Denial and AR visibility for physical therapy practices
Physical therapy billing is high-volume, low-dollar, and unusually sensitive to unit-count and visit-limit rules — which means the denials that matter are rarely dramatic, they are numerous and repetitive. PayerVista reads your remittance files and shows exactly which of those patterns is costing the most.
What makes this hard
Visit and unit limits that bite mid-plan-of-care
Plans cap visits per year, units per day, and dollars per benefit period, and the caps differ per plan. The denial arrives after the visits are delivered, when the only remaining options are an appeal or a patient balance.
Timed-code unit denials
Time-based CPT coding makes unit counts a constant source of partial denials. A claim that pays most of its units and denies the rest still reads as "paid" on any dashboard that only tracks paid versus denied.
High claim volume, thin margins
With hundreds of low-dollar claims a week, no one can chase every denial individually. Without grouping by reason and dollar impact, the work gets triaged by whatever surfaced most recently.
Underpayments hidden inside routine adjustments
A payer paying below the contracted rate for a therapy code looks identical to a normal contractual adjustment on the remittance. It repeats on every claim until someone compares allowed amounts to the contract.
What PayerVista does about it
Denials grouped by reason and dollar impact
Every reason code is translated and aggregated, so the recurring unit-count or visit-limit pattern shows up as one large number instead of two hundred small ones.
Partial payments surfaced, not buried
Claims paid short are tracked as variances rather than closed as paid, which is where most therapy revenue leakage lives.
Payer performance you can act on
Collection rate, denial rate, and days to pay per payer — the numbers that tell you which contract is actually worth what you think it is.
A worklist that reflects deadlines
Timely-filing risk and appeal windows drive the queue, so nothing large expires while the team works something small.
Denial codes that hit physical therapy & rehab hardest
Terms worth knowing
Frequently asked
Do we need to change our practice management system?
No. PayerVista reads the remittance files your payers already send. You keep scheduling, documentation, and claim submission exactly where they are.
Can it show which payers deny the most?
Yes. Every payer gets a scorecard covering collection rate, denial rate, and average days to pay, built from your own remittance data rather than an industry average.
Does it work for a multi-location practice?
Yes. Remittances from every location consolidate into one workspace, and you can invite your whole billing team without per-seat fees.
See your own numbers in minutes
Free 14-day trial, no credit card required. Upload your remittance files and your full AR picture populates immediately — or click through the live demo first with sample data and no signup at all.