What this page covers
Physical therapy revenue is a function of completed plans of care, and both authorization and attendance can break them. Many plans cap visits and require reauthorization partway through a course of care, and a patient who stops attending leaves the plan unfinished. Flexbone automates the authorization tracking and the scheduling adherence that keep a plan of care both covered and completed.
How does AI handle physical therapy prior authorization and visit caps?
AI verifies the therapy benefit, submits the plan-of-care authorization, and tracks visits against the cap so covered care keeps billing. Physical therapy authorization is distinct because it is visit-based: many plans, Medicare included, approve a set number of visits, tie approval to the plan of care, and require reauthorization to continue past the cap. A missed reauthorization means visits that are delivered but not covered. Flexbone verifies the therapy benefit and any visit limit up front with a 270/271 check, submits the initial 278 authorization tied to the plan of care and its CPT codes, tracks the visit count against the cap, and submits reauthorization before the limit is reached, routing denials to appeal. The therapy prior authorization page covers the workflow.
Get an outside read on your physical therapy workflow
In 30 minutes we map your current volume, the payers and systems involved, where staff time goes, and the highest-ROI calls and follow-ups Flexbone can take off your team first, scoped to the work you actually run.
How does AI schedule recurring physical therapy visits and keep patients attending?
AI books the recurring visit series and runs the reminders that keep patients on their plan of care. A course of therapy runs several visits per week over weeks, so scheduling volume per patient is high and attendance is where plans of care fall apart. Flexbone books the recurring visit series, runs the reminder and confirmation cadence that keeps patients attending, reschedules missed visits before they become dropouts, and fills cancellations from a waitlist so treatment slots stay productive. It runs the 270/271 eligibility check so a coverage change does not surface mid-course.
How Flexbone runs a physical therapy clinic
Flexbone deploys voice and browser agents inside your therapy EHR. The front office gets recurring scheduling, reminders, and reschedule recovery. The back office gets eligibility, plan-of-care authorization, visit-cap tracking and reauthorization, and denial follow-up that reads the 835 remittance and its CARC and RARC codes. Results write back to the chart, and exceptions go to staff with context. The rollout is scoped to your visit volume, plan types, and payers.