● Physical Therapy ●
Run your PT practice like the business it is
Reimbursement per visit keeps drifting down while wages climb — which means a physical therapy clinic’s profit now lives almost entirely in operations: schedule density, arrival rates, authorization discipline, and clinician productivity.
Sound Familiar?
PT economics punish loose operations
The per-visit squeeze
Payer rates fall, denials rise, and every unfilled slot or unworked claim comes straight out of margin. Clinics that don’t measure utilization can’t defend it.
Cancellations eat the schedule
A 15–20% cancellation/no-show rate is the silent killer of PT profitability — and it responds to process, scripting, and policy far more than owners expect.
Clinician burnout & turnover
Productivity targets without workflow support burn therapists out. Replacing one costs months of ramp and referrals — retention is an economic strategy, not a perk.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your physical therapy practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside PT clinics
The handful of operational numbers that determine whether a physical therapy practice makes money — and the systems that move them.
■ Schedule density & utilization
Visits per clinician per day, slot fill rates, and waitlist management — capacity you already pay for, recovered.
■ Arrival-rate management
Cancellation and no-show reduction through confirmation workflows, front-desk scripting, and financial policy that patients actually understand.
■ Authorization & denial control
Visit-authorization tracking that stops care from outrunning approvals, plus denial workflows that recover instead of write off.
■ Plan-of-care completion
Drop-off tracking and re-engagement — completed plans of care are better outcomes and better economics in the same motion.
■ Cash-pay & hybrid lines
Wellness memberships, performance programs, and self-pay tiers that diversify revenue away from payer dependence — priced on real margin.
■ Compensation & retention
Therapist compensation models, realistic productivity standards, and career-path design that keeps your best clinicians in your clinic.
“In physical therapy, the difference between a 5% margin and a 20% margin is rarely the payer contract. It’s the schedule.”
Questions
Frequently asked questions
How many visits per day should a physical therapist average?
How do I reduce no-shows and cancellations at my PT clinic?
Can a PT clinic succeed with a cash-pay model?
Do you work with solo PT owners or only multi-clinic groups?
The Physical Therapy briefing series
Five sourced, data-driven reports on the business of running a physical therapy practice.
Cash-pay and hybrid PT: what deductible data says about demand, what Medicare rules absolutely prohibit, and how to price a self-pay line that holds up.
Therapist compensation and retention in outpatient PT: BLS wage data, APTA vacancy findings, and how to build a pay model that survives a 9.5 percent.
Plan of care certification, the KX modifier at $2,480, the $3,000 targeted review threshold, and the CERT errors that most often sink outpatient PT claims.
Outpatient PT economics in 2026: the two Medicare conversion factors, the 8-minute rule, MPPR, and the PTA differential – and the four numbers to run.
Referral development for outpatient PT: the evidence physicians respond to, why early PT matters, and the attendance math that decides whether growth.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation