Case Study: Northern Colorado Therapy Services achieves 46% productivity gain and 22-day A/R with Tebra

Northern Colorado Therapy Services Improving Productivity and Patient Care

Northern Colorado Therapy Services, founded in 2015 by Michelle Underhill, MA, CCC‑SLP, is a solo private practice focused on speech, cognitive and swallowing disorders, including Parkinson’s. Michelle struggled with the business side of care—wearing owner, clinician and biller roles—where inconsistent documentation and slow billing threatened productivity and time with patients.

She implemented Kareo’s practice management and billing, adopted a daily billing routine and point-of-care documentation, and used Kareo’s claim-scrubbing and reimbursement support. That approach allowed her to process 10–15 claims per day, raise productivity from 34% (2016) to 80% (2018) — a 46% increase — and cut average days revenue outstanding from 34 to 22, improving cash flow and patient care.

Northern Colorado Therapy Services

Michelle Underhill

Owner