CMS-0057-F Ready Built for PT, Cardiology & Behavioral Health
THE FUTURE OF REVENUE CYCLE

The denial, prior-auth & eligibility brain for specialty practices.

Adulis gives independent Physical Therapy, Cardiology, and Behavioral Health practices the same payer intelligence a hospital system has — at a price they'll actually pay.

56%of denials start with an eligibility error, before the patient is even seen
7 daysnew CMS deadline for payers to answer a standard prior auth
65%of denied claims are never reworked — written off as lost revenue
3-5 secfor Adulis AI to draft a payer-aware appeal letter
5–100Provider practices served
3Specialty verticals
10+CARC codes auto-classified
< 30 minTo your first audit dashboard
THE PROBLEM

Every denial is paid for twice

Once in the staff hours to rework it — and again in the revenue written off when no one does. Multiply that across hundreds of claims a month.

56%

Eligibility errors

Coverage inactive, deductible unmet, visit limits hit, wrong plan — the largest and most preventable leak.

32%

Coding errors

Wrong CPT/ICD-10, mismatched diagnosis, or a missing modifier — quietly leaking revenue every billing cycle.

12%

Prior auth failures

Missed windows, incomplete documentation, or a payer rule that changed without anyone noticing.

WHY NOW

The regulatory and financial pressure has never been higher

Regulatory Pressure

  • CMS-0057-F requires payers to respond to standard prior auth requests within 7 calendar days starting 2026
  • Urgent requests now capped at 72 hours
  • Payers must publish denial reasons and approval rates publicly

Financial Pressure

  • Independent practice margins are being squeezed by rising labor costs and flat reimbursement
  • Denial rates are climbing across nearly every specialty and payer type
  • Practices under 100 providers can't afford enterprise RCM software built for hospitals
"The practices that win the next five years will be the ones who treat denial prevention as a data problem, not a paperwork problem."
THE PLATFORM

Five modules. One source of truth.

Built specifically for the denial, prior-auth, and eligibility patterns unique to specialty practices.

Eligibility Verification

Real-time coverage checks before the patient is even seen — catching inactive plans, unmet deductibles, and visit-cap issues upfront.

Prior Authorization Tracking

Automated status tracking against the new CMS 7-day and 72-hour deadlines, with proactive alerts before a window closes.

Denial Command Center

Every denial automatically classified by CARC code, payer, and root cause — so your team knows exactly what to fix first.

AI-Drafted Appeals

Adulis AI reads the denial reason, pulls the relevant payer policy, and drafts a submission-ready appeal letter in 3–5 seconds.

  • Payer-specific language and citation formatting
  • Clinical documentation auto-attached where available
  • Editable draft — your team reviews before sending
  • Built from a growing library of successful appeals that closes deals
HOW IT WORKS

From audit to recovered revenue in three steps

1

Free Denial Audit

We analyze your last 90 days of claims data and show you exactly where revenue is leaking — no commitment required.

2

Connect & Automate

Adulis connects to your EHR/billing system and starts classifying denials, tracking prior auths, and flagging eligibility issues automatically.

3

Recover & Prevent

AI-drafted appeals go out fast, root causes get fixed at the source, and your monthly payer intelligence report shows the trend line improving.

Start My Free Denial Audit

Built for practices between 5 and 100 providers

The revenue cycle intelligence hospitals have had for years — finally sized and priced for independent practices.

Start My Free Denial Audit

"You send a report export. We do the analysis. First insights in days, not a six-month implementation."

No IT project. No long-term contract required to start. Just your export and 30 minutes.

Stop writing off revenue you already earned.

Send us a claims export. We'll show you what's leaking in under a week.

Book Your Free Denial Audit
FAQ

Common questions

Our biller already handles denials. Why do we need this? +
Great — Adulis makes them faster and shows the patterns they can't see by hand. It's a force multiplier, not a replacement.
We're too small for software like this. +
That's exactly who we built it for. Enterprise tools ignore practices your size — we start free and scale with you.
We don't have time to set this up. +
You send a report export; we do the analysis. First insights in days, not a six-month implementation.
How do I know it's worth it? +
We start with a free denial audit and show recovered or preventable dollars before you commit to anything.
Is my patient data safe? +
We follow minimum-necessary and de-identification practices wherever possible, use BAA-eligible vendors, and keep a human in the loop on anything sent to a payer.