Physical therapy · the .pt note

PT notes that start where the last visit left off.

Type .pt in a visit note and Hero brings forward the diagnosis, precautions, goals, plan of care, last measurements and the exercise program. You confirm what you did, record what changed, and add today’s minutes. Evaluations, daily notes, progress reports, re-evaluations and discharges, all in one note.

Built into the Hero EMR note writer and on by default for every Hero practice. Works by mouse, by keyboard, or by voice.

Five note types, one note
Starts from the last visit
Built for Medicare documentation
Keyboard-first, dictation-ready
One note

The whole episode of care, in one note.

Pick the note type with one key and the note adapts: the fields that note needs come first, the rest stay out of the way, and anything you already recorded always shows. Seven sections: Subjective, Objective, Treatment, Assessment, Goals, Plan and Time.

E Initial evaluation

Evaluate once, fully

History and mechanism, prior level of function, full measurements, rehab potential, short- and long-term goals and the plan of care.

D Daily note

Confirm, measure, move on

Opens on the treatment flowsheet with last visit’s program ready to confirm. Measurement tables show only what you measured today.

P Progress report

Due when it’s due

The visit strip counts treatment days since the last report, and the 10th treatment day starts as a progress report on its own.

R Re-evaluation

Re-measure and revise

Re-test, update every goal’s status, restate the skilled need and revise the plan of care.

X Discharge

Close the episode cleanly

Final outcome measures first, a final status for every goal, the discharge reason and the home program.

Starts from the last visit

Stop re-typing the program every visit.

When the patient was seen in the last 90 days, the new note starts from that visit automatically. Nothing is documented for you: last visit’s exercises arrive as planned and print only once you confirm them.

  • Comes over: diagnosis, precautions, goals, plan of care, last measurements as references, and the exercise program with its last doses.
  • Never comes over: treatment time, today’s pain and answers, and last visit’s cues and notes. A discharge is offered, not carried.
  • One key confirms the lot: Alt+Enter marks every planned exercise as done today. Wanted a clean start? Undo on the notice removes the whole carry-forward.
  • From earlier visits: copy one exercise, several, or a whole program from any of the last 8 PT visits.
  • Your patient’s exercises first: typing a name suggests this patient’s own exercises with their last dose, then a library of about 100.
Measurements

Every number next to the last one.

Click a region on the body map to add its rows, then type values with the keyboard. Today’s value sits beside last visit’s, with the change shown for you.

Range of motion

33 motions with their normal values, right and left side by side, last visit’s value and the change, passive range columns and pain at end range when you need them.

Strength and special tests

Manual muscle testing 0–5 with plus and minus for 27 muscle groups, and 46 special tests by side, from Spurling’s to Dix-Hallpike.

Outcome measures

Today’s score against baseline, the change marked improved or worse, MCID met when it counts, and fall-risk thresholds shown when a score crosses them.

LEFSODINDIQuickDASHPSFSKOOS JRHOOS JRSPADIRoland-MorrisFOTOBergTUG5× Sit to Stand30-Second Chair Stand4-Stage Balance10-Meter Walk6-Minute WalkDGIFGAABCTinettiFES-IDHI

Normal ranges, MCIDs and thresholds are widely cited reference values shown beside your numbers. Interpretation stays with the therapist.

Goals

Goals that read their own numbers.

Link a goal to a measurement and give it a target date. Each visit shows today against baseline automatically, so you never copy a number into a goal again.

  • Linked to what you measure: a range-of-motion or strength row, an outcome measure, or a pain rating, with “at least” or “at most” targets.
  • Target dates in a keystroke: type 4w or 11/19, or pick 2, 4, 6 or 8 weeks.
  • Met is suggested, never set: when the target is reached the goal offers Target reached — mark Met; only you change a status.
  • Passed dates are flagged on the goal and in the documentation checklist.
Time & documentation

Minutes in. Charge lines out.

Record the minutes for each service and the total treatment time, the way Medicare asks a therapy note to show them. Hero builds the charge lines from them when the encounter is completed, so codes are never typed twice.

Minutes per service

Therapeutic exercise, manual therapy, neuromuscular re-education, gait training, therapeutic activities and modalities, by the names you use, plus total treatment time. No codes in the note, and dictation keeps a minute value only when you say it.

Charge lines built for you

When the visit is completed, Hero adds a line per service in charge capture: units by the 8-minute rule (the CMS rule for Medicare and Medicare Advantage, your practice’s choice for other payers), the right therapy modifiers for who wrote the note, and the evaluation code from the evaluation complexity. You review the lines before signing.

A checklist for each note type

What an evaluation, daily note, progress report, re-evaluation or discharge needs, with each missing item one click from its field: a status for every goal, minutes on every timed service, a passed goal date.

Progress reports on time

The visit strip counts treatment days since the last report and says when the next one is due; Medicare expects one at least every 10 treatment days.

Plan-of-care certification

Plan-of-care dates in view, a recertification reminder when the plan lapses, and a signed certification reset when the plan changes.

Clean note text

One heading per section, measurements with their previous values, goals with today and baseline. Exactly what you see is what you sign and print.

The documentation checklist lists elements Medicare and most payers expect. It is guidance, not a coverage determination, and it never blocks signing; coding decisions stay with the clinician. See what each note type checks.

Keyboard & voice

Fast hands, or no hands.

Every action is a button, a key, and something you can say.

Keyboard-first

Tab moves field to field and on into the next section. Each group of choices is a single Tab stop.

  • TabNext field; past a section’s end, the next section
  • ←→SpaceMove through choices and select; a letter jumps to it
  • /Quick add a measure, test, exercise or service
  • Alt1…7Jump to a section
  • AltCCarry forward from the last visit
  • DDictate into the note block
  • TShow the note text
  • ?Every shortcut

Dictation-ready

Speak to the block for a quick update, or record the whole visit and let the note fill itself.

“Knee flexion right 115, MMT quads 4 minus, Lachman negative.”Targeted: the values land in the right rows.
  • Ambient: record the visit as usual; pain, measurements, exercises, goals and plan fill in alongside the rest of the note.
  • Minutes only when said: Hero never estimates time.
  • Skipped exercises stay planned for you to confirm, and anything you typed yourself is kept.
Everything in .pt

Seven sections, built for therapists.

Examine and treat

Subjective

Pain now, at best and at worst; location and quality; the patient’s report; functional limitations; home-program adherence; history, onset and surgery dates on evaluations.

Objective

Body map, range of motion, strength, special tests and outcome measures; gait, assistive device, transfers, balance, posture and more.

Treatment

The exercise flowsheet by category with sets, reps, load, time and side; skilled care, patient education, response to treatment and the home program.

Assessment

Your assessment, problem list, progress toward goals, rehab potential, barriers and the skilled need.

Plan and track

Goals

Short- and long-term goals with status, linked measurements, baselines and target dates.

Plan

Frequency and duration, plan-of-care dates, planned interventions, physician certification, the next visit and the discharge reason.

Time

Minutes per service and total treatment time; charge lines built at encounter completion.

Around the note

Visit strip with visit count, progress-report clock, authorization and post-op week; documentation checklist; note text for signing and printing.

See the .pt note in a live demo.

We’ll walk through an evaluation, a daily note started from the last visit, and a progress report, with your own workflow in mind.