For Outpatient physical, occupational, and speech therapy clinics, from a single clinic to a small multi-site group
Catch therapy payers paying below your contracted rates
A payer updates its fee schedule, or applies a multiple procedure payment reduction the wrong way, and starts paying a little less per unit. Nobody compares the remittance with the contract line by line, so the short payments become the new normal.
What it can cost you
Example: $4 short per unit x 600 units a month from one payer = $2,400 a month underpaid.An illustration, not a promise. Your Opportunity Scan puts a real number on it.
What the system checks overnight
- Compares each paid line on the remittance with the contracted rate for that payer and CPT code.
- Flags payers whose paid amount per unit dropped compared with last quarter.
- Separates expected patient responsibility from true short payments.
- Flags lines paid at zero with no denial reason.
- Totals short payments by payer so you know which contract conversation to have first.
Where it reads from
- Waystar
- WebPT
- Prompt EMR
- Raintree
- Net Health
- QuickBooks Online
What happens when it fires
The owner or billing lead sees the payer and the gap. The system drafts the underpayment appeal list; a person sends it.
Autonomy level: Draft for approval. The system prepares the message or task, and you approve it before anything goes out.
What we guarantee
Every remittance line is compared with your loaded contract rates within a day of posting. We agree on the metric before the Sprint starts and measure it over the first 20 business days after go-live. If we miss it, you get half your Sprint fee back. Dollar savings are tracked in your monthly saves log, reported rather than promised.
Questions
Do we need to load our contracts?
Yes, at least the rates for your main payers and codes. Many clinics start with their largest payers and add the rest over time.
Is this about billing more?
No. It only checks that you were paid what the contract already says. Nothing about coding or visit counts changes.
Do I need new software for this?
No. The system reads from the tools you already use, with read-only access by default. A guardrail layer controls exactly which data the AI can see.
What does it cost?
A 3-week Sprint is $6,000 fixed and includes the morning brief plus one automation tied to an agreed metric. Ongoing support is $1,500 a month, or $500 a month to keep it running without new automations. If the agreed metric is missed over the first 20 business days after go-live, half the Sprint fee is refunded.
How is this different from a dashboard app or a free AI kit?
A dashboard app shows numbers when you go look. A free AI kit gives you the parts, and you do the setup, the upkeep, and the checking. Here the alarms are built for your kind of business, they watch outside data like market rates and rule changes alongside yours, and on Run or Keep-Running, the person who built them keeps them working and logs what they caught.
More alarms for outpatient rehab therapy clinics
Seven more things worth watching.
- Plans of care missing signatures or recertsTrack therapy plans of care waiting on physician signature, recerts coming due, and progress reports owed, before visits are put at risk of denial.
- Visits scheduled past the authorizationFlag therapy visits booked past an authorization's approved visit count or end date, so patients are not surprised by a bill or a pause in care.
- Unsigned notes and unbilled visitsCount therapy visits with unsigned daily notes or no claim, by therapist and payer filing limit. Only note status is read, never note content.
- Denial patterns by payer and reasonGroup therapy denials by payer, CPT code, therapist, and reason each night, and flag Medicare patients nearing the therapy threshold before claims deny.
- Cancellation and no-show spikesSpot rising cancellations and no-shows by clinic, therapist, and time slot against your own baseline, and see which ones were never rebooked.
- Patients dropping off their plan of careList patients with an active plan of care and no next visit booked, plus open plans past their end date with no discharge, by internal ID only.
- Referrals not scheduled for an evalFind therapy referrals with no evaluation booked, follow-ups that stopped after one call, and referring offices that suddenly went quiet.
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