01
Why PT RCM is different
Timed therapy codes, modifier requirements, authorization and visit limits, documentation dependencies, plan-of-care rules, and payer-specific edits make generic billing workflows insufficient.
PT expertise. Revenue cycle results.
Physical Therapy Revenue Cycle Management
Physical therapy RCM links clinical operations to reimbursement. Apex manages the details before, during, and after claim submission with workflows designed for outpatient rehabilitation.
02
The complete revenue cycle
Every stage affects the next. We help practices build clear ownership and follow-up standards across the cycle.
- Eligibility and therapy-benefit verification
- Authorization and visit tracking
- Claims and clearinghouse workflows
- Payment posting and reconciliation
- Denial resolution and prevention
- A/R aging and payer follow-up
- Revenue-cycle reporting
03
Payer and documentation dependencies
Medicare requirements, commercial payer policies, medical-necessity reviews, referrals, and plan-of-care requirements vary. Our teams follow the applicable payer workflow and escalate questions rather than assuming one rule fits every claim.
04
Visibility that supports action
Reporting should identify where balances sit, why payment is delayed, what action is underway, and which recurring patterns require operational attention.
PT expertise. Revenue cycle results.