MBC Industry Insights

For physical therapy clinic owners, patient care is the priority — but billing is what sustains the business. Billing often feels complicated because it lives at the intersection of clinical care, insurance rules, and operations. When those pieces aren’t aligned, revenue becomes unpredictable, denials increase, and leadership loses visibility.

This was not just a year of growth. It was a year of alignment, intention, and execution. A year where the work behind the scenes finally matched the scale of what MBC has always been capable of delivering.

For years, benefit verification has been treated as a front-desk task. In 2026, that mindset will quietly cost physical therapy clinics hundreds of thousands of dollars in lost revenue. Today, authorization and documentation are no longer compliance functions alone. They are revenue protection tools.

In every major musculoskeletal guideline, Physical Therapy is positioned as the first line of defense and often the best opportunity to avoid high-cost, high-risk interventions later. Yet when you look at the 2026 Medicare Physician Fee Schedule, it’s clear that federal payment policy still hasn’t caught up to the value our profession delivers.

Last week I stepped into my very first APTA Private Practice Section (PPS) conference, and left feeling both humbled and energized. Thousands of physical therapists, leaders, and vendors descended on the Rosen Shingle Creek hotel in (unexpectedly chilly!) Orlando, Florida. Despite the cold front, the atmosphere inside was warm, bustling, and filled with conversations that reminded me why this profession is so special.

Running a physical therapy clinic is about care, not confrontation. But for many practice owners, the hardest part of profitability isn’t coding or compliance — it’s talking about money.