The Challenge
Summit was losing $340,000 annually to denied claims and prior authorization delays. With 8 clinicians across 3 locations, their 4-person billing team couldn't keep up with the volume of authorizations, and documentation backlogs meant clinicians were staying 2 hours late every day. Their denial rate had climbed to 28% — well above the industry average — and they were hemorrhaging revenue on appeals that took weeks to process.
The Solution
PRACTIS deployed all 7 AI staff members with a focus on Alex (Prior Auth) and Riley (Billing). Within the first week, Alex began processing authorization requests 73% faster and flagging expiring auths before they lapsed. Riley's pre-submission claim scrubbing caught laterality mismatches and missing modifiers that had been causing 60% of their denials. Morgan's voice-to-SOAP documentation eliminated the after-hours documentation backlog entirely.
The Results
| Metric | Before | After | Change |
|---|---|---|---|
| Denial rate | 28% | 12.4% | -56% |
| Documentation time/note | 42 min | 7 min | -83% |
| Auth processing time | 38 min | 9 min | -76% |
| Revenue per clinician/mo | $26,800 | $35,200 | +31% |
| Staff overtime hrs/week | 16 hrs | 1.5 hrs | -91% |
| First-pass claim rate | 72% | 93.8% | +30% |
| No-show rate | 22% | 11% | -50% |
| Patient retention | 61% | 84% | +38% |
Deployment Timeline
Data migration from WebPT completed in 36 hours. All patient records, templates, and payer configs transferred.
7 AI agents configured for orthopedic workflows. Voice documentation customized per clinician preference.
Parallel operation: AI notes matched manual notes at 98.2% accuracy. Denial rate already dropped to 18%.
Full deployment. Documentation backlog eliminated. Billing team reduced from 4 to 2 FTEs (reassigned, not laid off).
Inside the Platform
Prior Authorization Center
Hover to playRevenue Cycle & Billing
Hover to playDashboard Overview
Hover to playAI Documentation Queue
Hover to playWhat They Said
"We went from staying until 7 PM every night to leaving at 5. My clinicians are happier, our revenue is up 31%, and I haven't had to hire the two additional billers I was budgeting for."
"Alex caught 14 authorizations that were about to expire in our first month. That alone saved us from losing coverage on $47,000 worth of visits."
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