How does the platform align therapy minutes with authorizations and reduce claim denials?

The problem

Therapy minutes drive reimbursement, but most operators cannot tell whether therapy delivered matches therapy authorized until the claim is denied.

How the platform runs it

Every therapy session is scheduled by discipline with authorization tracking. Functional outcomes are measured at each visit. Therapy minutes document against PDPM classification. When authorizations are running low, re-authorization workflows start automatically. Functional outcome trends inform when to discharge from therapy.

On the shift

The therapy team’s caseload board shows every resident on caseload, current minutes-per-week, plan-of-care end date, and the documented functional outcome on Section GG. The PT flags that Mr. R. has plateaued and queues a discharge recommendation; the system schedules the discharge conference, generates the home-program handout, and updates Section GG for the next MDS. Communication between therapy and nursing happens on the same record — the therapist’s note about decreased tolerance is in the nurse’s evening view, not in a separate therapy folder.

What the outcome looks like

Evidence focus: therapy authorizations, minutes, Section GG support, and functional measures are preserved for review. No denial or functional outcome is claimed here.

What goes wrong without it

When therapy lives in its own contractor system, nursing finds out about a plateau when a discharge note appears in their inbox without context. PDPM coding suffers because functional outcomes are entered twice and reconciled never. The family at discharge does not get a home program because nobody told them therapy was ending.