Banking for Physical Therapy practices

A busy physical therapy clinic bills hundreds of visits a week at modest dollars per visit, against authorization limits that cut a plan of care short. Lemma makes thousands of small deposits reconcilable without charging a fee on any of them.

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Built for high visit volume and low dollars per visit

PT economics are volume economics. Your banking has to absorb hundreds of small EFTs a month from a dozen payers without taxing the good months.

Unlimited free ACH at any visit volume

A clinic running 400 visits a week pays the same as one running 40. No per-deposit fee on insurance EFTs, no volume tier to negotiate.

Virtual accounts per therapist or clinic

Attribute collections to the treating therapist or the site without changing how payers pay you. Productivity reporting becomes a query, not a spreadsheet.

Denied visits surfaced the same day

When visits run past an authorization, the remittance says so. Lemma posts it line by line so re-authorization work starts immediately.

Lockbox for comp and auto carriers

Workers' compensation and auto carriers still mail checks. They go to your Lemma address, get scanned, and deposit the same day. $2.50 per check.

Visit volume is the whole problem

A plan of care runs 12 to 24 visits, each worth a modest amount once units are coded, and the practice only stays healthy if nearly all of those visits are authorized, attended, and paid. That produces a deposit pattern most commercial banks were never designed for: hundreds of small EFTs a month from a dozen commercial plans and Medicare, plus workers' compensation and auto claims paying on their own timeline.

When a bank charges per ACH credit, high visit volume becomes a tax on your best month. Lemma charges nothing per deposit, at any volume, so growth in visits never shows up as growth in bank fees, and the working balance those aging claims leave behind earns 1.75% APY while it waits.

Authorization limits and re-auth gaps

A payer authorizes 8 visits, the plan of care needs 16, and the visits past the limit deny. Line-level posting shows denied visits the day the EFT arrives instead of at month end, when the window to appeal is closing.

Workers' comp and auto claims

PIP and comp carriers pay slowly and often by paper. Those checks reach your lockbox, deposit the same day, and keep the case reference attached so a months-old claim is still traceable.

Cash-pay wellness and self-pay plans

Maintenance visits, dry needling packages, and post-discharge programs are collected directly. Those card and ACH payments are tagged apart from payer revenue.

Physical therapy banking questions

No. ACH deposits are free and unlimited. High visit volume is the normal case for physical therapy, so pricing does not change as your visit count grows.

Yes. Virtual accounts per therapist or per clinic let you attribute every deposit without asking payers to change anything about how they remit.

Yes. Those carriers still send paper, so they go to your lockbox address. Checks are scanned, posted, and deposited the same day, with the remittance retained for the file.

Each clinic entity keeps its own EFT enrollment, routing number, and lockbox address, with FDIC coverage through the sweep network. An automated cash sweep concentrates collections before each pay run into whichever entity pays therapists and rent.

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