TheraTrack Compliance Assistant

The current landscape for physical therapy documentation in skilled nursing facilities includes a mix of general-purpose tools and niche platforms. Spreadsheets are commonly used but are manual, error-prone, and fail to enforce compliance. MedBridge HEP focuses on home exercise programs and patient education, not session documentation or billing compliance. Generic AI-based tools (e.g., medical note generators) lack the specific regulatory context of SNFs and cannot handle cross-facility tracking. Calendar reminders and compact agreements address licensing logistics but ignore the core documentation pain. Existing EHRs like WebPT and Clinicient serve outpatient PTs but are not optimized for SNF workflows (e.g., Medicare Part A vs. Part B billing, co-signing of PTA notes, short-stay vs. long-stay patients). The primary gap is a solution purpose-built for SNF PTs that automates compliant session notes, tracks progress across facilities, and prevents copy-paste and billing red flags. No incumbent fully addresses the trio of rapid documentation, multi-site tracking, and real-time compliance validation.

The ideal customer is a physical therapist (PT) working across multiple skilled nursing facilities as a traveling or per-diem clinician, who is currently spending 30-40% of their day on documentation and fears losing their license due to copy-paste habits or billing errors. The buyer, however, is typically the facility's rehab director or administrator who controls software budgets and cares about audit risk and reimbursement rates. The user (PT) demands speed and convenience, while the buyer demands compliance and cost savings. Their current workflow involves juggling paper notes, spreadsheets, and generic EHR templates, often copying notes from previous sessions to save time—a practice that creates compliance exposure. The pain trigger is often a failed audit, a denied claim, or a looming state survey. Budget range is $50–$150 per therapist per month, with facilities willing to pay if the tool demonstrably reduces denial risk and documentation time.

TheraTrack should differentiate by being the only documentation platform built exclusively for PTs in skilled nursing facilities, with compliance as the core feature rather than an add-on. The key angle is 'audit-ready documentation' that eliminates the copy-paste risk by using AI-generated, patient-specific progress notes that require minimal editing. A powerful differentiator is real-time billing compliance validation that flags missing elements (e.g., skilled justification, time-based billing rules) before the note is signed. The positioning statement: 'TheraTrack – The first documentation platform built for PTs in SNFs that automates compliant notes, tracks patients across facilities, and prevents billing flags—so you can focus on care, not documentation.' Niche focus on SNFs (not outpatient) allows for deep integration with SNF workflows (e.g., MDS sections, Part A vs. Part B, co-signing rules). Pricing should be per therapist, with a free tier for individual PTs to build awareness, then a facility plan with admin dashboards for compliance oversight.

Technical risks are moderate. Building HIPAA-compliant infrastructure is non-trivial but achievable with existing cloud providers. The hardest part is developing AI that generates accurate, non-copy-paste notes from minimal input while accounting for different state rehab regulations. Integration with existing EHRs (e.g., PointClickCare, SigmaCare) may be required by facilities, increasing complexity. Market risks are medium-high: while 15 signal reports and strong implied willingness to pay exist, SNF budgets are tight and decision-makers (directors, IT) may be slow to adopt a new tool vs. improving current EHR usage. The copy-paste problem is well-known, but changing behavior requires trust and training. Execution risk centers on sales: selling to facility administrators is a longer cycle than selling directly to PTs. Regulatory risk is low-medium; Medicare documentation rules evolve, but the platform can adapt. Overall risk is medium. The biggest threat is that existing EHR vendors add similar AI documentation features, though they lack the SNF-specific compliance focus.

1. Build a landing page targeting PTs in SNFs with the headline 'Cut documentation time by 60% and eliminate copy-paste risk.' Run targeted Facebook/Google ads to PTs in SNFs (use job titles: 'staff physical therapist,' 'travel PT,' 'rehab director') and measure click-through and sign-up for a waitlist. 2. Interview 15-20 PTs who work in SNFs, recruited from r/physicaltherapy, PT Facebook groups, or LinkedIn. Ask specifically about their current documentation workflow, time spent, and whether they fear compliance audits. Validate the 60% time reduction claim. 3. Create a simple prototype (e.g., a Google Form that simulates smart templates with real-time compliance checks) and have 5 PTs use it for 10 patient sessions each. Measure time saved and error rate vs. current method. 4. Present the prototype to 3 rehab directors at different SNFs (small, medium, large chains) and ask about willingness to purchase a per-therapist subscription. Test price points: $49, $79, $99/month. 5. Scrutinize existing SNF-focused EHRs (e.g., NetHealth, Optima Therapy) to see if they have AI documentation features. Contact their sales reps pretending to be a prospect to understand gaps. 6. Post a poll in r/physicaltherapy asking: 'What's your biggest documentation pain in SNFs? (A) copy-paste compliance (B) time spent (C) billing errors (D) tracking patients across facilities.' Confirm top priorities. 7. Build a minimal viable product with just automated session notes and a compliance checklist for one facility. Charge $200/month for first 2 facilities as a pilot to validate willingness to pay and gather testimonials.

According to the American Physical Therapy Association, there are approximately 250,000 licensed PTs in the US. Based on industry estimates, about 30% (75,000) work in skilled nursing facilities or nursing homes. An additional 10-15% of PTs work across multiple settings including SNFs. The SAM (serviceable addressable market) can be approximated at 60,000-80,000 PTs actively documenting in SNFs. At a $99/month subscription, the annual TAM for this user group is roughly $71-95 million. However, the buyer is the facility, not the individual PT. There are approximately 15,000 skilled nursing facilities in the US, each employing on average 5-8 PTs. If TheraTrack targets the top 10% of facilities that are compliance-conscious, initial SOM (serviceable obtainable market) might be 1,500 facilities or 7,500 users, yielding $900,000 in annual recurring revenue. This is directional and depends on adoption rate and facility size. Willingness to pay signals are strong (15 reports, 14 implied willingness), but pricing validation is needed to confirm real budget allocation.