PM&R (Physiatry) EHR and AI Medical Billing Software

Physiatrists coordinate function across injury, illness and recovery. XEHR connects assessments, procedures, therapy plans and claims.

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Includes Brain Injury Medicine Neuromuscular Medicine Spinal Cord Injury Medicine

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Rehabilitation follow-up after stroke.

I69.351 Hemiplegia after stroke, right side

ReviewSign note

Diagnosis carried to the claimI69.351

THE HARD PARTS

What makes pm&r (physiatry) billing hard

Functional goals payers ask for

Coverage for therapy and equipment depends on documented function and goals.

Procedures and nerve studies

Injections and studies need indications and results documented.

Authorizations for therapy

Therapy visits are approved in blocks that run out.

WHERE THE WORK HAPPENS

How pm&r (physiatry) care is delivered and billed

Physiatrists work in inpatient rehabilitation facilities, outpatient clinics, pain and spine practices and electrodiagnostic labs. Inpatient rehabilitation has strict admission and therapy requirements; outpatient work includes visits, nerve studies, spasticity injections and therapy plans that physicians must certify. Equipment such as wheelchairs and braces needs detailed documentation for suppliers.

What payers check on pm&r (physiatry) claims

Inpatient rehabilitation admission requires documented need for intensive therapy and the ability to take part in it.
Outpatient therapy under Medicare needs a plan of care certified by a physician or qualified practitioner.
Nerve conduction studies are billed by the number of nerves studied, which must be documented.
Botulinum toxin is billed in its defined units, with documented waste and the muscles injected.
Wheelchairs and other equipment require a face-to-face exam and detailed written order.

Common pm&r (physiatry) diagnoses ICD-10-CM

I69.351	Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
G82.20	Paraplegia, unspecified
M54.16	Radiculopathy, lumbar region
G80.9	Cerebral palsy, unspecified
Z47.1	Aftercare following joint replacement surgery
G81.91	Hemiplegia, unspecified affecting right dominant side

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A pm&r (physiatry) visit, start to payment

1
Assess function

Function, goals and the rehabilitation plan are documented at admission or the first visit.
2
Certify therapy

Therapy plans of care are certified and recertified by the physician on time.
3
Test and inject

Nerve studies and spasticity injections are documented with the nerves, muscles, drug and units.
4
Bill and order equipment

Visits and procedures go out on checked claims; equipment orders include the required documentation.

How XEHR helps

From the pm&r (physiatry) visit to the payment

Function documented in templatesAssessments and goals are captured in the note.
Procedures with indicationsProcedures and results are recorded for billing.
Authorizations trackedApproved visits are tracked so care is not interrupted.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for pm&r (physiatry)

AI medical billing for pm&r (physiatry) practices

XEHR is an agentic EHR: AI agents do the administrative work around every pm&r (physiatry) visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Inpatient rehabilitation admission requires documented need for intensive therapy and the ability to take part in it.
Outpatient therapy under Medicare needs a plan of care certified by a physician or qualified practitioner.
Nerve conduction studies are billed by the number of nerves studied, which must be documented.
Botulinum toxin is billed in its defined units, with documented waste and the muscles injected.

Around the visit

Agents run on their own

Coverage checked before each pm&r (physiatry) visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a pm&r (physiatry) EHR

Ask every vendor, including us. The answers show whether a system was built for pm&r (physiatry) work or only adapted to it.

Ask us on a demo

Are therapy plans certified and recertified on time?
Are nerve conduction studies billed per nerve?
Is botulinum toxin billed in units with waste documented?
Do equipment orders include the face-to-face exam and detailed order?
Can inpatient rehabilitation admissions be documented against the criteria?

QUESTIONS

PM&R (Physiatry) practices ask us

Does XEHR track therapy authorizations?

Yes. Approved visits are tracked against the authorization.

Can XEHR document nerve conduction studies?

Yes. Results and interpretation are recorded and carried to the claim.

Does XEHR support inpatient rehabilitation documentation?

Yes. Admission assessment, goals and team conferences are documented in the patient record.

Can XEHR bill nerve conduction studies?

Yes. Each nerve studied is recorded and carried to the claim.

Does XEHR support outpatient spine practices?

Yes. Visits, injections and studies are documented and billed.

Can XEHR record team conferences?

Yes. Conferences and decisions are recorded.

How much does XEHR cost for a pm&r (physiatry) practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a pm&r (physiatry) practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

PM&R (Physiatry) subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for pm&r (physiatry)

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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