Pivotal Care Physical Therapy
“Once we added medical auditing, our documentation improved, our paid rate increased, and overall revenue performance became stronger.”
Overview
Pivotal Care partnered with COB in January 2024, starting with credentialing, medical billing, and authorization management. While the foundation was in place, hidden operational inefficiencies were affecting revenue capture.
The Challenge
The team faced several issues directly impacting collections:
Lost visits due to incomplete clinical documentation
Revenue leakage across billing and authorizations
Workflow inefficiencies reducing practice performance
The practice was delivering care, but not capturing the full billable value of every visit.
What COB Did
In October 2024, COB introduced Medical Auditing to improve operational and financial performance:
Reviewed clinical documentation accuracy
Identified gaps affecting claim submissions and reimbursements
Aligned records with payer compliance requirements
Strengthened internal billing workflows
Results
Increased paid rate
Reduced claim denials and revenue leakage
Improved documentation quality
Stronger alignment between billing, authorizations, and compliance
Impact
By closing documentation gaps and strengthening medical billing operations, COB turned hidden inefficiencies into measurable financial gains.
The difference wasn't seeing more patients — it was capturing the full value of the work already being done.