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Get paid for
what you do.
No more.
No less.

Ripple HLTH is built on a simple premise: the Ripple Effect. In hospital-based outpatient therapy, small, highly targeted operational changes can create powerful system-wide impact.

A Challenging Financial Environment

Rising costs and lagging reimbursement are squeezing hospital-based outpatient therapy margins to unsustainable levels. Strong revenue integrity ensures you capture the full, compliant reimbursement your team has earned—and protects the long-term viability of your services.

REVENUE INTEGRITY & more

A Smarter Way to Optimize Therapy Performance

revenue integrity initiatives

charge capture optimization

Focuses on detecting and preventing missed charges for clinical services that were rendered.

RESOURCE ALLOCATION

Addresses best practice scheduling protocols alongside cancellation and no-show management to maximize patient access.

billing & coding compliance

Includes CPT/HCPCS selection, timed-unit rules, and modifier usage.

DENIAL MANAGEMENT & PREVENTION

Minimize revenue leakage due to administrative burdens such as prior authorizations and timely filing requirements.

CLINICAL DOCUMENTATION IMPROVEMENT (CDI)

Essential for outpatient therapy where documentation must support medical necessity.

PAYER CONTRACT MANAGEMENT

We review payer contracts to ensure reimbursement aligns with agreed-upon rates.

clinican-led hiring

We get specific on what success looks like in your environment: schedule, pace, patient population, documentation demands, productivity expectations, and leadership style.

focused shortlist

You get timely updates, market feedback, and a focused shortlist so your team spends time interviewing, not sorting.

conversation-first outreach

We run conversation-first outreach to connect with clinicians, without spammy tactics or pressure.

clear path to an
accepted offer

If compensation, scheduling, or internal bottlenecks are slowing the hire, we surface it early and help you tighten the path to an accepted offer.

Talent Acquisition Support

The clinicians you want are out there, but if your opportunity looks like everyone else’s, you’re already being overlooked.

Health Systems

Standardize charge capture and documentation across multiple sites, accelerate clinician onboarding, and capture missed revenue at every level of your network.

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Acute Care Hospitals

Bridge the gap between clinical decision-making and financial performance — turning PT, OT, and SLP services into compliant, high-performing revenue centers.

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Who We Serve

From critical access hospitals to sprawling health systems, Ripple HLTH is built for the full spectrum of therapy operations — and scales to match.

Who We Serve

From critical access hospitals to sprawling health systems, Ripple HLTH is built for the full spectrum of therapy operations — and scales to match.

Critical Access Hospitals

Every dollar matters. We help rural facilities strengthen therapy revenue integrity and transform an often-overlooked service line into a sustainable contributor.

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Rehabilitation Hospitals

Where documentation precision and reimbursement accuracy are non-negotiable, we align clinical workflows with financial performance at the clinician level.

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why choose us?

A True Partnership From

Assessment to Execution

We don't just hand you a report and walk away. We provide ongoing training, guidance and support as we work together to realize every opportunity identified. For the duration of your engagement, you receive monthly reporting dashboards, benefit tracking, and strategic operational support to ensure sustainable success.

baa

The only legal document required to conduct a free assessment. We can use either the client's or Ripple's standard BAA.

free assessment

Historical data extraction including patient demographics, itemized charges and payment information.

assessment findings

We present our assessment findings using industry-standard KPI benchmarking. It's where we connect clinical operations to financial outcomes.

msa & sow

We dot the i's and cross the t's while discussing the terms of our 100% contingency-based initiatives.

implementation

We start applying our customized plan through clinician-led trainings, detailed reporting, and continuous support.

IMPLEMENTATION PHASE

ASSESSMENT PHASE

  • “The training helped reinforce what our leadership team is trying to accomplish regarding optimizing charging, scheduling, access to care, and the management of cancellations and no-shows. In our current climate of decreasing reimbursement and increasing salaries and other operational expenses, the timing of this partnership is perfect.”

    julie k.

    Administrative Director of Outpatient Rehabilitation Services

    “As a physical therapist of 30+ years, and a senior leader for 20+ of those years, I have encountered many “consultants”. I can confidently state that Patrick is by far the most effective, practical, experienced and engaging individual that I have ever worked with.”

    vince c.

    Director of Outpatient Rehabilitation

  • “Patrick and his team have brought forward opportunities for us to better see our monthly performance, all of which we had been working on, but in a very manual and time-consuming process. Patrick was able to share information to a diverse group of therapists that not only treat the typical patient, but also those specialty areas of pediatrics, orthopedics, dementia/cognitive care, lymphedema, vestibular and SLP's.”

    miranda h.

    Director of Rehab

    “We’ve been given clear pathways to sustainable improvements to better capture and document the services our clinicians provide. In doing so, our team has been able to think more dynamically about the care we provide while also improving the financial health of our department.”

    MIKE H.

    Director of Outpatient Rehabilitation

  • “Patrick's training hit all the key points in a manner that was engaging and well-received by our teams. He provided thorough explanations and welcomed all questions. He gently guided the team to look towards opportunities instead of just focusing on "why" something couldn't be done.”

    BECCA S.

    Regional Director

    “I’ve worked in the therapy industry for 25 years and have been to many training courses over that time. I share this to say, even with many years of experience Patrick was able to come in and teach me and our team some amazing processes and tools to optimize our revenue. He uses an ethical approach, sound business principles, is a good listener, and a better teacher.”

    MICHAEL K.

    Director of Outpatient Rehabilitation

  • “Patrick not only told our teams – but showed them – their actual charging and visit metrics compared to national benchmarks. He helped them realize the amount of skilled, billable care that is being left on the table. It was helpful for our team to hear this charging information and scheduling tips from an expert outside of the organization."

    RITA B.

    Therapy Manager

    “Ripple excels at providing detailed outcome measures, attainable measurable goals, and superb counsel. This advanced level of consulting has helped us improve our staffing, consolidate front office procedures, increase customer-service relational alignment, improve charge capture optimization, and develop objective employee evaluations for improved satisfaction and performance.”

    CHRISTIAN A.

    Director of Physical Medicine & Rehabilitation

  • “The training helped reinforce what our leadership team is trying to accomplish regarding optimizing charging, scheduling, access to care, and the management of cancellations and no-shows. In our current climate of decreasing reimbursement and increasing salaries and other operational expenses, the timing of this partnership is perfect.”

    julie k.

    Administrative Director of Outpatient Rehabilitation Services

    “As a physical therapist of 30+ years, and a senior leader for 20+ of those years, I have encountered many “consultants”. I can confidently state that Patrick is by far the most effective, practical, experienced and engaging individual that I have ever worked with.”

    vince c.

    Director of Outpatient Rehabilitation

  • “We’ve been given clear pathways to sustainable improvements to better capture and document the services our clinicians provide. In doing so, our team has been able to think more dynamically about the care we provide while also improving the financial health of our department.”
    “Patrick and his team have brought forward opportunities for us to better see our monthly performance, all of which we had been working on, but in a very manual and time-consuming process. Patrick was able to share information to a diverse group of therapists that not only treat the typical patient, but also those specialty areas of pediatrics, orthopedics, dementia/cognitive care, lymphedema, vestibular and SLP's.”

    miranda h.

    Director of Rehab

    Director of Outpatient Rehabilitation

    mike h.

  • “Patrick's training hit all the key points in a manner that was engaging and well-received by our teams. He provided thorough explanations and welcomed all questions. He gently guided the team to look towards opportunities instead of just focusing on "why" something couldn't be done.”

    becca s.

    Regional Director

    MICHAEL K.

    Director of Outpatient Rehabilitation

    “I’ve worked in the therapy industry for 25 years and have been to many training courses over that time. I share this to say, even with many years of experience Patrick was able to come in and teach me and our team some amazing processes and tools to optimize our revenue. He uses an ethical approach, sound business principles, is a good listener, and a better teacher.”
  • “Patrick not only told our teams – but showed them – their actual charging and visit metrics compared to national benchmarks. He helped them realize the amount of skilled, billable care that is being left on the table. It was helpful for our team to hear this charging information and scheduling tips from an expert outside of the organization."

    rita b.

    Therapy Manager

    “Ripple excels at providing detailed outcome measures, attainable measurable goals, and superb counsel. This advanced level of consulting has helped us improve our staffing, consolidate front office procedures, increase customer-service relational alignment, improve charge capture optimization, and develop objective employee evaluations for improved satisfaction and performance.”

    CHRISTIAN A.

    Director of Physical Medicine & Rehabilitation

Trusted by National Healthcare Leaders

OUR PARTNERS

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