Paperwork is eating your margin
Payers keep adding authorization rules, visit caps and documentation reviews. Small clinics track it on spreadsheets and whiteboards, and the misses show up as denials weeks later.
of physical therapy claims are denied, about 1 in 8.
APTA, 2025 (n=856)of PT practices hired extra admin staff to keep up with payers.
APTA, 2025PT authorizations come back approved for fewer visits than requested.
Industry data, 2026 (directional)2026 Medicare therapy threshold. Past it, claims need the KX modifier or they're denied.
CMS, CY2026You approve. We do the rest.
We set it up
We load your payers, your forms and your current auths. Your staff don't configure anything.
Drop in documents
Evals, plans of care, re-exams, approval letters and EOBs go in through a secure upload. Muster reads them, and every fact links to the exact line it came from.
It drafts
Auth requests, notes checks and appeal letters. If it can't confirm something, it says "Check this" instead of guessing.
Your staff approve
Nothing goes anywhere without a person approving it. Export a fax-ready PDF and send it the way you do today.
Built for how your clinic gets paid
Auth Board
Every patient's authorization on one screen: visits left, end date, and a plain-English reason when something needs action. Nobody finds out at check-in that the auth ran out.
Auth requests
Built from the eval and plan of care, checked for missing pieces, blocked until the signed plan of care is attached.
Denials and appeals
Reads the EOB, explains the code (like CO-197, no auth on file), shows the deadline and the dollars, finds the proof you already have and drafts the appeal.
Wins
Money recovered, appeals ready to send, auths renewed before they lapsed, and staff hours saved, with the counting rules shown on screen.
Visit Board
Visits used against each patient's yearly benefit, and the next review point ("auth needed at visit 11"), so you know before the benefit runs out.
Notes Check
Reads each visit note against payer rules before you bill: subluxation diagnosis, PART findings, the AT modifier, maintenance-care wording, measurable improvement, and CMT level vs. regions adjusted.
Medical-necessity appeals
When a CO-50 comes in, it pulls the progress from your re-exam and drafts the appeal with it attached.
Review requests
For plans that review care after a set number of visits, it builds the request and won't let you send it without the re-exam showing progress.
Small clinic. Big-company tools. None of the hassle.
No switching systems. Muster works next to the EMR and billing setup you already have.
We do the setup and load your current auths. You start with a full board on day one.
Every fact shows its source line. Anything uncertain is flagged for your staff to check.
Flat monthly pricing. No percentage of your collections, no enterprise quote.
We know the auth rules from Hopkinsville to Clarksville: Kentucky and Tennessee Medicaid plans, TRICARE, Medicare. You get the founder on the phone.
Not a hospital tool cut down. Built for 1 to 10 provider clinics, with a chiro version built for chiro.
One recovered denial a month pays for it
Covers up to 4 providers. +$75/month for each provider beyond 4.
- $2,000 setup for the first location, $1,000 for each additional location. It covers onboarding: loading your payers, forms and current auths.
- Annual prepay: $4,000/year, 12 months for the price of 10.
- 12-month term that renews automatically. We remind you 45 days before renewal.
| Add when you're ready | Price |
|---|---|
| Denial Desk We work your denial queue. You only sign. | +$600/mo per location |
| Front Office Eligibility checks before visit 1, no-show rebooking, owner's morning brief. | +$250/mo per location |
| RTM program Home exercise programs, adherence tracking, RTM documentation. | $19 per active patient/mo |
| Outcomes Delivery White-label exercise and nutrition programs with outcome scores. | $49 per enrolled patient/mo |
The guarantee
If the money we recover or protect for you in your first 6 months doesn't reach your annual fee, your next 6 months are free. Counted as denials paid after our appeals, plus payments on auths renewed before they lapsed. Terms in the client agreement.
Five seats. Best deal we'll ever offer.
We're signing our first five clinics now. Same price as everyone. Founders get more.
- Lifetime price lock. When prices go up for new clients, yours doesn't.
- Denial Desk free for 3 months. Normally $600/month per location.
- Your logo on our site, if you want it there.
- A direct line to the founder, and a monthly feedback call for the first 3 months to shape what we build next.
Your patients' data, handled like it matters
No patient data comes in until the paperwork and protections are in place.
Before any patient data
- A signed business associate agreement (BAA) with your clinic
- Written HIPAA privacy and security policies and a security risk analysis
- Cyber and technology liability insurance
How data is protected
- Hosted on Amazon Web Services under Amazon's HIPAA agreement
- Encrypted in storage and in transit
- Multi-factor sign-in on every account
- Daily backups to a separate account
What we promise
- We keep the minimum we need. Source documents are deleted after 180 days
- Your data is never used to train AI
- You own your data and can export it
- We notify you of a breach within 5 business days, faster than HIPAA requires
Veteran-owned. Built in Hopkinsville.
Muster MSK was founded by Wes Nelson, a U.S. veteran with a master's degree in kinesiology and biomechanics. He owns Bad Batch Performance in Hopkinsville and has spent his career in rehab and performance. He watched small clinics lose money to insurance paperwork and built the fix.
A muster is the roll call where everyone is accounted for. That's what we do for every patient's authorization. And every request and appeal should pass muster before it goes out.
What owners ask
Does it submit claims or auths to the payer?
No. Muster drafts and your staff approve. You send it the way you do today, by fax or portal. We are not a billing company and never handle payer payments.
Does it connect to my EMR?
Not yet. Muster works next to your EMR: your staff drop in documents and we load your current auths during setup. Tell us which EMR and clearinghouse you use. It shapes what we connect first.
Is it AI? How do I trust it?
Yes. It uses AI to read documents and draft letters, running inside Amazon Web Services under Amazon's HIPAA agreement. Every fact links to the exact line it came from, uncertain facts are flagged, and people make every decision.
Does it work for chiropractors?
Yes. The chiro version tracks visit limits and review points, checks notes for Medicare documentation rules and maintenance wording, and drafts medical-necessity appeals.
How long is the contract?
12 months from your go-live date, renewing automatically unless either side gives 30 days' notice. The guarantee covers your first 6 months.
What's the Denial Audit?
A free 20-minute Zoom. You give us ballpark numbers (no patient information) and we show you what denials are likely costing you a year, then walk you through the product on a sample clinic.
Find out what denials cost you
20 minutes on Zoom. Your numbers, no patient information. Worst case, you walk away knowing your number.
Please don't send patient information by email, text or voicemail. We can't accept it outside a signed business associate agreement.