Central for Physical & occupational therapy

Re-authorised every eight visits, on a schedule you are trying to keep full.

Visit-limit authorisations that expire mid-plan-of-care, recertifications on their own clock, and a cancellation rate that decides whether the week is profitable. Central keeps both moving.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

Central for Physical & occupational therapy

Re-authorised every eight visits, on a schedule you are trying to keep full.

Visit-limit authorisations that expire mid-plan-of-care, recertifications on their own clock, and a cancellation rate that decides whether the week is profitable. Central keeps both moving.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

YOUR WEEK

We already know where your week goes.

Three things every physical & occupational therapy practice we speak to describes, usually in the first ten minutes.

  1. The auth expires before the plan of care does

A plan runs twelve visits. The authorisation covers eight. Visit nine happens anyway and is written off.

  1. Recerts sneak up

Plans of care need recertifying on a fixed interval. Miss it and everything after is unbillable, no matter how good the documentation is.

  1. Empty slots cannot be recovered

A therapy schedule is capacity. A late cancellation nobody backfills is revenue that does not come back.

A 24-hour expedited review only holds if someone is watching it. Otherwise it quietly becomes a standard 72-hour review and treatment slips a week.

HOW WE WORK IT

The whole chain, not the first link.

Every step says whether an agent or one of our specialists did it. Nothing clinical or contentious is left to software.

01

Initial auth filed

Evaluation findings and functional goals submitted in the plan's required format at the start of care.

Visit Count

02

Recertification

03

Schedule Full

04

Exceptions & Appeals

05

01

Initial auth filed

Evaluation findings and functional goals submitted in the plan's required format at the start of care.

Visit Count

02

Recertification

03

Schedule Full

04

Exceptions & Appeals

05

NOMENCLATURE

You will not be explaining physical & occupational therapy to us.

Our specialists are trained on your work before they touch it. This is the starting point, not the finished training.

CODES WE ALREADY KNOW

97110 therapeutic exercise

97110 therapeutic exercise

97140 manual therapy

97140 manual therapy

97530 therapeutic activities

97530 therapeutic activities

97162 PT evaluation, moderate complexity

97162 PT evaluation, moderate complexity

97165 OT evaluation, low complexity

97165 OT evaluation, low complexity

KX modifier for threshold exceptions

KX modifier for threshold exceptions

WHERE IT GETS DENIED

Visits delivered beyond the authorised count

Visits delivered beyond the authorised count

Plan of care not recertified in the interval

Plan of care not recertified in the interval

Functional progress not documented

Functional progress not documented

KX modifier missing above threshold

KX modifier missing above threshold

Units billed beyond the 8-minute rule

Units billed beyond the 8-minute rule

SYSTEMS YOU PROBABLY RUN

WebPT

WebPT

Raintree

Raintree

Prompt EMR

Prompt EMR

Net Health

Net Health

Availity

Availity

Clinicient

Clinicient

PAYER FRICTION WE EXPECT

Visit caps per authorisation

Visit caps per authorisation

Fixed recertification intervals

Fixed recertification intervals

Progress documentation requirements

Progress documentation requirements

Therapy threshold rules

Therapy threshold rules

THE SPLIT

The agent does one half. Our people do the other.

Everything repetitive.
Everything repetitive.

Works payer portals and practice systems directly

Works payer portals and practice systems directly

Calls payers and navigates phone trees

Calls payers and navigates phone trees

Assembles documentation out of the chart

Assembles documentation out of the chart

Recovers when a vendor redesigns a page

Recovers when a vendor redesigns a page

Runs nights, weekends and holidays

Runs nights, weekends and holidays

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Judgment & exceptions

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

PROOF

Most AI vendors have never worked a denial.

Wing has staffed the back office of 10,000 companies. Central is the agent layer built on top of people who already know what a peer-to-peer is.

Provida Family Medicine

Needed clinic operations streamlined

50% faster admin ops

35% fewer billing errors

25% faster claims

They have a robust platform that makes communicating with our VA incredibly easy. It also helps that they act quickly and are incredibly responsive.

Christine Mulvey

Director of Marketing, charlesgate.com

COMMON QUESTIONS

COMMON QUESTIONS

Questions, before you book.

Can you track visits against the authorisation?

Yes, and that is the core of it. We file the next authorisation against the used-visit count rather than waiting for a denial to reveal that the patient ran out three visits ago.

Do you handle the front desk as well?

Yes. In therapy the schedule is the product, so confirmations and same-day backfill sit in the same queue as the authorisations.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

Can you track visits against the authorisation?

Yes, and that is the core of it. We file the next authorisation against the used-visit count rather than waiting for a denial to reveal that the patient ran out three visits ago.

Do you handle the front desk as well?

Yes. In therapy the schedule is the product, so confirmations and same-day backfill sit in the same queue as the authorisations.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

GOVERNANCE

Built for PHI, and for audit.

Enterprise healthcare buyers need more than a badge. These are the controls that keep the operating model defensible to compliance, security and your payers.

BAA before access

Executed before any patient data is touched. Pilots run on test accounts until it is in place.

Workflow approval

No workflow runs in production until your named lead has reviewed and approved every step.

Credential protection

Credentials are stored encrypted, used inside controlled sessions and never shared between personnel.

Action history

Every action is attributable to an agent or a named specialist, with a full audit trail.

Controlled access

Managed devices, role-based access and least-privilege scoping to only the systems a workflow needs.

Defined escalation

The conditions under which an agent stops and a person takes over are configured with you, not inferred.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.