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CASE STUDY

Choice Rehab: An Additional $7,243 in 60 Days for Managed Care Part A Patients

Case study | July 2, 2024

Overview

In this deployment, Choice Rehab used Sentinel data to support care extension decisions for managed care Part A patients, reporting $7,243 in additional appropriate revenue over 60 days.

Choice Rehab, a contract therapy provider, faced a familiar managed care challenge: justifying clinically appropriate care durations with objective evidence. Under managed care Part A, coverage decisions hinge on documented functional progress and need.

By incorporating Sentinel's objective gait measurements into their documentation, Choice Rehab's therapists could support their clinical recommendations with quantified data: walking speed trends, symmetry improvements still in progress, and measured functional deficits that remained clinically significant.

Over a 60-day period, the organization reported $7,243 in additional revenue from care extensions that were approved with the support of this objective documentation — extensions their clinicians judged appropriate, now backed by data payers found credible. Importantly, the same data also supported timely discharge decisions when measurements showed patients had genuinely plateaued.

These figures reflect this specific deployment and its payer relationships. The broader lesson: objective functional data serves clinical honesty in both directions — supporting continued care when deficits are real, and supporting confident discharge when recovery is complete. Care duration decisions remained with clinicians and payers throughout.

Key Takeaways

  • Reported $7,243 in additional appropriate revenue over 60 days in this deployment
  • Objective gait data strengthened care-extension documentation
  • The same data supported confident discharge decisions
  • Care decisions remained with clinicians and payers

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