December 2, 2023

How to Offer At-Home Physical Therapy for Your Patients

At-home physical therapy has gained significant recognition as an effective and convenient alternative to traditional clinic-based therapy. Offering physical therapy services in the comfort of your patients' homes can be a valuable option.

In this article, we will explore the benefits, considerations, and essential aspects of providing at-home physical therapy for your patients.

What Is At-Home Physical Therapy?

At-home physical therapy occurs when a licensed physical therapist or healthcare professional provides rehabilitation services within a patient’s home. This personalized approach not only provides better outcomes but also allows the patient to receive treatment in a more convenient way.


Delivering At-Home Physical Therapy

Naturally, your at-home therapy practice can be streamlined with the right software, but you need to know how to use it. Furthermore, there’s some key aspects to running this type of practice that you need to consider.

To provide in-home physical therapy effectively, consider these steps:

Licensing and Credentials

Ensure you and your team possess the necessary licenses and qualifications to deliver home based physical therapy services.

Ensure you hold a valid state license as a PT, and if using assistants (PTAs), ensure they have the required licensing. Enroll as a Medicare provider and obtain a National Provider Identifier (NPI) for billing. You’ll also need to stay compliant with state regulations governing in-home healthcare services.

Meeting these requirements ensures legal and high-quality in-home PT services for your patients.

Initial Assessment

At-home physical therapy begins with a comprehensive assessment, delving into the patient's medical history, current condition, and specific needs. This critical step lays the foundation for a personalized treatment plan tailored to address their unique requirements. 

By understanding the individual's health context, the therapist can craft an effective strategy that aligns with their goals and accelerates the rehabilitation process.

Open Communication


Effective communication is the linchpin of successful at-home therapy. Therapists must cultivate an open and transparent dialogue with their patients. Addressing both the merits and challenges of in-home therapy fosters trust and cooperation. 

Attentively listening to patients' concerns and providing clear, informative responses ensures a collaborative and supportive therapeutic journey.

Safety Measures

Ensuring patient safety is paramount with physical therapist home visits. PTs need to implement stringent safety measures, including the vigilant monitoring of vital signs during therapy sessions. 

This proactive approach not only enhances the overall safety of the rehabilitation process but also allows for timely adjustments to the treatment plan based on the patient's physiological responses.

Billing and Insurance

Navigating the intricacies of PT billing and insurance is pivotal for seamless at-home physical therapy services. Professionals must familiarize themselves with the specific procedures involved, particularly concerning Medicare Part B for outpatient services. 

Equipping patients with clear information about potential costs and coverage ensures transparency and aids in making informed decisions about their healthcare.


Meticulous documentation is a cornerstone of physical therapist home visits. Physicians need to maintain detailed records of each session, adhering to standardized practices observed in clinical settings. 

This comprehensive documentation not only serves as a reference for tracking progress but also contributes to effective communication among healthcare providers involved in the patient's care.

Customized Approach

Adopting a tailored approach is fundamental in at-home physical therapy. Therapists must customize their treatment strategies to accommodate the unique needs of each patient, considering the specifics of their living environment. 

This personalized approach enhances the relevance and effectiveness of the therapy, addressing individual challenges and optimizing the overall rehabilitation experience.

It’s Imperative That You Use The Right Tools

As the landscape of healthcare evolves, the future of at-home therapy is intertwined with innovative software solutions. That’s why PtEverywhere is an indispensable asset for healthcare professionals in offering seamless and effective at-home physical therapy. 

This innovative software streamlines the entire process, from scheduling appointments to billing, documentation, and communication.

  • Efficient Scheduling: Simplify appointment coordination seamlessly. 
  • Streamlined Billing: Understand and submit billing using Medicare Part B for outpatient services effortlessly. 
  • Comprehensive Documentation: Maintain accurate records with ease. 
  • Patient-Centric Communication: Use tools for effective engagement and collaboration. 
  • User-Friendly Interface: Navigate the software intuitively for enhanced user experience.

PtEverywhere is the key to modernizing your practice, ensuring a smooth and effective at-home physical therapy experience. Optimize scheduling, billing, documentation, and communication effortlessly with this innovative solution.

Pro Tips: Understand Billing and Insurance for At Home Physical Therapy


Navigating the billing and insurance aspects of at-home physical therapy is crucial to ensure that both you, as a physical therapist, and your patients are well-informed about the financial aspects of their care.

There are multiple ways you can go about billing for your outpatient services. Here is a section explaining the billing and insurance process for at-home physical therapy:

1. Billing Under Medicare Part B

In the landscape of at-home physical therapy, Medicare Part B takes the billing spotlight. Most at-home services fall under the realm of outpatient care, aligning seamlessly with Part B coverage for outpatient services.

Qualifying for Medicare Part B coverage as a therapist involves several key details that healthcare professionals need to consider. Here's a breakdown of the essential aspects:

  • Licensing and Education: Ensure that you hold a valid state license to practice as a therapist in the state where you provide services. Additionally, you’ll need to possess the necessary educational qualifications, typically a degree in therapy from an accredited program.
  • National Provider Identifier (NPI) and Medicare Enrollment: Obtain a National Provider Identifier (NPI), a unique identification number for healthcare providers. You’ll also need to complete the enrollment process with Medicare, designating your provider type as a therapist.
  • Medicare Part B Eligibility: You must ensure that your therapy services meet Medicare's medical necessity criteria and are covered under Part B. The therapy services must be delivered in an outpatient setting.
  • Billing Procedures and Codes: Develop proficiency in Medicare Part B billing procedures, including the use of appropriate billing codes and modifiers.
  • Compliance with Regulations: Adhere to all Medicare regulations governing therapy services, including compliance with billing, documentation, and service delivery standards.

By addressing these details and maintaining a commitment to compliance and quality care, therapists can position themselves to qualify for Medicare Part B coverage.

2. Private Insurance

When considering private insurance for at-home physical therapy, it's vital to recognize that coverage varies among providers and plans. Whether dealing with commercial insurance or Medicare Advantage plans, therapists must verify coverage specifics with each insurance company. 

Understanding whether a therapist is in-network or out-of-network influences coverage predictability and patient expenses. Prior authorization may be required in certain plans, emphasizing the importance of proactive communication with insurance providers. 

Patient education on coverage limits and potential out-of-pocket costs ensures informed decision-making and a smoother at-home therapy experience.

3. Out-of-Pocket Expenses

Out-of-pocket expenses for at-home physical therapy require careful consideration, especially when patients lack insurance coverage or opt not to utilize their insurance. 

In these cases, patients may bear the full cost of the therapy sessions directly, without the assistance of insurance coverage or Medicare.

In instances where insurance coverage is absent, therapists have the opportunity to offer transparency and collaboration. By presenting a comprehensive fee schedule outlining the costs of services, therapists empower patients to make informed decisions aligned with their medical and financial needs. 

This collaborative approach involves working closely with patients to design a customized therapy plan that not only addresses their health requirements but also aligns with their budgetary considerations.

Navigating Potential Challenges

Navigating the landscape of at-home PT presents unique challenges that demand thoughtful consideration on behalf of the therapist. 

You may face some challenges while practicing physical therapy at home.

Coordination with Insurance Providers

Insurance companies often impose specific requirements for documentation, reporting, and claims submission. Physical therapists must adhere to these guidelines diligently, ensuring accurate and prompt submission to prevent delays in reimbursement and potential inconveniences for their patients.

Balancing Comfort and Discomfort

Another challenge lies in balancing comfort and discomfort during at-home sessions. While patients may feel more at ease in their familiar surroundings, physical therapy exercises can occasionally be discomforting. Striking the right balance is crucial for effective treatment, requiring therapists to tailor sessions to individual patient needs and sensitivities.

Equipment and Structure

Moreover, the absence of specialized equipment in home environments poses an additional hurdle. Unlike clinical settings, therapists must adapt their approaches to the available resources while preserving the effectiveness of their sessions. Considering innovative solutions, such as incorporating telehealth tools, becomes essential for optimizing patient care in at-home PT settings.

The Advantages of At-Home Physical Therapy


In spite of some challenges like billing and equipment management, there are many benefits to running a home-based physical therapy practice.

Providing physical therapy in the comfort of patients' homes offers several distinct advantages, benefiting both the patients and the physical therapists themselves.

Patient-Centric Independence

At-home therapy empowers patients to regain control over their healing journey. This unique approach allows therapists to address specific challenges related to the patient's living environment, fostering an opportunity to enhance day-to-day independence. By tailoring treatments to the home setting, therapists can create a more personalized and effective rehabilitation experience.

One-on-One Focus

In-home PT services enable undivided attention for each patient. Without external distractions, therapists can maintain a more personalized and focused approach to patient care. This individualized attention enhances the quality of therapy and contributes to better outcomes.

Family Engagement

Patients can invite family members or friends to join therapy sessions conducted at home. This collaborative atmosphere not only fosters a supportive environment but also ensures that crucial information is recorded and understood by those involved. Having a support system actively engaged in the rehabilitation process serves as a potent motivator for patients, encouraging consistency and dedication.

The Bottom Line

The convenience and comfort of in-home PT make it a valuable option for patients seeking treatment in their own homes. 

Our position as physical therapists is centered on patient care as we embrace this evolving healthcare landscape. In this dynamic healthcare environment, we can expand our service offerings and better serve patients if we adapt to the unique needs and effectively address the challenges associated with at-home therapy.

Software solutions like PtEverywhere further enhance the at-home PT experience by providing numerous features designed to streamline and optimize therapy sessions.  

Download PtEverywhere today to start leveraging the power of at-home physical therapy for your practice!