 or 97112), and accurate documentation is essential to avoid audits and denials.

• Therapy Cap Limits & Authorizations: Medicare and commercial plans often impose visit limits or require frequent re-authorizations, causing disruptions in care and reimbursement delays.

• Multiple Modifiers Required: Use of GP, KX, and sometimes 59 modifiers is essential, and incorrect usage can trigger denials or claim rejections.

• Credentialing Delays: Many PTs are left out-of-network simply because credentialing is delayed, incomplete, or poorly tracked.

Oakview’s Physical Therapy RCM & Credentialing Solutions

We bring a deep understanding of outpatient rehab billing—and our team works proactively to ensure your practice gets paid accurately and on time.

Certified PT Coders: Our coding specialists are trained in CPT coding and documentation specific to rehabilitative services.

Clean Claims & Timely Submissions: We ensure every claim meets payer-specific requirements—reducing rejections and speeding up payment.

Real-Time Authorization Management: Oakview takes care of initiating, tracking, and renewing all required prior authorizations.

Comprehensive Denial Management: We identify and fix root causes of denials, and resubmit corrected claims fast.

Custom Credentialing Packages: Get credentialed and contracted with Medicare, Medicaid, and commercial plans—with live tracking dashboards for every application.

Compliance-Focused Approach: We help your PT clinic stay audit-ready with compliant documentation reviews and billing audits.

CPT Codes Commonly Used in Physical Therapy Billing

Why Physical Therapy Clinics Trust Oakview

• Over a decade of rehab-specific billing and credentialing experience

• Dedicated account manager and credentialing specialist

• Custom reporting dashboards for visibility into your revenue

• Support for credentialing Physical Therapists (PTs), Physical Therapist Assistants (PTAs), and therapy groups

• Experience with Medicare, UnitedHealthcare, Aetna, Cigna, Blue Cross, and Workers' Comp billing

Many of our clients see a 20–30% improvement in collections within the first few months—and a dramatic reduction in denials and patient balance confusion.

Start Growing Your Physical Therapy Practice Today

Don't let billing bottlenecks and credentialing backlogs hold your practice back. Let Oakview Medical Billing Solutions take care of the back office—so you can focus on patient recovery and growth.

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