--- title: Revenue Cycle and Medical Billing Insights | Healthcare News | PT Billing description: PT Billing | Revenue Cycle and Medical Billing Insights. ---   1-502-992-8680       [Info@Altruis.com](mailto:Info@Altruis.com) - [Blog](https://blog.altruis.com/) - News & Events - [News](https://altruis.com/news/) - [Events](https://altruis.com/events/) - [Contact](https://altruis.com/contact/) [![](https://blog.altruis.com/hs-fs/hubfs/Altruis_Logo%20w%20tagline.png?width=1626&height=323&name=Altruis_Logo%20w%20tagline.png)](https://altruis.com/) - [Who We Serve](https://altruis.com/who-we-serve/) - [Federally Qualified Health Centers (FQHC)](https://altruis.com/who-we-serve/fqhc/) - [Community Mental Health Centers (CMHC)](https://altruis.com/who-we-serve/cmhc/) - [Critical Access Hospitals](https://altruis.com/who-we-serve/critical-access-hospitals/) - [Ambulatory Surgery Centers (ASC)](https://altruis.com/who-we-serve/ascs/) - [Behavioral Health Organizations](https://altruis.com/who-we-serve/behavioral-health-billing-services/) - [What We Do](https://altruis.com/what-we-do/) - [RetroPay™](https://altruis.com/retropay/) - [Revenue Cycle Management](https://altruis.com/what-we-do/revenue-cycle-management/) - [Medical Credentialing Services](https://altruis.com/what-we-do/medical-credentialing-services/) - [Medical Coding Services](https://altruis.com/what-we-do/medical-coding-services/) - [Our Team](https://altruis.com/our-team/) - [Careers](https://altruis.com/careers/) - [Free Billing Assessment](https://info.altruis.com/freebilling_assessment) [![Free Billing Assessment](https://no-cache.hubspot.com/cta/default/4042684/0bed609c-a7fd-40da-8c38-f85d79d9cf58.png)](https://cta-redirect.hubspot.com/cta/redirect/4042684/0bed609c-a7fd-40da-8c38-f85d79d9cf58) # Altruis Blog [![](https://blog.altruis.com/hubfs/pexels-basil-otshudi-1649859-3248690.jpg)](https://blog.altruis.com/where-mixed-code-sessions-break-the-8-minute-rule-for-pt-billing) ## [Where Mixed-Code Sessions Break the 8-Minute Rule for PT Billing](https://blog.altruis.com/where-mixed-code-sessions-break-the-8-minute-rule-for-pt-billing) Sep 14, 2026, 8:30:00 AM / by [Altruis](https://blog.altruis.com/author/altruis) posted in [Physical Therapy](https://blog.altruis.com/topic/physical-therapy), [PT Billing](https://blog.altruis.com/topic/pt-billing) [0 Comments](https://blog.altruis.com/where-mixed-code-sessions-break-the-8-minute-rule-for-pt-billing#comments-listing) A session includes 15 minutes of therapeutic exercise, 12 minutes of manual therapy, and 8 minutes of gait training. Thirty-five minutes of skilled, billable time. The question is how many units each code earns, and that is where mixed-code billing under the 8-minute rule tends to go wrong. The rule is simple with one timed activity. It gets complicated with three or four codes and leftover minutes that do not divide evenly. CMS does not want units calculated code by code in the order a clinician happened to document them. It requires providers to: - Total the minutes across all timed codes on the visit first - Calculate total billable units from that combined time - Assign the units to the codes with the greatest number of billed minutes before assigning any to the codes with less time A staff member who skips that sequence, and assigns units in documentation order instead, can under-bill or over-bill a session without ever triggering a denial. The claim simply pays for fewer units than the visit earned, and nothing on the remittance flags it. The root cause is arithmetic. CMS's total-time method has to be applied correctly, every session, for every mixed-code visit on the schedule. [Read More](https://blog.altruis.com/where-mixed-code-sessions-break-the-8-minute-rule-for-pt-billing) [![](https://blog.altruis.com/hubfs/Blog/pt-billing-services-altruis-3.jpg)](https://blog.altruis.com/hidden-cost-good-enough-pt-billing-services) ## [The Hidden Cost of "Good Enough" Billing for Physical Therapy](https://blog.altruis.com/hidden-cost-good-enough-pt-billing-services) Mar 25, 2026, 4:07:48 PM / by [Altruis](https://blog.altruis.com/author/altruis) posted in [Physical Therapy](https://blog.altruis.com/topic/physical-therapy), [PT Billing](https://blog.altruis.com/topic/pt-billing) [0 Comments](https://blog.altruis.com/hidden-cost-good-enough-pt-billing-services#comments-listing) Running a physical therapy (PT) practice often means wearing many hats as clinician, manager, and business owner all at once. When it comes to billing, it's tempting to settle for a service that gets the job done, more or less. Claims go out, some payments come in, and the lights stay on. But "good enough" [PT billing services](https://altruis.com/who-we-serve/physical-therapy-groups/) have a way of quietly costing practices far more than they realize, not in one dramatic moment, but in a slow, steady erosion of revenue and time.  [Read More](https://blog.altruis.com/hidden-cost-good-enough-pt-billing-services) [All posts](https://blog.altruis.com/all) ### Subscribe for Revenue Cycle News and Tips This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. - Recent - Popular - Categories ### Lists by Topic - [Revenue Cycle Management (51)](https://blog.altruis.com/tag/revenue-cycle-management) - [Medicaid (34)](https://blog.altruis.com/tag/medicaid) - [News (27)](https://blog.altruis.com/tag/news) - [RHC (24)](https://blog.altruis.com/tag/rhc) - [medicare reimbursement (22)](https://blog.altruis.com/tag/medicare-reimbursement) - [CMS (18)](https://blog.altruis.com/tag/cms) - [Medical Billing Service (18)](https://blog.altruis.com/tag/medical-billing-service) - 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