Physical therapy software

Custom physical therapy software for clinics, multi-clinic PT groups, and outpatient rehab operators who need scheduling, clinical documentation, and billing built around how a physical therapy practice actually runs.

  • Patient scheduling with waitlist management and automated appointment reminders

  • PT-specific SOAP note documentation with structured clinical fields and outcome score tracking

  • Exercise program builder with patient-facing home exercise portal and progress logging

  • Insurance billing with prior authorization workflows and multi-clinic management

What you can count on

Retention

3+ years

Average client relationship across active accounts

First milestone

Week 1

A straight read on what to keep and what to rebuild

Pricing

Fixed price

Scope and cost agreed before work starts

Team

No handoffs

The senior engineers who scope the build also ship it

4.9
on Clutch
See our work

The problem

Sound familiar?

  • Therapists spending 30 to 40 minutes per patient per day on documentation because your current system wasn't built for PT-specific SOAP notes, requiring free-text entry where structured clinical fields should be?

  • Patients dropping off their plan of care because there's no structured home exercise program, no way to track their progress between sessions, and no reminder workflow to bring them back for the next visit?

Short answer

Physical therapy software runs a PT clinic's scheduling, PT-specific SOAP notes, home exercise programs, outcome measures (LEFS, DASH, PSFS), insurance billing with prior authorization, and HIPAA-compliant telehealth in one system. RaftLabs builds custom PT platforms: launch a validated v1 in about 16 weeks, then grow it. A full multi-clinic platform runs $90,000 to $160,000, fixed and scoped upfront.

01 Diagnosis

Problems we solve for physical therapy practices

  1. 01
    Problem

    SOAP note documentation eating 30 to 40 minutes per patient per session

    Solution

    Therapists at a full schedule lose four to six hours a day to charting. That's time not spent treating patients. Most off-the-shelf EHRs weren't built for PT-specific note structure: they offer a free-text box where structured clinical fields should be. Every note requires manual formatting. Every session ends with a documentation backlog. The fix is a SOAP template with structured fields for subjective report, ROM measurements, treatment log, outcome scores, and plan, so the therapist fills in data rather than writing prose from scratch.

  2. 02
    Problem

    Insurance pre-authorization overruns discovered after the visit, not before

    Solution

    Running a patient past their authorized visit count creates two problems at once: a billing dispute with the payer and a patient who didn't know they were out of covered visits. When prior auth tracking lives in a spreadsheet or a staff member's memory, the limit gets discovered after the visit has already happened. The fix is authorization tracking wired directly into the scheduler, with remaining visit counts visible when booking and alerts firing two to three visits before the limit.

  3. 03
    Problem

    HEP compliance invisible between sessions, so drop-off goes undetected until the appointment

    Solution

    A printed home exercise program tells the therapist nothing. The therapist has no way to know whether the patient completed the exercises, did them incorrectly, or stopped after day two. Drop-off from the plan of care is often traced back to a HEP the patient didn't understand or couldn't follow. According to a national survey of outpatient physical therapists published in PLOS ONE (2021), the mean no-show rate was 10.4% nationally, rising to 14.5% at hospital-campus clinics, with each missed session representing $150-$300 in lost billable revenue. The fix is a patient portal where patients log completions, self-report difficulty and pain level, and the therapist sees adherence data before the next session, not during it.

  4. 04
    Problem

    Outcome measure scores disconnected from the patient record, making payer reporting a manual task

    Solution

    When LEFS, DASH, and PSFS scores live in a separate spreadsheet or a paper form, they don't travel with the patient record. Payers requesting outcome data require a manual pull. Therapists writing discharge summaries reconstruct score history from scattered sources instead of reading it from the clinical record. The fix is outcome scores collected through the patient portal, stored in the record, trended across the care episode, and exportable in the format payers request.

02 What we ship

Physical therapy software we ship

  1. Patient scheduling and waitlist management

    Appointment scheduling with per-therapist availability, visit type configuration (initial evaluation, follow-up, telehealth), and appointment duration by visit type. Online self-scheduling for established patients within the therapist's available windows. New patient intake with online forms capturing referral source, diagnosis, insurance details, and health history before the first visit. Waitlist management for high-demand practices: the patient is added to the waitlist when no slot is available and notified automatically when one opens. Automated appointment reminders by SMS and email with confirm or reschedule options. Recurring appointment scheduling for patients on a fixed visit cadence. Cancellation and late-cancellation tracking with policy enforcement and rebooking workflow.

  2. PT-specific SOAP note documentation

    SOAP note templates built for PT documentation: structured fields for subjective patient report, objective measurements, assessment, and plan, rather than free-text fields that require formatting every time. Body diagram markup for pain location, movement restriction, and treatment area documentation. Range of motion and strength measurement entry with automatic comparison to previous visit values. Treatment log with structured fields for modalities applied, manual techniques used, exercise sets and reps performed, and patient tolerance. Quick-copy from previous note for high-frequency fields that don't change visit to visit, with mandatory review before submission. Note signing and co-signature workflow for supervising therapists. Audit trail for all note edits with original and modified versions retained.

  3. Exercise program builder and home exercise portal

    Exercise program builder for therapists to create, customize, and assign home exercise programs from a library with demonstration images or video. Per-exercise configuration: sets, repetitions, hold duration, frequency, progression notes, and precautions. Program delivery to the patient via a mobile-friendly portal or app. No app store download required for basic access. Patient logging of home exercise completion with self-reported pain level and difficulty rating. Therapist visibility of home exercise adherence between sessions, showing which patients are completing their program and which aren't. Program update and progression management from the therapist dashboard without the patient needing to call. Exercise library management for practices that want to add proprietary exercises or protocols to the standard library.

  4. Outcome tracking and functional scores

    Standardized functional outcome score collection at configurable intervals across the care episode: LEFS, DASH, OSIS, NDI, PSFS, and custom scoring tools built to your protocols. Patient-reported outcome collection via the patient portal between visits, with no therapist time required for administration. Score trending over the care episode is displayed in the patient record and exportable for payer reporting. Goal tracking covers initial functional goal documentation, progress notation at each visit, and goal achievement flag at discharge. Discharge summary generation pulls from accumulated outcome data and clinical notes. Aggregate outcome reporting across the practice covers average score improvement by diagnosis, by therapist, and by treatment protocol, for clinical quality management and marketing data.

  5. Insurance billing and prior authorization

    Insurance billing with claim generation from completed visit notes: CPT code selection from the treatment log, ICD-10 diagnosis code linkage from the evaluation, and modifier application based on payer rules. Prior authorization tracking with authorization number, visit limit, and remaining visit count visible on every appointment in the schedule. Authorization expiry alerts and renewal workflow are initiated before the patient runs out of authorized visits. Claim submission, rejection tracking, and resubmission workflow are included. Patient responsibility is calculated at checkout based on copay, coinsurance, and deductible status. Patient billing covers statement generation and online payment. ERA posting and payment reconciliation runs against outstanding claims. Secondary insurance billing handles patients with dual coverage.

  6. Telehealth and multi-clinic management

    Telehealth session delivery is integrated into the scheduling and documentation workflow: the patient receives a link at appointment time, the session opens in the browser, and the therapist documents in the same SOAP note template as in-person visits. Remote monitoring between sessions uses the patient portal for exercise logging and outcome score collection. Multi-clinic management for PT groups operating across multiple locations covers centralized scheduling with per-location availability, shared patient records accessible across locations, and per-clinic and practice-level reporting. Therapist performance reporting covers visit volume, documentation completion rate, outcome scores, and patient satisfaction. Referral source tracking identifies which physicians and referral partners are generating patient volume.

03 How we work

How we build physical therapy software

  1. 01

    Discovery

    We spend the first two weeks mapping your current scheduling workflow, documentation process, home exercise program delivery, billing cycle, and prior authorization management. We interview the clinic director, a treating therapist, and a billing administrator. The output is a documented requirements list and a gap analysis against any platforms you already use, so we build what the practice actually needs, not a generic healthcare template.
  2. 02

    Architecture

    We design the data model around your visit types, SOAP note structure, exercise library, outcome measure schedule, and payer billing rules before writing any application code. This step defines how HIPAA-compliant records are structured, how prior auth counts connect to the scheduling layer, and how the patient portal delivers exercises and collects outcome data. You review and sign off on the architecture document before development begins.
  3. 03

    Build

    Development runs in two-week sprints with a working demo at the end of every sprint. We start with the scheduling and clinical documentation layer, then build the home exercise portal and outcome tracking, then the billing and prior authorization workflow. You test with real data as each module completes, not at the end of the project when changes are expensive.
  4. 04

    Launch and support

    Go-live is phased: one or two therapists run on the new system alongside the existing process for the first week. When documentation accuracy and billing integrity are confirmed, the full clinic cuts over. We monitor the first month actively, fix any production issues at no additional cost, and hand over documentation and training materials. Post-launch changes are quoted and agreed as discrete pieces of work.

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04 Track record

What we've shipped in physical therapy

Architecture from sprint one
HIPAA-compliant
To launch a validated v1
~16 wks
Shipping production software
Since 2015
Cost, scoped upfront
Fixed

06 Client voices

What clients say about working with us

Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.

Charles E.
Charles E.
USA flagUSA
Entrepreneur at Aggie Technologies

All of the sprints were completed on schedule and on budget. We highly recommend RaftLabs!

07 Why us

Why choose us?

  • 01
    We've seen your problem before
    Across dozens of industries and 100+ products, we recognise your situation fast, then frame the fix around your margin and your operations, not a generic template.
  • 02
    We own the number, not the ticket
    We measure success the way you do: hours saved, revenue earned, margin recovered. We stay through launch and growth, so the result is ours to own.
  • 03
    Serious businesses trust us
    Vodafone, T-Mobile, Cisco, Energia, Aldi, Nike. Building since 2015, 100+ products in production. Serious businesses keep coming back because we stay accountable long after launch.

08 Questions

Frequently asked questions

Established PT platforms handle documentation, billing, and scheduling well for most practices. Custom software is the right choice when your documentation workflows, home exercise program requirements, or outcome tracking protocols are specific enough that you're spending significant time working around the platform. It's also the right call in three cases. You want to own the home exercise experience through a branded app instead of a third-party HEP tool. You run a multi-clinic group and need practice-level analytics the platform doesn't provide. Or you're building PT practice management software to sell to other practices. We'll tell you honestly which situation you're in.

Yes. The biggest factor in home exercise adherence is access and clarity: patients need to see exactly what to do, how many times, and with what technique, without searching through a printed sheet. We build the patient portal with exercise demonstrations, clear parameters, and a simple logging interface so adherence becomes the path of least resistance. The therapist sees which patients are logging and which aren't, and can follow up before the next visit rather than discovering at the session that the program wasn't done. The portal is mobile-optimized and accessible via a link. No app store download required for basic access. A native app version is a separate scope item if you want push notification capability for exercise reminders.

Yes. Authorization management is one of the highest-risk operational gaps in a busy PT practice. Running a patient out of authorized visits without catching it is a billing and patient experience problem at the same time. We design the authorization tracking around the visit count, not just the expiry date. Remaining authorized visits show on the scheduler when booking future appointments. An alert fires when the patient is within two to three visits of their limit, and the renewal workflow starts from the same screen. Payer-specific CPT code rules, modifier requirements, and documentation standards are configured per payer so billing staff aren't applying rules from memory.

Start with a validated v1 to prove the workflow before committing to the full platform. A focused v1 covering patient scheduling, PT-specific SOAP documentation, and a home exercise program builder with patient portal launches in about 16 weeks and typically runs $40,000 to $75,000. A full platform that adds functional outcome tracking, insurance billing with prior authorization, telehealth sessions, and multi-clinic management runs $90,000 to $160,000. Large multi-clinic groups with complex payer configurations and practice-level analytics are scoped individually. Cost depends on the number of clinics, therapists, payer integrations, and whether a patient-facing mobile app ships alongside the web portal. Fixed cost, agreed before development starts.

Talk to us about your physical therapy software project.

Tell us the operational challenge: documentation efficiency, home exercise adherence, billing workflows, or multi-clinic management. We'll tell you what we'd build and how.

  • Scope and cost agreed before work starts. No surprises. No obligation.
  • Working prototype within 3 weeks of kickoff.
  • Pay by milestone. You see progress before each invoice.
  • 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
  • All conversations are NDA-protected.

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