Insurance denies medically necessary physical therapy visits, forcing therapists to perform extra re-evaluations and paperwork to justify continued care.

Workarounds Described

• squeezing patient in for a 're-evaluation' to buy another visit
• more paperwork and charts justifying why someone needs PT

Implied Software Gaps

• Automated re-evaluation documentation that aligns with insurance coverage rules
• Predictive analytics to identify visits at risk of denial before billing

CoverageGuard PT

CoverageGuard PT is an AI-powered documentation platform that automatically generates progress notes, functional assessments, and medical necessity justifications tailored to insurance payer policies. It reduces administrative burden from insurance denials by flagging at-risk visits, suggesting objective measurements, and producing compliant appeals letters in minutes.