Insurance denials for physical therapy visits due to arbitrary visit limits, despite patient still having functional deficits.

Existing solutions do not help physical therapy practices track patient outcomes or communicate functional necessity to insurance for authorization of additional visits.

Severity

4High

Willingness to Pay

implied

Added

Apr 28, 2026

Workarounds Described

tracking patients manually to visit doctors who deny

Implied Software Gaps

Automated tracking and reporting of patient functional outcomes to justify medical necessity for insurance authorization

App Concept

AuthAssist PT

AuthAssist PT is a clinical documentation and insurance authorization platform for physical therapy practices. It automatically tracks patient functional progress (e.g., ability to climb stairs) and generates data-driven justification reports for insurance to secure approval for additional visits beyond arbitrary limits.

Key Features

Functional outcome tracking with standard assessments (e.g., stair climbing, chair rise tests)
Auto-generated insurance appeal letters with objective progress data
Integration with EHR systems to pull patient notes and metrics
Dashboard showing authorization status and visit counts per patient

Target Users: Physical therapy clinic owners and clinicians in outpatient orthopedic settings, especially those dealing with post-surgical patients

Revenue Model: $99/month per clinic for up to 5 providers, $199/month for unlimited providers

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