Case Study: First Settlement Physical Therapy achieves 50% improvement in claims and centralized EHR/billing across 21 clinics with AdvancedMD

AdvancedMD platform provides centralized access, advantages for offices in two states

First Settlement Physical Therapy is a family-founded, 21-location practice (about 75 providers) serving the Mid-Ohio Valley since 1999 and treating roughly 450 patients a day. Facing rapid growth, multi-state insurance and credentialing complexities across Ohio and West Virginia, and an entrenched paper-based workflow, the practice needed a scalable, sensitive solution to reduce billing errors, denials, and administrative friction while supporting frequent hiring and cross-clinic staffing.

Since 2012 First Settlement implemented the AdvancedMD suite—scheduling, EHR, billing, analytics, patient portal and payments—centralizing data and enabling customized PT templates and workflows. The cloud platform allowed conversion of 21 clinics and 150 staff in eight months, improved claims accuracy (about a 50% improvement), sped detection of payment issues to protect cash flow, streamlined A/R and billing worklists, enabled remote documentation and online patient interactions, and supported continued expansion and staff recruitment.

First Settlement Physical Therapy