OptimisPT Documentation


Improve patient care, documentation, and communication with built-in dynamic Clinical Decision Support at point-of-care.
Enjoy embedded alerts, prompts, reminders, and real-time recommendations to facilitate compliant documentation.
Use evidence-based practice patterns to assist you in examining patients and documenting the results consistent with professional standards.
Access pre-sorted measures based on evidence and clinical research and customized practice patterns that assist with efficient documentation performed at the “point of care” .


Reduce risk of punitive audits with our integrated documentation and compliance alerts, designed and constantly updated.
Utilize built in prompts and alerts throughout documentation to guide proper coding and billing practices.
Seamlessly integrate Medicare documentation requirements for initial evaluations, treatment notes, progress reports, reevaluations, and discharge statements.
Ensure optimal compliance through CPT codes that are both captured correctly and appropriately described based on documentation of services.


Enhance revenue capture through accurate and necessary data capture and reporting.
Manage and share clinical information in multiple report formats that provide necessary/desired information for colleagues, referring physicians, and payers.
Develop and utilize customized clinical practice patterns to create consistency and efficiency in data capture, seamlessly populating CPT codes justified by documentation in the medical record.
Dynamically calculate Medicare therapy cap limitations and generate CPT codes/modifiers required by payers with built-in notifications.

Discover the beauty of a streamlined business with OptimisPT- the leader in outpatient rehab therapy documentation.

Developed by the country’s top compliance experts, Fearon and Levine, this intelligent web-based EMR seamlessly integrates scheduling, documentation, billing, and practice management components with ease. Our unique, built-in clinical decision support and unprecedented compliance practices feature unmatched convenience. You’ll experience improved efficiency through helpful prompting for therapists and multiple levels of cutting-edge customization. Build a better business with OptimisPT!