PayerPulse

PayerPulse is a web app (with optional mobile companion) for therapy practices that want fewer claim denials and faster reimbursement without hiring a full-time billing specialist. It connects to your clearinghouse/EHR exports and continuously monitors claim statuses, payer policy changes, and denial patterns by CPT code, modifier, diagnosis pairing, and payer. The app flags “high-risk” claims before submission, suggests the most likely fix (missing modifier, authorization mismatch, invalid place-of-service, documentation gap), and generates a short checklist for the clinician or biller. It also provides a denial heatmap and weekly cashflow forecast based on current claim aging. This is not a full billing system; it’s a denial-prevention and triage layer that sits on top of what practices already use, aiming to reduce rework and days in A/R.