Pivotal Care Physical Therapy partnered with COB Solution in January 2024, initially utilizing credentialing, billing, and authorization services. Despite having core systems in place, they faced hidden inefficiencies impacting revenue performance.
Early analysis revealed a critical issue: high number of lost visits due to incomplete documentation, revenue loss affecting both billing and authorizations, and inefficient workflows leading to underperformance. This meant the practice was delivering care but not capturing full revenue value.
After a detailed assessment, COB recommended introducing Medical Auditing (implemented October 2024). This included reviewing documentation accuracy, identifying gaps affecting billing & approvals, aligning clinical documentation with payer requirements, and strengthening internal workflows. This step was key to unlocking hidden revenue.
82.8% → 90.2%
Paid Rate Increase
Reduced
Revenue Leakage
Improved
Documentation Quality
Aligned
Billing & Auth
| Quarter | Revenue |
|---|---|
| Q2 2024 | $3,774.87 |
| Q3 2024 | $21,131.44 |
| Q4 2024 | $32,664.31 |
| Q1 2025 | $61,303.76 |
| Q2 2025 | $48,697.13 |
| Q3 2025 | $61,547.59 |
| Q4 2025 | $61,318.77 |
| Q1 2026 | $54,367.41 |
Before COB
After COB
By addressing documentation gaps, COB Solution transformed operational inefficiencies into measurable financial gains.
“The difference wasn't more patients — it was capturing the full value of every visit.”