Brace Health resources
Practical guidance authored by the people who work on billing and practice operations every day.
21 resources
Evaluate an AI billing company by what its technology does and who finishes unresolved work. Ask who reviews outputs, contacts payers, approves actions, and verifies payment; a detected issue, drafted appeal, and resolved claim are different deliverables.
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Compare PT billing services by the work they take on, specialty and payer fit, EMR compatibility, reporting, and ownership of unresolved claims. This guide compares five providers’ published service models; it is a Brace Health-authored shortlist, not an independent ranking.
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Choose a billing partner that can show unresolved work by clinic, assign a clear owner, and coordinate practice-side requests across locations. Compare reporting, coverage, system fit, and transition responsibilities before relying on a consolidated collections total.
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David O’Hara joined Nathan Shields on Private Practice Owners Club to discuss how practice owners can build a payer-negotiation case around local access and near-term costs, with AI supporting the research.
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A waitlist does not guarantee negotiating leverage or a rate increase. It may help a physical therapy practice document an access need in its market; a payer-specific case should connect that evidence to network adequacy or a plausible near-term cost alternative.
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An ABA practice choosing a billing company should verify the vendor’s experience with its actual payer mix and service model, document who owns authorization and intake work, and understand how claims, denials, payments, and unresolved items will be managed. Get responsibilities, exclusions, and transition terms in writing.
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Before a cash-pay therapy practice starts billing insurance, it should map which services and providers may be billed, confirm payer-specific enrollment and participation requirements, define documentation and system workflows, and explain the change to patients. Enrollment, contracting, coverage, and billing rules vary; a billing vendor cannot replace the practice’s payer and clinical responsibilities.
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An occupational therapy practice should evaluate a billing company by the work it will own, its familiarity with the practice’s payer and documentation workflows, how it handles exceptions, what it reports, and which tasks stay with the practice. Confirm scope and service fit in writing before sharing access or transferring claims.
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A speech therapy practice should choose a billing company by checking whether it understands the practice’s payer mix and service model, how it handles documentation and claim exceptions, what work it owns, and how it reports unresolved items. Confirm payer-specific requirements and scope in writing rather than relying on a general claim of specialty expertise.
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A therapy practice can make a more defensible pre-visit estimate by combining the benefit information available, the planned service, and relevant claim history. Explain the assumptions and uncertainty; only the payer’s claim adjudication determines the final insurance result and patient responsibility.
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A solo dietitian should compare billing vendors on the work they actually own, specialty and payer familiarity, communication cadence, exception handling, reporting, fees, and transition terms. Get responsibilities and exclusions in writing, and ask how the vendor handles a difficult claim—not only routine submissions.
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A benefits check can return information available from an eligibility transaction, such as coverage status or benefit details. It does not guarantee that a specific service will be covered or paid; claim adjudication depends on the submitted claim, plan terms, provider and service details, and payer rules.
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A PT practice can prepare a stronger rate request by connecting a focused ask to evidence the specific payer may value, such as specialized access, network adequacy, or near-term cost. The case and likely outcome vary by payer and market.
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The cost of outsourced PT billing depends on the proposal’s fee basis, included work, exclusions, practice volume, and contract terms. Compare providers using the same scope and period; do not assume a generic “standard” rate applies to every practice.
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A new PT location needs its own billing-readiness check. Confirm how the site is represented in systems and payer records, how claims and payments route, and how the team will monitor location-level work rather than assuming the existing clinic’s setup carries over.
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A lower deposit total is a signal to investigate, not proof of one cause. Compare like-for-like periods, then trace the difference through completed visits, payer mix, payment timing, posting, patient collections, denials, and accounts receivable.
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Brace Health may be a fit for a therapy practice that wants a dedicated billing partner, close communication, and help carrying billing work through resolution. The decision should depend on your workflow, EMR, and agreed scope.
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AI can help rehab billing teams spot exceptions, prepare follow-up, and organize evidence. It cannot replace clinical judgment, payer-specific verification, or a person accountable for approving and resolving the work.
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Brace Health pairs AI-assisted billing workflows with a dedicated rehab billing partner. AI helps surface and prepare work, while a human biller reviews, coordinates, and follows claims toward resolution.
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A practice owner should be able to explain where revenue is stuck, why claims remain unresolved, who owns each next action, which failures recur, and whether billing performance is improving—without personally working every account.
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A practice owner can delegate routine billing execution, but should retain visibility into performance, authority over consequential decisions, and accountability for unresolved exceptions. Every handoff needs a named owner, response time, and clear completion standard.
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