Practice Pro — Revenue Cycle
Eliminate leakage from referral to final payment — billing, authorizations, claims, and denials in one connected platform.
Most revenue leaks happen in the gaps between systems: front desk to billing, authorization to claims, payment to reporting. Practice Pro removes the handoffs because the entire cycle runs inside one platform.
At scheduling, insurance is checked in real time and visit-based or unit-based authorizations are tied to the plan of care — before a single charge is created.
✓ No care without coverageCPT codes, modifiers, and timed units flow straight from documentation. The 8-minute rule, GP/GO/GN, and KX modifiers are enforced at charge entry.
✓ Zero duplicate entryPayer rules and compliance checks run automatically. Clean claims transmit to the clearinghouse with real-time validation — no extra logins, no portals.
97.4% clean-claim rateRemittances reconcile against your fee schedule. Underpayments surface, and our embedded team works denials by root cause — not just resubmission.
$94K denials avoidedThe revenue challenges of a solo clinic and a 40-location group are nothing alike. Pick your size and see how Practice Pro's RCM handles it.
When you're the clinician and the biller, the revenue cycle can't need babysitting. We run eligibility, scrub claims, post payments, and chase A/R for you — with full transparency from your phone.
Our team handles claims, posting, and follow-up so you can treat.
Charges flow from your signed note and go out clean, daily.
Every claim, payment, and denial visible in one dashboard.
Insurance verified up front so you never treat without coverage.
With several therapists and a shared front desk, revenue leaks between intake and billing. Practice Pro closes those gaps with enforced workflows, payer-rule automation, and a dedicated RCM team.
Every therapist's units, modifiers, and codes enforced at entry.
No visit delivered without valid, tracked coverage.
One workflow eliminates the swivel-chair between systems.
Appeals and trend reporting stop the same denial repeating.
Across dozens of locations, revenue performance has to be consistent and reportable in one place. Practice Pro centralizes RCM while each site runs its day — with HIPAA-compliant security throughout.
A/R, yield, and denial trends across every site, live.
Role permissions and full audit trails on every transaction.
Benchmarks tuned per location's Medicare vs commercial split.
Contracted-rate reconciliation flags variances by CPT and payer.
Eligibility runs automatically at booking and at check-in. Clean intake — accurate insurance data, validated referrals, benefit screening — prevents the downstream billing errors that cause most denials.
Authorization failures are a top cause of denied therapy claims. We actively manage visit-based and unit-based approvals, date-range coverage, and renewals — with inline alerts before the visit, not after the denial.
Our AI scrubber detects coding errors, compliance risks, and payer-rule conflicts before submission. Strong first-pass acceptance means faster reimbursement and far less costly rework.
Denials are delayed or lost revenue. Our team performs root-cause analysis, runs structured appeals with documentation, and reports trends so the same denial doesn't happen twice.
Payment posting is financial intelligence, not bookkeeping. ERAs and EOBs post automatically, contractual adjustments are validated, and underpayments surface against your contracted rates.
Dashboards give you A/R intelligence, yield-per-visit tracking, denial trends, and multi-location benchmarking — so you can find bottlenecks and fix them at the root.
Every capability is purpose-built for PT, OT, Speech, and pediatric therapy billing — not adapted from a generic medical biller. Hover any card to see the numbers behind it.
Real-time eligibility, co-pay and deductible visibility, and referral validation — done at booking so intake is clean from the start.
Visit-based and unit-based authorizations tied to the plan of care, with expiry alerts and one-click renewals before care is delivered.
Coding, modifier, and payer-rule checks run before submission. Errors are caught and auto-fixed for a strong first-pass acceptance rate.
Root-cause analysis, structured appeals, and medical-necessity documentation — plus trend reporting so the same denial never repeats.
Remittances post automatically and reconcile against your fee schedule, with underpayment detection by CPT and payer variance tracking.
Compliant patient billing with card-on-file, payment plans, and a mobile-friendly portal — A/R follow-up that protects your reputation.
Trusted clearinghouse partners deliver claims and download ERAs reliably — no extra logins or portals, with options matched to your volume.
AI ranks accounts receivable by recovery likelihood and value, so your team works the claims that move cash flow — not a flat aging list.
Real-time dashboards for yield per visit, denial trends, and multi-location benchmarking — full visibility across your revenue cycle.
Empower your therapists to prescribe personalized home exercise programs with video demonstrations, written instructions, progress tracking, and anytime access.