Beyond Billing – PTBS is your Launch Partner for your new PT Practice! 🚀

We offer FREE PT Start-up consulting to all our Physical Therapy RCM Clients.

We are physical therapy experts

> 150 years

of combined PT experience

100s

of Independent practices served

> 50 %

of our clients we helped launch as startups

We are Proven Experts in the Complex World of Physical Therapy Billing

Over 150 years of combined PT experience and 100s of practices served

+

36

%

Average 3-year revenue growth of our clients

PT Billing Services is such an asset to our clinic. Payment turnaround is quick and follow-ups are timely.

Jamie, Michigan PT Practice

Optimize Your Revenue Today

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PT Billing Services is such an asset to our clinic. Payment turnaround is quick and follow-ups are timely.

Jamie, Michigan PT Practice

PTBS will help you with each key step in establishing your practice

1. CAQH & NPPES Portability to New Practice

When starting a new physical therapy practice, you’ll need to update your CAQH (Council for Affordable Quality Healthcare) profile and NPPES (National Plan & Provider Enumeration System) records. CAQH serves as a central repository for credentialing information used by insurance payers, while NPPES manages your National Provider Identifier (NPI). If you were previously affiliated with another practice, updating these records ensures continuity in payer enrollment and claims processing. Maintaining accurate data will help avoid credentialing delays and reimbursement issues.

2. New Entity, EIN and NPI Creation

Establishing your practice as a legal entity is one of the first steps in launching your business. You’ll need to determine your business structure (e.g., sole proprietorship, LLC, or corporation) and register it with your state. Then, apply for an Employer Identification Number (EIN) from the IRS for tax purposes. If your practice will bill insurance, you’ll also need an NPI Type 2 (for organizations) in addition to your personal NPI. These identifiers are critical for tax filing, payroll setup, and insurance credentialing.

3. PMS/EMR Selection, Onboarding, and Training

Selecting the right software is one of the essential factors for efficient operations. EMRs, or Electronic Medical Records software, help with scheduling, documentation and compliance. PMSs, or Practice Management Software, help with billing and analytics. PTBS will help you choose the best ones for you; we can work with any software. Choose a solution tailored for physical therapy that integrates well with insurance billing and reporting requirements. Once selected, proper onboarding and staff training ensure smooth implementation. Investing time in learning the system early will help avoid administrative headaches and streamline patient care.

4. Payor Selection and Entity Credentialing

Getting your insurance payor selection right is one of the most important factors in your practice's profitability. Credentialing your new practice with insurance payers is a crucial step in getting reimbursed for services. This involves submitting applications and documentation to insurance networks, Medicare, and Medicaid. The process can take several months, so starting early is key. If your CAQH profile is complete and up to date, it can expedite approvals. PTBS offers a full-service credentialing, offering to handle submissions and follow-ups to minimize delays.

5. Business Licensure & Insurance

To operate legally, your practice must obtain the necessary business licenses and permits based on state and local regulations. This may include a professional license, business registration, and zoning permits. Additionally, securing proper insurance—such as malpractice, general liability, workers’ compensation, and cybersecurity coverage—is essential for protecting your practice against potential risks. Compliance with legal and insurance requirements ensures smooth operations and mitigates financial and legal liabilities.

6. Operations Consulting

Running a successful physical therapy practice involves more than just treating patients. PTBS’s operational consulting can help you optimize workflows and enhance patient experience. Key areas include financial planning, payor analysis, staff management, compliance, marketing, and growth strategies. Our experience will help you avoid common pitfalls, set up efficient systems, and scale your practice effectively. Whether it’s refining your billing process or developing patient retention strategies, a solid operational foundation is crucial for long-term success.

Schedule a Free 30-Minute Revenue Consultation

Understand current revenue and cashflow pains

Discuss quick wins for growth           

Learn how our PT experience can meet your needs

Softwares We Specialize In

Note: we can handle any software

Testimonials

The entire PTBS staff… made the process of credentialing and billing a lot easier. PTBS is accessible and helpful as if they were in the office next to me.

- Sue & Rick, South Carolina PT Practice

Since partnering with PTBS we’ve seen an extreme increase in our revenue, which we attribute to your thorough approach to billing and collections.

- Paula, Ohio PT practice

PTBS provided us with prompt, accurate guidance that helped us thrive in this era of ever-changing insurance guidelines.

- Andrea , Utah PT Practice

Softwares We Specialize In

Note: we can handle any software

Schedule a Free 30-Minute Revenue Consultation

Understand current revenue and cashflow pains

Discuss quick wins for growth           

Learn how our PT experience can meet your needs

Frequently Asked Questions

What is revenue cycle management (RCM)?

Revenue cycle management (RCM) refers to the collective services PTBS offers. It includes insurance and patient billing, claim submission, payment posting, and denials and accounts receivable management, as well as such services as insurance credentialing, benefits verification, revenue performance reporting and related practice start-up services. Effective RCM ensures that healthcare providers, like physical therapists, are properly reimbursed for their services and don't have to manage their own team of employees to do so.

Why should I outsource my revenue cycle management?

Outsourcing RCM allows physical therapy practices to focus on patient care rather than administrative tasks. By partnering with RCM experts, you benefit from streamlined billing processes, faster payments, reduced errors, and better financial performance overall. If you suspect your collections are lower or slower than they should be, please reach out.

How do you handle denied claims?

We have a dedicated team that specializes in claim denial management. We thoroughly review denied claims, correct any issues, promptly resubmit them, and continuously follow-up after all submissions to ensure you receive the revenue you're entitled to.

How do you ensure compliance with regulations?

We stay up-to-date on all regulatory changes, including HIPAA, Medicare, and insurance billing guidelines. When working with us, you’ll enter into a Business Associates Agreement that ensures our compliance with the most important regulations together.

What types of physical therapy practices do you work with?

We work with physical therapy practices of all sizes and specialties across the country, from small clinics to large multi-location practices. We have many specialty physical therapy practices, including specialists in pelvic floor / postpartum, lymphedema, pediatric, sports, senior care, and more.

What if my practice offers services other than physical therapy?

While most of our clients are primarily PT practices, we’ve become experts in providing RCM services to the other therapies you often see alongside of PT, including speech, OT and ABA therapy.

How do you charge for your services?

Our core pricing is based on a percentage of the revenue we help you collect, ensuring that our goals are aligned with yours. This model ensures that you only pay for the services we successfully provide, after you have already collected your revenue.

Will outsourcing my RCM increase my revenue?

Yes, in our experience, outsourcing your RCM typically results in higher revenue because we optimize your processes, reduce claim rejections, and speed up payment collection. We also help you identify where additional revenue growth opportunities may exist based on your performance relative to peers.  We leave you to focus on seeing as many patients as your schedule allows.

Is it better to work with a US-based RCM company that has US-based employees?

Yes, with a US-based RCM company, you can be certain that your patient and operational data never goes overseas, where it could be exposed to greater risk of issues.  Having an RCM with a domestic-only team often leads to better and more clear communication, which is particularly important since your staff and patients will interact with your RCM on billing-related matters.