Every visit needs a verification. Every auth has a visit limit. Praxia manages it all.
Chiro and PT authorizations typically cover 6–12 visits. That means reauthorization every few weeks, per patient, per payer. A 100-patient practice can have 15–20 active auths to manage simultaneously.
Benefits change. Deductibles reset. Visit limits expire mid-plan. Verifying coverage before every visit isn't optional — but it's time-consuming enough that most offices skip it and eat the write-offs.
Physical therapy billing involves multiple CPT codes per visit, modifier requirements by payer, and functional limitation documentation. At 30–50 visits a day, billing errors compound fast.
We track every active authorization, submit renewals before they lapse, and handle escalations. Zero treatment interruptions due to expired auths.
Real-time eligibility checks 24 hours before each appointment. Remaining visits, deductible status, co-pay — confirmed before your patient arrives.
Accurate CPT coding, modifier review, clean claim submission. Denials appealed within 48 hours. First-pass clean claim rate improvement typically 20%+.
High-frequency treatment means high-frequency no-shows. Automated bilingual reminders and same-day fill outreach keep your schedule full.
Co-pay tracking, payment plans, billing inquiries — handled. Patients know what they owe before they leave.
The volume of prior auths, verifications, and billing in chiropractic and PT practices makes Growth ($1,997/mo) the natural fit. High-volume multi-provider practices often move to Premier for full RCM.