Certified PT billing experts who know Medicare, NJ FamilyCare, Horizon, AmeriHealth and PIP inside out. We handle eligibility, coding, claims, denials and follow-up so your therapists can stay focused on patients.
Years Experience
Collected for Clients in 2025
Average Collections Rate (2025)
HIPAA Compliance
With more than 9,000 physical therapists working in the state, NJ clinics are processing more claims than ever, while payer rules keep getting more complex. A single missed detail can turn a clean visit into a denial.
Medicare, NJ FamilyCare managed plans, Horizon BCBS, AmeriHealth and other commercial payers each set their own requirements, and they change often.
No-fault auto and workers’ compensation cases follow their own rules and paperwork, and many in-house teams don’t work them often enough to get them right the first time.
Evaluation codes, timed units and modifiers like GP, KX, 59 and 76 all have to line up with documentation, or the claim comes back.
We collect and verify patient data and confirm coverage and benefits before the visit, not after the denial.
Certified coders apply the right CPT codes and modifiers and check them against your notes for accuracy.
Claims run through two independent AI claim scrubbers before they go out, so errors are caught early.
We post payments, work denials and chase open AR, with daily denial alerts so nothing sits unnoticed.
Coverage, benefits and visit limits confirmed up front for every patient.
Certified coders apply the right codes and modifiers, reviewed against documentation.
Every denial is worked, corrected and resubmitted, with daily alerts to your team.
Aging claims are followed up systematically until they’re resolved.
Payments and adjustments posted accurately so your books always match.
HIPAA-compliant processes that keep your practice protected and audit-ready.
Our strong working relationships with New Jersey payers let us dig into your revenue and fix the issues that cause rejections.
Jersey City, Newark, Paterson and clinics across New Jersey.
One point of contact who knows your clinic and payers.
Know about problems the day they happen, not weeks later.
SPHERE reporting shows your numbers 24/7, no monthly wait.
Hand billing to a specialized team and your staff gets their time back for patient care. You skip the cost of hiring, training and software for an in-house billing department, while getting faster reimbursements, fewer denials and a practice that stays compliant and audit-ready.
fewer denials within 60 days
more collections in the first 90 days
reported savings vs. in-house billing
target denial rate
The core services are patient data collection, eligibility validation, CPT coding and documentation review, claim submission, payment processing and denial management.
Outsourcing lets your staff spend their time on patients instead of paperwork, while billing specialists handle coding compliance, reimbursement and denials.
Yes. Our certified coders apply the correct codes and modifiers such as GP, KX, 59 and 76, which raises clean claim rates and prevents avoidable denials.
We’re a New Jersey company focused on PT billing, with dedicated denial management, real-time reporting and strict compliance built into every account.
Yes. We follow HIPAA standards strictly, with restricted access controls and data encryption protecting patient information.
Book a free one-on-one consultation and see how much more your practice could collect.
