Denial Management · Physical Therapy & Mental Health
Get paid for the work you've already done.
Relvio Health recovers revenue from denied and underpaid claims for small physical therapy and mental health practices. Founder-led. No contracts. No offshore queues.
25% of what we recover. $0 if we recover nothing.
The denial problem is larger than most practices realize
These are not exceptional cases. They are the industry average — and for small practices without a dedicated billing team, the gap between billed and collected widens every year.
More than 1 in 8 physical therapy claims is denied on first submission — each one representing revenue your practice has already earned.
Source: Practolytics industry report
Nearly two-thirds of denied claims are never resubmitted. That revenue is written off — not because it is unrecoverable, but because rework takes time practices do not have.
Source: Harmony Healthcare survey
The vast majority of claim denials stem from correctable root causes — coding gaps, authorization failures, eligibility errors — not legitimate clinical disputes.
Source: Change Healthcare 2020 Revenue Cycle Denials Index
How it works
Four steps from first denial to recovered revenue.
Send us your last 90 days of denied claims
Share a denial report or ERA file from your practice management system. No EHR access required at this stage.
We audit and identify recoverable revenue — free
We review every denial, flag underpaid claims, and deliver a clear report of what is recoverable. No obligation.
You approve the appeals before we file anything
You stay in control. We draft every appeal letter and walk you through it before anything goes to the payer.
We recover the revenue. You pay 25% of what lands.
Our fee is 25% of revenue we actually recover for you. If no money comes in, you pay nothing. Aligned incentives, by design.
Who we help
We work exclusively with small practices (1–10 providers) in two specialties where denial complexity is highest and recovery expertise matters most.
Physical Therapy
PT practices face some of the most complex denial patterns in outpatient billing — from visit-limit cutoffs to modifier disputes.
Common denial patterns
- Modifier 59 / XS disputes on the same-day service rule
- Medical necessity denials after visit 5 or 10
- ICD-10 code specificity rejections
- Prior authorization lapses and retrospective denials
- Duplicate claim flags from coordination of benefits errors
Mental Health
Mental health billing has unique pressure points — session limits, telehealth rules that shifted post-pandemic, and payer-specific CPT restrictions.
Common denial patterns
- Prior authorization denials and expiration gaps
- Session or visit limit exceeded
- Telehealth place-of-service and modifier mismatches
- Timely filing deadline violations
- CPT code / diagnosis mismatch flags
Why founder-led
Small practices deserve billing firepower without the offshore ticket queue. Here is what that actually looks like in practice.
A direct line, not a ticket queue.
When you have a question about a denial or an appeal status, you reach the person working your account — not a support inbox that responds in three days.
No minimum claim volume. No retainer.
A solo practice with 60 monthly claims gets the same attention as a 10-provider group. There is no threshold you have to hit before it makes sense to work with us.
We only win when you win.
Contingency pricing is not a sales tactic — it is a commitment. Our incentive is identical to yours: maximize the revenue that actually reaches your bank account.
Pricing
Simple. Aligned. No surprises.
No recovery, no fee. We charge 25% of revenue we recover for you. If the free audit finds no recoverable revenue, you pay nothing. If it does, you only pay when the money lands in your account.
- No retainer or upfront fee
- No minimum claim volume
- No contract — cancel any time
Ready to find out what you're owed?
No contract. No retainer. If we don't find recoverable revenue, you owe us nothing.
Get a Free Denial Audit25% of what we recover. $0 if we recover nothing.