Specialty Focus
Auth denials and coding errors are leaking your clinic's revenue.
When visits move quickly, a missing authorization, a timed-code error, or an ignored small balance can quietly drain revenue. Get a free 90-day denial audit — you only pay when we collect.
The Physical & Occupational Therapy Revenue Environment
In a small PT or OT clinic, the same front desk and billing staff may handle scheduling, benefits, authorizations, and claims. We help you identify what is being denied or underpaid without changing your EHR.
Detailed Leakage Patterns
We review denials and payments to find patterns your team does not have time to work — from authorization backlogs to overlooked low-dollar claims.
Prior-Auth Backlogs
An expired authorization or an approved visit count that has run out can leave multiple visits unpaid. We identify affected claims and prioritize follow-up.
Timed-Code and Unit Errors
Timed therapy codes require careful unit reporting. We flag denials and underpayments tied to units, code combinations, and payer-specific rules for review.
KX Modifier and Cap Issues
Missing or incorrectly applied KX modifiers and therapy-threshold rules can cause avoidable denials. We isolate these claims for documentation and billing review.
Front-End Handoff & Authorization Risks
Small practices often don't have time to catch every authorization or eligibility gap before it turns into a denial. Here's where to look first.
Approved Visit Counts
Scheduling visits past an authorization limit can create a backlog before anyone notices. We locate the claims and track payer deadlines.
Units and Documentation
Minutes documented during care need to support the units billed. We surface discrepancies for the clinic to assess.
Therapy Thresholds
Approaching a payer threshold without the right supporting information can delay payment. We flag recurring modifier and threshold denials.
Claims, Denials, & Aged AR Patterns
High-Volume, Low-Dollar AR Nobody Works
Small claim balances often stay untouched because the team must handle today's patients first. We group these claims by root cause and work them before appeal windows close.
Repeated Authorization Denials
One missing approval can affect a series of visits. We look at related claims together rather than treating each denial in isolation.
Underpaid Units
We compare billed units to remittances to find discrepancies that may be worth pursuing.
How RevIQ Supports Your Practice
No billing team? We become it. Have one? We find what they miss. Our CPC-led specialists work inside your existing system to audit denials, clean up AR, and recover what's still collectible.
Diagnostic Reviews
Free 90-Day Denial Audit
Share your last 90 days of denied claims. We show you what may be recoverable at no cost.
Denial Pattern Review
We sort denials by authorization, unit, modifier, payer, and deadline.
Recovery Priorities
Work Claims Before Deadlines
We prioritize denied claims that still have time to be corrected or appealed.
Address Repeat Errors
We work recurring denial groups and share the cause with your team to reduce avoidable rework.
Performance Monitoring
Authorization Visibility
We surface repeat authorization gaps so your team can adjust its front-end checks.
Low-Dollar Follow-Up
We keep an eye on smaller balances that might otherwise age out.
Ideal-Fit Practice Scenarios
Small PT and OT Clinics
Clinics with 1-10 providers whose office team needs help working denials.
Clinics with Aging AR
Claims are submitted, but small denials and underpayments keep piling up.
Frequently Asked Questions
No. We work inside your existing EHR and workflow.
Yes. The audit is free. If we recover money, we keep 20%; if we do not recover anything, you pay nothing.
Yes. We group recurring low-dollar denials by cause and prioritize claims that still have time for follow-up.
Related Resources
Protect your physical & occupational therapy revenue.
Start with a free 90-day denial audit. You only pay when we collect.
Get my free denial auditDisclaimer: RevIQ Health provides administrative revenue recovery and assurance services. We organize and analyze remittance data, coordinate findings with internal resources, and support structured administrative follow-up. We do not provide clinical, legal, or formal coding advice, nor do we make specific medical necessity determinations or guarantee absolute reimbursement outcomes.