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AI agents for physical and occupational therapy clinics

What a custom agent looks like inside an outpatient therapy clinic — the ten roles in your language, and what each plugs into in a practice running WebPT, Prompt or Raintree.

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Outpatient therapy is a volume business where the two things that decide the month are whether patients complete their plan of care and whether the documentation supports the claim. Cancellations and drop-offs erode revenue quietly, authorizations expire mid-plan, and documentation that fails a payer's requirements turns completed treatment into an unpaid claim. All three are administrative, and all three are visible before they cost anything.

What an agent plugs into here

The honest version of "does it integrate with my software." These are the systems this industry actually runs on, and what each one means for a build.

WebPTEMR and practice management

The most common system of record in outpatient therapy, covering documentation, scheduling, authorizations and billing.

Prompt / RaintreeEMR and practice management

The main alternatives, with Prompt notable for automation-friendly design and Raintree for larger multi-site groups.

AuthorizationsPayer workflow

Visit authorizations granted in limited quantities and expiring by date, which is the single most common cause of unpaid completed treatment.

Clearinghouse and billingRevenue cycle

Claims, denials and remittance, where documentation and coding problems surface weeks after the visit.

Patient engagementFront office

Reminders, confirmations and home exercise program delivery, which correlate directly with plan completion.

Home exercise programsClinical

Prescribed programs delivered to patients, with adherence data that is rarely used for anything.

Referral sourcesAcquisition

Physician referrals arriving by fax and portal, where response speed determines whether the patient ever arrives.

The ten agents, in your language

Each of these is a real build, not a feature of a product you already pay for. Follow one through to see how it works in general.

The Follow-Up

Nothing you are owed gets dropped.

  • Patients who stopped attending mid-plan of care
  • Referrals received where the patient never scheduled
  • Claims denied for documentation or authorization reasons

The Intake

Whatever arrives, in whatever format, becomes a clean record.

  • Physician referrals arriving by fax and portal, entered as scheduled patients
  • New patient intake forms and insurance details before the first visit
  • Authorization approvals and denials returning from payers

The Drafter

Writes the recurring document from your own past work.

  • Progress notes and re-evaluations assembled from visit data
  • Authorization requests with the clinical justification attached
  • Letters to referring physicians summarizing progress

The Watcher

Knows what expires, renews or comes due — and says so first.

  • Authorizations approaching their visit limit or expiration date
  • Plans of care requiring recertification
  • Therapist licenses and continuing education

The Answer Desk

Answers from your own records, not from the internet.

  • "How many visits do I have left?" — answered from the authorization record
  • What a patient owes and why, asked at the front desk
  • Documentation requirements for a payer, asked by a clinician

The Scribe

The conversation becomes the record, without anyone typing it up.

  • The treatment session becomes a compliant note for the therapist to review
  • The evaluation becomes the plan of care and the authorization request

The Reporter

Assembles the recurring report from systems that do not talk.

  • Visits per plan of care and completion rate by therapist
  • Cancellation and no-show rate by time slot
  • Denials by payer and reason

The Reconciler

Matches two sets of records and queues only the exceptions.

  • Visits delivered against visits authorized
  • Claims paid against contracted rates
  • Documentation completed against visits billed

The Connector

Two systems that do not talk, now talking.

  • The EMR and the patient reminder platform
  • Referral intake and scheduling
  • Billing and the clearinghouse worklist

The Gatekeeper

Applies your rules, escalates only what needs judgment.

  • Whether a visit is authorized before it is scheduled
  • Documentation completeness before a claim goes out
  • Financial hardship and self-pay rate requests against policy

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