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Physical Therapy Practice · Physical Therapy

Physical Therapy Authorization Tracking and Session Limit Management

Illustrative Revenue Cycle Automation Scenario. This scenario demonstrates how a healthcare organization could apply revenue-cycle automation. It is not presented as an actual customer result.

The Challenge

A physical therapy practice faced denials from exhausted session limits and lapsed authorizations. PT benefits typically have visit caps (e.g., 20 visits per year) that vary by payer and plan. The practice tracked session counts manually in a spreadsheet, which was frequently inaccurate. Authorizations required renewal after a set number of visits, and lapses caused denials.

The Approach

Sarva automated session count tracking per patient, per payer, with alerts when patients approached their visit cap.

Authorization renewal was automated, with renewal requests submitted proactively before the current authorization expired.

Eligibility was re-verified at each visit to catch coverage changes.

Patients approaching session limits were flagged for financial counseling to discuss self-pay options.

Illustrative Outcomes

Session-limit denials

Illustrative elimination of avoidable session-limit denials

Authorization lapse rate

Illustrative reduction to near zero

Staff time on auth tracking

Illustrative 75% reduction

Outcomes are illustrative and do not represent actual customer results.

Key Lessons

Automated session count tracking is essential for PT practices dealing with visit caps.
Proactive authorization renewal prevents lapses that interrupt patient care.
Financial counseling for patients approaching limits improves collections and patient satisfaction.

See how this approach could work for your organization.

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