AI Medical Scribe for Rehabilitation Therapy
Automate comprehensive evaluations, daily treatment notes, progress reports, and insurance documentation for Physical Therapy, Occupational Therapy, and Speech-Language Pathology. Save 2+ hours daily on paperwork.
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The Documentation Crisis in Rehabilitation
Therapists spend 30-40% of their day on documentation instead of patient care
Evaluation Burden
Initial evaluations take 45-60 minutes to document, including objective measures, functional assessments, and treatment plans.
Goal Tracking
Managing SMART goals, tracking progress percentages, and updating plans of care requires constant documentation updates.
Insurance Justification
Proving medical necessity, skilled care requirements, and functional progress for continued authorization.
Complex Assessments
Standardized tests, outcome measures, and functional assessments require detailed scoring and interpretation.
High Caseloads
Managing 15-20 patients daily with individual treatment notes creates documentation backlogs extending past closing.
Productivity Pressure
Meeting productivity standards while maintaining compliant documentation forces therapists to document off the clock.
AI Built for Therapy Documentation
Specialized for PT, OT, and SLP workflows and requirements
Physical Therapy Documentation
- Comprehensive evaluations with systems review, tests/measures, and functional assessments
- Range of motion, strength testing, special tests with bilateral comparisons
- Gait analysis, balance assessments, and functional mobility scoring (TUG, Berg, DGI)
- Therapeutic exercise documentation with sets, reps, resistance, and modifications
- Manual therapy techniques, modalities, and patient response documentation
Occupational Therapy Documentation
- ADL and IADL assessments with performance analysis and safety considerations
- Fine motor coordination, visual perception, and cognitive assessments
- Sensory integration documentation with modulation and processing observations
- Adaptive equipment recommendations and training documentation
- Home safety evaluations and environmental modification recommendations
Speech-Language Pathology Documentation
- Comprehensive speech and language evaluations with standardized testing scores
- Swallowing evaluations (clinical and instrumental) with diet recommendations
- Cognitive-linguistic assessments for memory, attention, and executive function
- AAC device evaluation and training documentation
- Voice and fluency disorder treatment with objective measurements
Progress Documentation & Goal Management
- SMART goal creation with measurable objectives and target dates
- Progress tracking with percentage toward goals and objective data
- Re-evaluation documentation with comparative analysis and plan updates
- Outcome measure tracking (FOTO, OPTIMAL, DASH, COPM)
- Discharge planning with home program and caregiver training documentation
Insurance & Compliance Documentation
- Medical necessity justification with functional limitations and prognosis
- Skilled intervention documentation distinguishing from maintenance therapy
- Progress reports for insurance authorization with objective improvements
- 8-minute rule compliance for timed codes and group therapy documentation
- Medicare Part B documentation including KX modifier justification
Transform Your Therapy Practice
Improve patient care while meeting productivity standards
Meet Productivity Standards Easily
Documentation in 3-5 minutes instead of 15-20. See your full caseload and still leave on time.
Point-of-Service Documentation
Complete notes during or immediately after treatment. No more end-of-day documentation marathons.
Perfect Goal Tracking
We are developing AI documentation tailored for this specialty. Never miss documenting objective improvements.
100% Insurance Compliant
AI ensures every note meets payer requirements. Reduce denials and maximize reimbursements.
What Therapists Tell Us They Need
We are listening to your documentation challenges
"I easily hit 90% productivity now without staying late. Documentation that took 20 minutes takes 3. The AI knows exactly what Medicare needs for every diagnosis and intervention."
Jamie Cook, Business Manager
Premier Physical Therapy • Outpatient ortho
"Initial evals used to take me 45 minutes to document. Now it's done in 5 minutes with perfect standardized test scoring, goals, and treatment plans. Game changer for pediatric OT."
Craig Davis, Practice Owner
Kids First Therapy • Pediatric clinic
"Our denial rate dropped to nearly zero. The AI documents medical necessity perfectly for dysphagia, aphasia, and cognitive therapy. We're seeing 2 more patients daily per therapist."
Susan Harris, Optician
Speech & Language Associates • 4 SLPs
Perfect for Every Practice Setting
Outpatient Clinics
High-volume documentation for orthopedic, neurological, and sports injuries. Perfect for meeting productivity standards.
Skilled Nursing
Medicare Part A and B documentation with RUG levels and MDS coordination. Concurrent and group therapy documentation.
Home Health
OASIS documentation, homebound status justification, and caregiver training. Works on mobile devices for point-of-care documentation.
Pediatric Therapy
School-based services, early intervention, and developmental assessments. IEP goal tracking and progress reporting.
Join 500+ Therapy Practices Using AI
Start your 14-day free trial today. Perfect documentation from day one. No credit card required. Full training and support included.