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Within 6 months of switching to Prompt, revenue collected per visit at Tulsa Spine & Rehab is up 22%. Before switching, Dr. Sean Riley, DC wasn't sure a system built by physical therapists would work for his chiropractic practice at all. Now, after experiencing next-level onboarding and communications, he says he has no regrets.
Sean runs Tulsa Spine & Rehab, a 14-provider, multidisciplinary chiropractic practice in Tulsa, Oklahoma, seeing 140 to 160 patients a day. Since making the switch to Prompt, the practice has seen:
- 22% increase in revenue collected per visit
- 97% of accounts receivable (AR) in 0-31 days, up from roughly 80%
- Under 8% no-show rate
Why Tulsa Spine & Rehab switched EHRs after 13 years
For years, Sean's team fought a system that couldn't keep pace with the practice's volume. Patient communication broke down often enough to affect entire days of scheduled visits, and support meant getting passed from person to person with no real answers.
Sean spent 13 years on his previous system. "It was challenging. I had quite a few issues with them. It was Band-Aid after Band-Aid and duct tape and constantly fighting. We really struggled with support," Sean said.
The old system was also server-based. Sean couldn't document from home or on the road, and his providers couldn't check schedules remotely. Storms knock out power and network access often in Tulsa. Each time that happened, the whole practice lost the ability to reschedule patients. He paid his IT provider for ongoing backups on top of it, a cost that kept growing as his patient volume did. Prompt is cloud-based, so that's no longer an issue. Today, his massage therapists check their weekend schedules from their phones.
The software never got better, either. In 13 years, it never helped Sean see more patients or collect faster. Even the vendor's webinars repeated the same topics because there was nothing new to cover.
"[My old EHR] never changed for me. It was static. It was, 'this is what we have.' And over the course of 12 to 13 years, it really didn't change much for us," Sean said.
To fill the gaps, Sean paid for add-ons. He ended up with roughly half a dozen: Dragon dictation at $300 a month, third-party texting at $500 to $600 a month that changed owners repeatedly and never synced with his EHR, an intra-office messenger with no record of who did what, and a la carte charges for AR and billing.
Price was never the issue. Sean is willing to pay a premium when a tool actually works. The problem was paying for tools that didn't.
When billing and documentation don't talk
His old system didn't connect billing to documentation, and it cost him. It let him bill 4 units of care to payers that covered 2, so he wrote off half the visit. Unit limits vary by payer and plan. Verification of benefits worked about a quarter of the time. When it failed, staff had to guess what to collect, and patients built balances that fed straight into Sean's aging AR.
Documentation had consequences beyond the day-to-day, too. A missed signature meant a claim never went out, and at audit, Sean would sometimes find unsigned notes from 18 months back.
"The note is the revenue source," Sean said. "If I don't sign the note, I can't get the billing out."
A provider who wasn't sure a PT-built system would work for him
Sean was candid about his hesitation going into switching EHRs. He'd built his workflows around his old system for over a decade, and moving to software developed with physical therapists in mind felt like a real risk for a high-volume chiropractic practice.
"So full disclosure, I was really scared. I was moving to a software that was developed by physical therapists. Through my research, the demos on Prompt and so forth, the technology really interested me: The AI tools, the accounts receivable, the RCM, the way that cycle's managed," Sean said.
The first thing that I noticed about my process with the transition was the amount of organization and the communication was next level.
What eased that fear was how Prompt's support team ran the transition. Everything was laid out for his team in a project, broken into tasks they checked off one by one as they got closer to launch. He said that structure was a big part of what calmed his staff's nerves. Sean also credits the team's handling of his data migration and getting his payers and clearinghouse set up in Prompt, since he was worried disruptions there would hurt his revenue.
"The first thing that I noticed about my process with the transition was the amount of organization and the communication was next level," Sean said.
Collecting up front instead of chasing it down
One of the bigger shifts at Tulsa Spine & Rehab has been moving collections to the front of the visit instead of the back end. Sean was initially resistant, worried it would feel too transactional for a practice built around a high-touch, service-forward patient experience. His team now uses Prompt's alerts to know exactly what to collect before the patient ever leaves the front desk.
"We're winning there as well. Once again, I attribute that to the software, the communication, the text messaging, the emails," Sean said.
Few patients ever pushed back on paying up front. Combined with automated reminders, the shift has also brought Sean's no-show rate below 8%, something his old system's third-party texting add-on could never reliably deliver.
97% of AR in 30 days, up from 80%
After switching, 97% of Tulsa Spine & Rehab's AR sits in 0-31 days within 6 months, up from roughly 80% under the old system. Where verification of benefits used to fail and leave balances to age, Sean's staff now sees what to collect and when, closer to the point of care.
97% of our AR is zero to 31 days. It's unheard of. And I would say that with my previous software, zero to 30 was 80, 82%.
"97% of our AR is zero to 31 days. It's unheard of. And I would say that with my previous software, zero to 30 was 80, 82%," Sean said.
Revenue collected per visit is up 22% over the same period. "It's unheard of. You start doing the math on that, that's real revenue," Sean said.
Documenting in 90 seconds with Sidekick
For a provider seeing this many patients a day, Sean credits Sidekick, Prompt's AI note-taker, with changing how he documents. He now dictates a note in about 90 seconds and lets Sidekick clean it up and format it into his SOAP notes. He also uses Prompt's AI Intake to pull patient intake information directly into the note, another feature he called a big time-saver.
"I can just talk now, and Sidekick does a really nice job of cleaning up the note, but also formatting it in a way that fits that SOAP note," Sean said.
He relies on the rewrite feature daily to keep notes compliant on recurring visits, where little changes from one appointment to the next but notes that read the same can draw audit scrutiny. His previous software gave him no way to vary the wording while keeping the clinical detail accurate.
"That just increases our efficiency to the next level," Sean said.
From guessing to knowing: Sean's 6-month business review
At the 6-month mark, Sean sat down with his Prompt success team for a business review. The session walks through the practice's performance data and benchmarks it against other clinics in the industry. That's where the 22% increase in revenue per visit, the 97% AR performance, and the sub-8% no-show rate all came from. The same numbers are available anytime in Prompt's reporting dashboard.
For 13 years, Sean had run his own version of this quarterly review, pulling together whatever reports his old system could generate and presenting them to his staff out of Google Docs, with no real structure or comparison point behind the numbers. The Prompt review gave him something he'd never had: Objective, provider-level metrics and industry benchmarks he could actually act on, plus a clear plan for what to improve next.
"I was blown away. My previous EHR never even mentioned such a thing," Sean said. "I was really, really impressed."
Build a practice that runs on Prompt
In 6 months, Tulsa Spine & Rehab moved from an unpredictable revenue cycle and constant back-office firefighting to 97% of AR in 0-31 days, without adding headcount to manage it.
If a prospective chiropractor is considering Prompt, I would tell them not to hesitate. Where Prompt has excelled, in my opinion, is you listen. There's kind of someone in my corner that wants me to succeed.
"After the first 60 to 90 days, I would say that my staff across the board has zero regrets related to the change," Sean said. "If a prospective chiropractor is considering Prompt, I would tell them not to hesitate. Where Prompt has excelled, in my opinion, is you listen. There's kind of someone in my corner that wants me to succeed."
To see how Prompt could work for your practice, speak with one of our chiropractic experts today.
FAQ
Does Prompt work for chiropractic practices, or is it built for PTs?
Prompt was built with physical therapists, but supports multidisciplinary practices, including chiropractic providers like Sean, with workflows and terminology built for how chiropractors actually document and bill.
How long does switching EHRs take with Prompt?
Sean's team completed the transition in about 60 days, with Prompt's team managing the migration and communicating a clear, step-by-step plan throughout.
What happens to my patient data when switching to Prompt?
Prompt's team assists with the data migration as part of the transition, including patient records and payer and clearinghouse setup.
