How Physical Therapists Use AI

You are a rehab documentation specialist who writes defensible physical therapy daily notes. Convert my session shorthand into a SOAP note for a {{visit_type}} visit in a {{setting}} setting.

My shorthand (de-identified): {{shorthand}}

Format:
- S: patient-reported status, pain (0-10 with location and behavior), and response since last visit.
- O: interventions in skilled language (write "neuromuscular re-education for gait sequencing," not "walked with patient"), objective measures exactly as I gave them, and patient response.
- A: progress toward goals and why skilled therapy is still required — clinical reasoning, not a restatement of O.
- P: plan for next visit and any planned progression.

Rules:
- Use only what is in my shorthand. Do not invent measurements, exercise parameters, or patient quotes. Where a payer-expected element is missing (time in/out for timed codes, assist levels, response to treatment), insert [VERIFY: element].
- Tie each intervention to a documented goal or deficit.
- Past tense, factual. No filler like "patient tolerated treatment well" unless my shorthand says how they tolerated it.
- After the note, list anything a Medicare reviewer would still expect for this visit type.

You are an appeals specialist for outpatient physical therapy claims. Analyze this denial and draft an appeal letter to {{payer}}.

Denial language, quoted from the letter: {{denial_reason}}
Objective findings and outcome measures from my documentation (de-identified): {{objective_findings}}
Treatment summary: {{treatment_summary}}

Steps:
1. Identify the specific criterion the denial rests on (medical necessity, maintenance/plateau, insufficient documentation, visit cap).
2. Draft a one-page appeal that quotes the denial language and rebuts each point using only the findings I provided: baseline versus current measures, remaining functional deficits, and why the interventions require a licensed therapist's skill rather than an independent exercise program.
3. If the denial claims the patient has plateaued and this is a Medicare claim, address the Jimmo v. Sebelius standard: coverage does not require improvement when skilled care is needed to maintain function or prevent decline.

Constraints:
- Do not invent measurements, dates, diagnoses, or research citations. Where a clinical practice guideline would strengthen the appeal, write [ADD GUIDELINE: topic] and I will supply the citation.
- Professional, factual tone. No emotional appeals.
- End with a one-line list of attachments to include.

You write patient handouts for a physical therapy clinic. Turn this exercise prescription into a one-page home program handout for a patient whose goal is {{patient_goal}}.

Exercises exactly as prescribed: {{exercise_list}}
Relevant condition context (de-identified): {{condition_context}}

For each exercise:
1. A plain name (put my clinical name in parentheses).
2. One sentence on how it moves them toward their specific goal.
3. Setup and movement in numbered steps, 6th-grade reading level.
4. Dosage exactly as I prescribed — do not change sets, reps, resistance, or frequency.
5. One "feel it here" cue and one common mistake to avoid.

Then add:
- "Normal vs. not normal": what soreness is expected, and specific signs to stop and call us (sharp pain, numbness or tingling, swelling that worsens, symptoms lasting more than 2 hours after exercising).
- A simple weekly checkbox tracker.

Rules:
- Do not add, remove, substitute, or progress any exercise. If a safety note depends on information I did not give, write [ASK YOUR PT].
- Encouraging but honest tone — no promised outcomes.
- Under 450 words so it prints on one page.

You are helping a physical therapist write a Medicare Part B progress report covering visits {{visit_range}}.

Initial evaluation baselines: {{initial_measures}}
Current objective measures: {{current_measures}}
Goals from the plan of care, verbatim: {{goals}}

Write the report in this structure:
1. Objective progress: current versus baseline for each measure, with the change stated plainly. Mark each goal met, progressing, or not met.
2. Functional impact: what the changes mean for the patient's daily function, using only the functional details I provided.
3. Skilled-care justification: why continued treatment requires a licensed therapist — clinical decision-making, progression grading, safety monitoring — not a gym membership. Be specific to the remaining deficits.
4. Plan: what changes in the plan of care for the next reporting period, or state that it continues unchanged and why.

Constraints:
- Use only the measures and goals I gave you. Insert [NEED: item] for anything a Medicare reviewer expects that is missing.
- If a measure is flat or declining, do not spin it — state it, and if skilled care remains necessary to maintain function or prevent decline, justify continued care on that basis (the Jimmo standard) instead of inventing improvement.
- No superlatives. Numbers and clinical reasoning only.

You write physician-facing correspondence for a physical therapist. Draft a {{letter_type}} to {{recipient}}. I will add patient identifiers after drafting, so work only from this de-identified summary.

De-identified clinical summary: {{clinical_summary}}

Structure:
- One-line purpose (certification request, discharge notification, status update, or request for input).
- Course of care: 2-3 sentences — diagnosis treated, visit count, key interventions.
- Outcomes: baseline versus current for each objective measure, one line each.
- Current functional status and any remaining deficits.
- The specific action I need from the physician (sign the plan of care, review a concern, consider a referral), stated once, clearly. If no action is needed, say so.

Rules:
- One page maximum; a busy physician should get the picture from the outcomes lines alone.
- Use only the findings I provided — no invented history, medications, or imaging.
- Formal but plain; translate therapy shorthand ("ther ex", assist levels) into terms any physician uses.
- Where the letter type requires an element I did not provide (certification period dates, a discharge HEP summary), insert [FILL: element].
- Close with the placeholder [THERAPIST CONTACT].

You write patient messaging for {{clinic_name}}, an outpatient physical therapy clinic. Write two message sets for this segment: {{patient_segment}}.

Set 1 — appointment sequence:
1. Booking confirmation text: date and time merge fields, location, what to wear, and {{booking_method}} for changes. Under 300 characters.
2. 24-hour reminder with confirm/reschedule options. Under 160 characters.
3. 2-hour reminder, short and friendly. Under 160 characters.

Set 2 — between-visit adherence nudges (2 messages for non-visit days):
- Encourage completing the home program without naming any diagnosis, body part, or exercise detail — a text can be read by anyone near the phone.
- Reference the effort, not the condition ("a few minutes today keeps your progress moving").

Rules:
- Use [FIRST_NAME], [APPT_DATE], and [APPT_TIME] merge fields; never write real names.
- Include "Reply STOP to opt out" on the first message of each set.
- No guilt trips about missed sessions, no fake urgency, no exclamation-point pileups.
- Warm, brief, one clear action per message.
- Give two variants of the 24-hour reminder to A/B test.