Adams Physical Therapy stood still. The patients kept coming. But the claims did not. Each week ended with more denials. Each month closed with more waiting. Time turned heavy. The team worked harder but earned slower. They were good at healing people. But their billing needed healing too.
That’s when they called Pro-MBS. We didn’t promise magic. We promised precision. Within weeks, their clean claim rate climbed from 82% to 97%. Denials fell from 23% to 9%. Payments came 13 days faster. Here’s how it happened.
About the Client
Adams Physical Therapy. A small rehab clinic in Portland, Indiana. A quiet place where over 1,000 patients come each year. Why? Just to walk, move, and live without pain. They used Prompt EMR to manage documentation and billing in-house. But somewhere between care and coding, the rhythm broke. Claims lost their way. Revenue slowed to a crawl.
The Challenge
Their system wasn’t failing. It was drifting. Eligibility checks missed their mark. Authorizations waited too long. Claims went out incomplete, wandering through clearinghouses without direction. Money stayed suspended, not denied, not approved, just waiting. Each delay small, each error quiet, but together they slowed everything down.
The rhythm broke. The front desk guessed coverage. The billing team chased denials. Days stretched, payments stalled, frustration grew. Nothing dramatic. No explosion. Just slow erosion. A practice doing everything right, yet losing time, accuracy, and control.
But we found the cracks:
- 82% Clean Claim Rate: too low to survive.
- 23% Denial Rate: too high to ignore.
- 35 Days to Get Paid: too long to sustain.
- No real tracking. No real data. No real rhythm.
Each team worked alone. None moved together.
The Pro-MBS Intervention
We entered like surgeons. Quiet. Focused. Exact. Every move deliberate. Every cut measured. No noise. No rush. Just precision. We studied the process the way a blade studies the seam before the strike. The room changed. The rhythm shifted. What was chaos, began to take shape. We didn’t rebuild everything. We refined what mattered. By the time we were done, the system didn’t just work. It breathed. Clean. Steady. Alive again.
Here is how we did it:
Step One: The Audit
Three days. That’s all it took. We followed every claim from registration to reimbursement.
No shortcuts. No assumptions. In this Physical Therapy Billing Case Study, the truth showed itself in silence, not chaos but drift. Eligibility skipped. Modifiers missed. Tiny cracks that cost thousands. The front end was bleeding accuracy. We stopped the bleed.
Step Two: Front-End Accuracy
We rebuilt the beginning, not the end. Real-time eligibility. Verified deductibles. Confirmed secondaries. No more blind spots. No more guesses at the front desk. Every patient entered clean. Every visit coded right from the start. This Physical Therapy Billing Case Study showed that accuracy wasn’t an afterthought. It was the foundation.
Step Three: Coding Alignment
We went deeper. Every CPT met its ICD. Every modifier earned its place. No filler. No repetition. No wasted line. GP and KX used only when justified, never when lazy. Through this Physical Therapy Billing Case Study, each code was tuned like a note until the claim sang compliance. Clean. Sharp. Undeniable.
Step Four: Scrubbing and Validation
Then came automation. Claims no longer left blind. Each one scanned, validated, approved, or stopped. Invalid codes caught before flight. No more submit and pray. Now it was check and know. This Physical Therapy Billing Case Study proved that precision became reflex and clean claims became normal.
Step Five: Denial Management Reborn
Denials weren’t noise anymore. They were signals. We built a system that listened. Every rejection labeled, sorted, timed. Eligibility, coding, authorization, medical necessity. Nothing lost. Nothing delayed. Appeals became fast, focused, final. Follow-ups tracked to the hour. This Physical Therapy Billing Case Study showed how control replaced chaos.
Step Six: Staff in Sync
Then we brought everyone to the same rhythm. Billing. Coding. AR. No silos. No blame. No confusion. Weekly reviews turned disorder into direction. Dashboards replaced whispers. Data replaced doubt. The system didn’t just run. It moved. Steady. Fluid. Alive. This Physical Therapy Billing Case Study ends where precision met teamwork, and results began to rise. And when their rhythm returned, their numbers followed.
The Results
They came to us buried in denials, chasing payments that never arrived. We rewired the process, rebuilt the flow, and let accuracy lead again. The difference isn’t in the promise. It’s in the proof. And the proof is here:
Before vs After: The Pro-MBS Impact
| KPI | Before | After |
|---|---|---|
| Clean Claim Rate | 82% | 97% |
| Denial Rate | 23% | 9% |
| Avg. Reimbursement Time | 35 Days | 22 Days |
| Rework Hours (per 100 claims) | — | 4.67 saved |
| Revenue Growth | — | +8% |
The leaks stopped. The process breathed again. Claims moved faster. Cash flow steadied. Confidence returned.
Looking Ahead
Now, Adams Physical Therapy runs with precision. Their team moves in sync. Their data speaks the truth. Their payments come on time. The chaos is gone. The calm remains. At Pro-MBS, we don’t just manage billing. We restore rhythm.
If you’re ready to see similar results, visit www.prombs.com to learn how our team can help your clinic cut denials, speed up reimbursements, and regain control of revenue.
