Huntregional Therapy Services
| Time | Caller Name | Phone Number | Identity Verification | Call Outcome | Sentiment | Action |
|---|---|---|---|---|---|---|
| 08:42 AM | Marcus Vance | (469) 555-0198 | Verified (DOB) | Booked Evaluation (Tomorrow 2:30 PM) | Positive | |
| 08:35 AM | Rachel Adams | (214) 555-0144 | Verified (Ref MD) | Prior Auth Status Delivered | Neutral | |
| 08:12 AM | Unverified Caller | (972) 555-0199 | Failed Verification | Transferred to Staff Queue | Escalated |
| Patient Name | Discipline | Days Waiting | Contact Preference | Backfill Speed | Revenue Saved | Status |
|---|---|---|---|---|---|---|
| Sarah Jenkins | Physical Therapy | 4 Days | SMS Reminders | 3.8 Seconds | $150.00 | Auto-Rebooked |
| David Miller | Occupational Therapy | 2 Days | Voice Call | 4.2 Seconds | $150.00 | Auto-Rebooked |
| Patient Name | Payer Name | Member ID | Copay ($) | Deductible Met ($) | Remaining Visits | 270 Status |
|---|---|---|---|---|---|---|
| Marcus Vance | Blue Cross Blue Shield | XEA-9048123 | $35.00 | $1,250 / $1,500 | 18 Visits | ACTIVE ELIGIBILITY |
| Rachel Adams | Aetna Healthcare | AET-8840192 | $0.00 | $3,000 / $3,000 | 12 Visits | ACTIVE ELIGIBILITY |
| Patient Name | Authorization # | Payer | CPT Codes | Visits Remaining | Expiration Date | Status |
|---|---|---|---|---|---|---|
| Rachel Adams | AUTH-PA-2026-99014 | Aetna | 97110, 97140 | 12 Visits | October 31, 2026 | APPROVED & ACTIVE |
Nora Real-Time Skilled Documentation Audit Alert
Audit Flag Detected: Note lacks specific skilled tactile cuing terminology for CPT 97110 and missing baseline Goniometric ROM objective measurements.
Recommendation: Append skilled justification (e.g. "Therapist provided manual resistance to correct patellar tracking") to prevent Medicare CO-50 medical necessity denial.
Patient Visit SOAP Note & Billing Pair Draft
Patient: Marcus Vance | Therapist: Dr. Lin, PT | Discipline: Physical Therapy (PT)
SUBJECTIVE: Patient reports right knee pain reduced to 3/10 following quad strengthening exercise regimen. States difficulty climbing stairs at home.
OBJECTIVE: Active knee flexion 115Β° (goal 125Β°). MMT Quadriceps 4/5. Therapist provided skilled manual tactile cues for eccentric control during step-downs.
ASSESSMENT: Excellent functional progress post-evaluation. Patient requires continued skilled PT interventions to correct patellofemoral biomechanics.
PLAN: Continue PT 2x/week for 4 weeks. Advance to closed-chain resistance training.
ICD-10 & CPT Code Pairing Engine
| Claim # | Patient Name | Payer | Denial Code | Denied Amount | Appeal Deadline | Appeal Status | Action |
|---|---|---|---|---|---|---|---|
| CLM-904812 | Jonathan Reed | Medicare FFS | CO-50 (Medical Necessity) | $485.00 | 120 Days (Remittance Date) | Appeal Package Drafted | |
| CLM-884910 | Sarah Jenkins | BCBS Texas | CO-16 (Missing Modifier) | $310.00 | 180 Days (EOB Date) | Auto-Corrected 837P |
| Timestamp & Call SID | Agent Job Description Name | Caller & Patient | Duration | HIPAA Status | Transcript & Summary | Audio Playback |
|---|---|---|---|---|---|---|
| CS-904812 Today 08:14 AM |
Emily β Clinic Reception & Emergency Triage AI | Marcus Vance +1 (469) 555-0198 |
1m 34s | VERIFIED 2-FACTOR | Emily verified 2-Factor Identity (DOB + Ref MD), answered knee evaluation questions, and confirmed appointment. | |
| CS-884910 Today 08:00 AM |
Grace β 3.8-Second Waitlist Auto-Backfill & Scheduler AI | Jonathan Reed +1 (214) 555-0144 |
0m 48s | VERIFIED 2-FACTOR | Grace verified 2-Factor Identity, processed 2:30 PM cancellation, rescheduled Jonathan for Tuesday, and auto-backfilled slot in 3.8s. | |
| CS-771029 Yesterday 04:30 PM |
Olivia β Health Insurance 270/271 Eligibility AI | David Sterling +1 (972) 555-0199 |
1m 52s | VERIFIED 2-FACTOR | Olivia verified 2-Factor Identity, ran FHIR 270 check, and confirmed $35 copay with 18 authorized visits. | |
| CS-662910 Yesterday 02:15 PM |
Sarah β Prior Authorization Approval & Tracking AI | Robert Hayes +1 (817) 555-0133 |
2m 15s | VERIFIED 2-FACTOR | Sarah verified 2-Factor Identity, audited Aetna portal, and confirmed Auth #PA-2026-99014 for 12 visits. | |
| CS-554019 Yesterday 11:00 AM |
Nora β Ambient SOAP Clinical Scribe AI | Alexander Wright +1 (469) 555-0177 |
7m 00s | VERIFIED 2-FACTOR | Nora authenticated clinician & 2-Factor patient identity, transcribed PT evaluation, and drafted SOAP note. | |
| CS-441098 Yesterday 09:45 AM |
Vera β Claims Denial & Appeals Intelligence AI | Christopher Brooks Payer Appeals Line |
3m 00s | VERIFIED 2-FACTOR | Vera authenticated claim credentials, audited Medicare CO-50 denial ($485), and compiled 1-click appeal package. |
| Patient Name | Check-in Type | Discipline | Check-in Time | Appointment Time | Status |
|---|---|---|---|---|---|
| Marcus Vance | ποΈ Touch | Physical Therapy | 08:24 AM | 08:30 AM | Seated |
| Rachel Adams | ποΈ Voice | Occupational Therapy | 09:41 AM | 09:45 AM | Seated |
| Sarah Jenkins | ποΈ Touch | Physical Therapy | 10:52 AM | 11:00 AM | Waiting |
| David Miller | ποΈ Touch | Speech Therapy | 11:05 AM | 11:00 AM | Checked In Late |
| When | Staff User | Action | Patient |
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Patients whose most recent case was discharged more than the selected number of years ago, with no other active or on-hold case. This list is informational only -- nothing here deletes or modifies any record. Review with whoever owns your retention policy before acting on it.
| Patient | Cases | Last Discharged | Years Since Discharge |
|---|---|---|---|
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| Name | Phone | Date of Birth | ||
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| Patient | Phone | Referring Physician | Discipline | Received | Scheduled | Status | Linked Record |
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| Name | NPI | Specialty | Phone | City / State |
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| Name | Type | Payer ID # | Phone |
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Right now, the Billing Report is priced entirely off Medicare rates as an interim standard rate card -- every charge line uses the Medicare $/unit rate for its CPT code, regardless of the patient's actual payer. At go-live, each client will provide their own real charge master (per-payer contracted rates), and this table already supports that (payer type is stored per rate below); until then, only Medicare rows affect the report -- other payer types are optional early prep and are ignored for pricing.
| Payer Type | CPT Code | Rate / Unit | Updated |
|---|---|---|---|
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| Name | Role | Discipline | License | NPI | Signature | Status | Actions | Admin Access | |
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Visit and unit/minute counts only -- this schema doesn't carry a billing rate table, so no dollar figures are shown here.
| Therapist | Visits | Units Billed | Minutes Billed |
|---|---|---|---|
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| Date | Total |
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Charges = billed units Γ the Medicare $/unit rate for that CPT code (see Admin Center β CPT Rates) -- used as an interim rate card for every payer until each client's real charge master arrives at go-live. A code with no Medicare rate configured shows as Unrated rather than $0.
| Payer | Units | Charges |
|---|---|---|
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| Therapist | Units | Charges |
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| CPT | Units | Charges |
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| Date | Patient | Therapist | Payer | CPT | Units | Charge |
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| Patient | Phone | DOB | Discipline | Case Status | Payer | Physician | Diagnosis |
|---|---|---|---|---|---|---|---|
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Signed treatment notes, evaluations, and progress reports for patients with a Cerner Patient ID on file are exported to Cerner (Oracle Health FHIR) on a daily/weekly schedule. Entries below are only ever created once a record is signed and its patient is matched -- unmatched patients show as "skipped_no_crosswalk" rather than being silently dropped. Set a patient's Cerner Patient ID from their chart, and a case's Cerner Encounter ID from that case's card, to enable matching.
| Patient | Type | Source | Status | Cerner Resource | Error | Attempted |
|---|---|---|---|---|---|---|
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Notes created in this range, per therapist -- how many are still open (unsigned), and the average days from creation to signature for the ones that are finalized.
| Therapist | Total Notes | Signed | Open | Avg Days to Finalize |
|---|---|---|---|---|
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Notes with no signature yet, oldest (most overdue) first.
| Patient | Therapist | Note Type | Date of Service | Days Open |
|---|---|---|---|---|
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| Physician | Total Referrals | Converted | Conversion Rate |
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