Outsource Your Physical Therapy Billing
I Can Confidently Say They Were Exceptional Partners
We outsourced a portion of our end-to-end revenue cycle to 314e, and I can confidently say they were exceptional partners. The team consistently demonstrated professionalism, efficiency, and a commitment to high-quality results.
Abby Arnold
CSO, Revascent
Your Vendor Is Guessing. We Don’t Have To.
Physical therapy has rules that don’t exist anywhere else in outpatient care. Most billing vendors don’t know them well enough to catch what’s about to go wrong.
The 8-Minute Rule
Round a timed code wrong on 97110 or 97140, and that’s a denial waiting to happen.
GP and KX Modifiers
Every Medicare PT line needs GP. Cross the KX threshold ($2,410 combined PT/SLP for 2025, $2,480 in 2026) unflagged, and the claim bounces.
MPPR
Cuts payment on multi-code sessions. Not a denial. Just money nobody reconciled.
Rising Documentation Standards
Medical necessity, functional outcomes, plan-of-care recerts. Payers ask for more every year. A generalist working ten specialties can’t keep up with just yours.
Documented Non-Compliance: The HHS Office of Inspector General reviewed 300 Medicare outpatient PT claims. 61% didn’t meet Medicare’s own requirements. Not an outlier. The industry average.
A Dedicated Team That Only Works PT Billing,
Not a Generalist Wearing a PT Hat
- Eligibility and Benefits Verification
- Prior Authorization
- Coding and Charge Entry
- Episode Care Monitoring
- Claims Scrubbing and Submission
- Payment Posting
- Denial Management and Appeals
- AR Follow-Up and Recovery
- Patient Statements and Support
- Credentialing
- Reporting and Analytics
Additional Services Beyond the Standard List
- Therapy Cap & Medicare Threshold Monitoring
- Visit/Authorization Utilization Tracking
- Plan of Care (POC) Certification Tracking
- Fee Schedule & Contract Analysis
- Out-of-Network Billing & Negotiation Support
- Compliance Audits (Internal)
- Patient Financial Counseling / Estimate of Benefits
- Telehealth/Remote Therapeutic Monitoring (RTM) Billing
- Referral & Order Management
In-House Technology, Built to Move Faster
and Catch Errors Before the Payer Does
Expertise catches most of it. The technology catches what a person misses at hour nine.
Automated Eligibility Checks
Coverage confirmed before the visit, not after the denial.
Intelligent Document Processing
Documents like referrals, facesheets, EOBs & more are read and logged automatically. Nothing typed manually, just reviewed.
Automated EOB Posting
Payments post same-day. Your AR reflects reality.
Rules Engine
Every claim is checked for MPPR conflicts, KX coverage, and missing modifiers before it goes out.
Smart Worklists
Denials and aging claims routed by priority and payer. Nothing falls off the list.
Transparent Performance Metrics
Every claim, every denial, every dollar recovered. Logged and visible in real time.
Proactive Denial Management
We work denials the day they land. Right modifier, right documentation, first appeal.
What This Actually Looks Like in Practice
Attention to Detail, Strong Documentation Practices, & Their Culture of Partnership & Open Communication
314e managed accounts across multiple specialties and systems, ensuring we met and often exceeded key performance indicators (KPIs) for our organization. They also handled various ad hoc analyses, audits, and projects with ease. Jyoti’s leadership ensured her team was always well-prepared, thoroughly trained, and clear on expectations.
What truly set 314e apart was their attention to detail, strong documentation practices, and their culture of partnership and open communication. It was a genuine pleasure collaborating with them, and I highly recommend their services for end-to-end billing in physician and ambulatory settings.
Abby Arnold
CSO, Revascent
One Call First. Everything Else Is Optional.
Book the call. Walk us through your aging AR. We’ll tell you where the denials are coming from, what’s fixable, and what working with a PT-specialized team would look like. No pitch deck. No pressure to sign anything.