The Challenge
Coastal Neuro specialized in complex neurological cases — stroke recovery, TBI, Parkinson's, and MS — where documentation requirements are significantly higher than standard PT. Their clinicians spent an average of 55 minutes per SOAP note due to the complexity of neurological assessments, functional independence measures, and Brunnstrom staging. Insurance denials for neuro PT were running at 31% because clinical justifications weren't meeting payer-specific medical necessity thresholds.
The Solution
PRACTIS was configured with neuro-specific terminology and assessment frameworks. Morgan learned to structure Brunnstrom stages, modified Ashworth scores, and FIM ratings into compliant documentation. Alex was trained on the higher medical necessity thresholds that payers require for neurological PT, generating clinical justifications that referenced specific functional deficits and measurable improvement goals. Sam tracked MCID rates across neuro-specific outcome measures.
The Results
| Metric | Before | After | Change |
|---|---|---|---|
| Documentation time/note | 55 min | 7 min | -87% |
| Denial rate | 31% | 11.2% | -64% |
| Auth approval time | 4.2 days | 1.1 days | -74% |
| Revenue per clinician/mo | $31,200 | $39,800 | +28% |
| MCID achievement rate | 38% | 52% | +37% |
| Compliance audit score | 88% | 99.4% | +13% |
| Patient satisfaction | 4.1/5 | 4.7/5 | +15% |
| Clinician burnout score | 7.2/10 | 3.8/10 | -47% |
Deployment Timeline
Migration from Clinicient completed. Neuro-specific templates and assessment frameworks configured.
Morgan trained on Brunnstrom, FIM, and modified Ashworth documentation patterns. Alex configured for neuro payer requirements.
Parallel operation showed 98.7% documentation accuracy for neuro cases. Clinicians reported 'better than manual' quality.
Full deployment. Documentation time dropped from 55 to 7 minutes. First month denial rate: 14.8% (down from 31%).
Inside the Platform
AI Documentation Queue
Hover to playOutcome Measures
Hover to playPrior Authorization Center
Hover to playPatient Registry
Hover to playWhat They Said
"Neuro documentation is the hardest in PT. Morgan understands Brunnstrom stages, FIM scoring, and modified Ashworth — things I never thought AI could handle. My notes are better than when I wrote them manually."
"Our denial rate for neuro cases was destroying us. Alex generates clinical justifications that actually speak the language payers want to hear. We went from 31% denials to 11% in two months."
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