Prior Authorization Automation for Physical Therapy

Stop chasing approvals. Start treating patients.

Physical therapy runs on repeat authorizations. Visit caps of 6, 8, or 12 mean every episode of care requires multiple rounds of insurer approval, and every re-auth is another opportunity for delays, denials, and rescheduled patients.

Athelas automates the work.

The Problem

The problem with manual PA

  • Every payer, a different portal. Different forms, different logins, different clinical templates.

  • Visit counts are unforgiving. One session over the cap is a denial.

  • Re-auths need real documentation. Progress notes, functional outcomes, medical necessity, every time.

  • Follow-up eats the day. 12 hours a week on average, per the AMA.

The Solution

How Athelas helps

The Prior Authorization Agent submits and tracks approvals across payers automatically:

  • Files evaluations, initial visit blocks, and re-authorizations with the right documentation.

  • Visit counts are unforgiving. One session over the cap is a denial.

  • Re-auths need real documentation. Progress notes, functional outcomes, medical necessity, every time.

  • Follow-up eats the day. 12 hours a week on average, per the AMA.

Proven Results in Physical Therapy

How Farnsworth Orthopedic Physical Therapy Increased Revenue by $14K Every Month

Farnsworth Orthopedic Physical Therapy partnered with Athelas and saw:

01

+$14,000/month in revenue

02

+$168,000/year in patient collections

03

91% of claims processed with no manual intervention

04

<1% of denials unworked

One platform, built for PT

A graph of monthly cash flow ordered by date posted with the graph slowly going up.

Boost payments faster with transparent, automated tools

RCM
Chat conversation between a female doctor asking about new symptoms and a male patient responding about feeling lightheaded when standing up quickly, accompanied by voice waveform.

AI co-pilots for documenting, coding and querying

Ambient AI

The all-in-one EHR that makes practice delightful again

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