KX Modifier Management
Correct KX modifier application when therapy is medically necessary above the cap.
Physical therapy billing is tightly regulated by Medicare — therapy caps, KX modifiers, and functional limitation reporting all require meticulous tracking. We handle it so your therapists can focus on patients.
Correct KX modifier application when therapy is medically necessary above the cap.
Per-patient therapy cap monitoring and timely exception filing.
Correct application of 8-minute rule for timed therapeutic procedures.
Outcome measurement G-code reporting for Medicare patients.
Correct billing when multiple therapists treat the same patient simultaneously.
General, direct, and personal supervision documentation for billing compliance.
Every coder on your account is trained specifically in your specialty's coding rules, documentation requirements, and payer quirks. No generalists.
Learn MoreWe audit every coder's accuracy quarterly. Any coder falling below 95% accuracy is immediately retrained and supervised. Your clean claims rate doesn't slip.
Learn MoreWe track payer policy changes, LCD updates, and code revisions in real time. When a payer changes a coverage policy for your specialty, we know before you do.
Learn MoreWe switched to RCMBillers after struggling with our previous biller for 2 years. Within 90 days our denial rate was cut in half and collections were up significantly. They know physical therapy billing — not just billing in general.
Practice ManagerPhysical Therapy PracticeDenial rate cut 50%+ in 90 days
The coding audit they did in the first month found $80,000 in undercoded procedures we had no idea about. That alone justified years of service fees.
Physician OwnerPhysical Therapy Group Practice$80K found in coding audit
Credentialing used to take us 4 months. RCMBillers completed 3 payer enrollments in under 4 weeks. We haven't had a credentialing delay since day one.
Office DirectorPhysical Therapy CenterPayer enrollment: 4 months → 3 weeks