Home Programs Physical & Occupational Therapy
Track 05

Launch or Expand Therapy Services

Physical and occupational therapy practice setup. Full operational infrastructure from credentialing through ongoing billing. Designed for therapists opening independent practices or group practices adding rehab service lines.

Who this is for

Clinicians who want to add physical & occupational therapy services without the operational headache.

You’re a licensed physical therapist or occupational therapist who wants to open your own practice instead of working for someone else. Or you’re a physician or clinic owner adding PT/OT services to capture referrals you’re currently sending out the door. Either way, you need the operational backbone — credentialing, EHR, billing, compliance — built before you see your first patient. For industry standards, see the American Physical Therapy Association.

Physical Therapists (PT, DPT) Occupational Therapists (OT, OTR) Physicians adding rehab services Clinic Owners expanding service lines Sports medicine practices

The market opportunity

The US physical therapy market exceeds $45 billion annually. Direct access legislation in most states allows patients to see a PT without a physician referral, expanding the addressable market. Occupational therapy demand grows with the aging population and the increase in hand/upper extremity injuries from repetitive technology use.

Independent therapy practices capture higher reimbursement rates than hospital-based outpatient departments for the same services. But the margin depends entirely on coding accuracy. PT and OT billing runs on timed codes, and the 8-minute rule determines whether a 53-minute treatment session bills as 3 units or 4. That one unit difference, across 30 patients a day, is the difference between a profitable practice and one that’s barely breaking even.

One-time setup

What we build for you.

Credentialing + Compliance

Insurance panel enrollment for PT and OT services. Medicare enrollment as a therapy provider (not just a group — individual provider enrollment matters for PT). State license verification and direct access compliance documentation where applicable.

EHR + Clearinghouse

EHR configuration with therapy-specific templates: initial evaluation (97161-97163 for PT, 97165-97167 for OT), treatment notes with timed code documentation, re-evaluation templates, and discharge summaries. Clearinghouse enrollment with therapy code testing.

Consent + HIPAA

Patient consent forms, HIPAA privacy policies, and therapy-specific documentation including plan of care forms, progress note templates, and functional limitation reporting where required by payers.

Practice Systems

Professional email, HIPAA-compliant fax, referral tracking for physician-referred patients, and appointment scheduling optimized for therapy visit frequency (2-3x per week per patient).

Therapy-Specific Configuration

Timed code tracking workflow in EHR (automatic 8-minute rule calculation). Plan of care tracking with certification/recertification reminders. Therapy cap monitoring per patient per year.

Ongoing support

Ongoing physical therapy billing every month.

After launch, we become your dedicated billing department. Every claim coded, submitted, and followed up. Every denial worked. Every dollar tracked. You treat patients, we handle the rest.

Medical billing and coding for PT and OT encounters
8-minute rule verification on every claim
Insurance verification with therapy-specific benefit checks (visit limits, copays, auth requirements)
Plan of care recertification tracking (every 90 days for Medicare)
KX modifier application when therapy caps are exceeded
Denial management with therapy-specific appeals (medical necessity documentation)
Monthly reporting with visit volume, units per visit, and revenue per visit analysis
Work comp and auto injury billing when applicable
Pricing

One setup fee. One monthly rate. That’s it.

$3,500 one-time setup
7% of collections (or $650/mo minimum)

Includes EHR subscription, clearinghouse, insurance verification, chart creation, credentialing, HIPAA compliance, and ongoing billing support. No hidden fees.

Get Started

Ready to launch your physical & occupational therapy practice?

Schedule a free consultation. We’ll assess your credentials, outline the setup process, and give you a realistic timeline to first patient.

Schedule Free Consultation