Outreach Manual Physical Therapy
“COB gave us the structure and support to grow with confidence. Since partnering, we've expanded from 4 locations to 9.”
Overview
Outreach Manual Physical Therapy partnered with COB in October 2024 while operating 4 locations. With expansion already in motion, they needed operational infrastructure and a scalable Revenue Cycle Management (RCM) system. Today, they operate 9 locations with a streamlined billing workflow, optimized medical billing, and stronger internal systems.
The Challenge
As the practice grew, so did operational complexity:
Managing multi-location healthcare operations
Maintaining billing accuracy as visit volume increased
Keeping authorizations and insurance reimbursements on track
Scaling without losing financial control
Without structured back-office systems, rapid growth can create inefficiencies and revenue leakage.
What COB Did
COB implemented a full Revenue Cycle Management framework to support growth:
Credentialing: ensuring providers were enrolled, active, and compliant
Billing Optimization: improving claim accuracy and reimbursement speed
Authorization Management: reducing delays and preventing missed approvals
Medical Auditing: monitoring documentation compliance and coding accuracy
Results
Expanded from 4 to 9 locations (+125%)
Improved operational efficiency across all sites
Increased visibility into revenue performance
Strengthened financial control during expansion
Impact
With COB managing the operational side of healthcare, Outreach was able to focus on growth while improving cash flow, billing performance, and revenue cycle visibility.