Maple AI Consultants

AI consulting case studies by Joel & Nanz Inc.

Healthcare • 8 Therapists

Case Study 30: Physical Therapy Clinic

Marketing-optimized case study for Canadian SMBs.

$81,000
Annual Savings
465%
ROI
2.6 months
Payback
Healthcare • 8 Therapists
Industry Focus

Executive Summary

Insurance Authorization: Automated submission of prior authorization requests with AI-generated medical necessity documentation. Tracks approval status and appeals denials.

Challenge

Solution

  • Insurance Authorization: Automated submission of prior authorization requests with AI-generated medical necessity documentation. Tracks approval status and appeals denials.
  • Exercise Program Builder: AI generates personalized home exercise programs based on diagnosis, functional limitations, and therapy goals. Creates illustrated handouts automatically.
  • Outcome Tracking: Automated collection of patient-reported outcomes via SMS. AI identifies patients not improving and flags for therapist review.

Technical Stack

Key Metrics

5.2
Insurance authorization time reduced from 5.2 days to 1.1 days
18%
Denial rate reduced from 18% to 7%
52%
Patient compliance with home exercises improved 52%
35%
Documentation time reduced 35%
1
Eliminated 1 FTE billing specialist role ($56k savings)

Implementation Timeline

8 weeks including insurance workflow setup

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