Every service, what it takes off your plate, and how it stacks up. Competitor details come from their own public websites, checked September 2026, with the source linked.
Migration Center
Bring your whole clinic with you.
Export from the system you are leaving, and your patients, appointments and documents come across without retyping a thing.
Reads exports from WebPT, Jane, Prompt, Raintree, Net Health, SimplePractice, TheraOffice, Practice Perfect and SPRY, or any spreadsheet
CSV, tab-separated text or Excel, with dates, phone numbers and names cleaned up
Every row checked before anything is saved, with a problem list you can download
Old notes and scanned forms filed on the right chart
Undo any import in one click
Low riskNothing is saved until you have seen the check, and any import can be taken back.
SI documentation
Finish the note before the next patient.
The physical therapy SI agent drafts the note from the visit and the chart. Your therapist reviews and signs, so charting stops following them home.
Sign the initial eval and the home exercise program, flow sheet and claim are already built from it
Evals, daily notes, re-evals and discharges with carry-forward
SI assessment and goals grounded in chart findings
SI check for goals met on re-evaluations, marked for review
Text snippets that expand anywhere in a note
CheaperSI notes come in the base plan: 100 a month on Starter, unlimited on Growth. SimplePractice sells its SI Care Aide as a $59/month add-on, and Jane charges $15/month per practitioner for unlimited SI Scribe. SimplePracticeJane
Clinical and plan of care
Never miss a recert or a progress report.
The chart tells you what is due, so nothing slips and no visit goes unbillable.
Nine region suites and 42 ready-made templates
Alerts for recertification, physician certification, progress reports every 10 visits and the Medicare therapy threshold
LEFS, ODI, NDI, QuickDASH and PSFS scored against MCID, printed as scorecards
Structured range of motion and strength grids, and more than 900 exercises sorted by body region and type
SI discharge summaries that carry the goals and scores over from the evaluation
PTA co-sign, and home exercise programs and flow sheets that fill in from signed notes
Better valueTemplate depth on par with enterprise PT systems (TheraOffice lists 40+ templates), with a flat price published on this page. WebPT, Raintree, Prompt, Net Health and TheraOffice list no prices on the pages we checked. TheraOfficeWebPT
Scheduling and reminders
Fewer no-shows. Fewer phone calls.
Patients confirm by text, and the schedule shows who is coming without anyone picking up the phone.
Reminder texts 24 hours ahead; a YES or NO reply shows as Confirmed or Wants to reschedule
Recurring series booked in one step, with provider hours and double-booking checks
Shared waitlist that books into an opening in one click
Online booking against each provider's real hours and time off
Room conflicts caught before a visit is booked
More includedText reminders are on the Starter plan. Jane's entry Balance plan sends email reminders only; unlimited SMS reminders start on its Practice plan. Jane
Billing and claims software
Clean claims without a billing department.
Claims are filled in from the chart and checked before they go, so fewer come back.
Real-time eligibility and authorization checks through Availity
The authorization is checked when the therapist signs, before a visit gets denied
Diagnosis, GP modifier, units and your state's Medicare contractor checked before a claim goes
Batch submit, and full remittance posting with adjustments and denial codes
Secondary insurance claims built from the primary's payment, plus corrected and voided claims
SI appeal letters that answer each of the payer's denial codes
More includedClaims tools are part of every plan. Jane's insurance billing is a $20/month add-on, plus $5 for each added full-time practitioner. Jane
Full-service billing
Hand us the whole revenue cycle.
We work the claims inside the EHR your team already uses. You treat patients; we chase the money.
Eligibility, coding review and claim scrubbing
Submission, ERA posting, denials and appeals
One monthly statement showing exactly what was collected
Cheaper4% of collections, on top of your monthly plan. SPRY publishes 4 to 6% for its billing service, and a WebPT article puts typical RCM services at 6 to 12% of collections. SPRYWebPT
Revenue protection
Find the money you never billed.
The billing worklist puts the biggest dollars first, so every day starts with what matters most.
Finished visits with no signed note or no charge, listed so nothing goes unbilled
Denials, held claims, authorizations running low and filing deadlines, ranked by dollars
Days in A/R, clean claim rate, net collection rate and aging at a glance
Money foundA visit that was never billed is revenue you already earned.
SI front office
The phone gets answered while you treat.
Routine calls and insurance details are handled before the patient reaches the front desk.
SI receptionist answers FAQs, books visits and takes messages
SI pre-visit calls confirm the visit and check insurance
Scan an insurance card or a driver's license and the details fill in, address included
Pay for what you usePre-visit calls come in packs from $49 for 50 calls, not another front-desk salary.
Intake, fax and referrals
Referrals into charts, not piles.
Faxes and referrals land in one inbox and get filed to the right patient in a few clicks.
eFax inbox with a full-screen viewer and filing to the chart
Digital intake forms your staff approve before anything reaches the chart
Duplicate patients caught at registration, and a referral hub
Batch fax to referring providers, with opt-outs handled
One inboxFaxes arrive and get filed inside the chart, with no separate fax portal to check.
Provider mobile app
The clinic in your pocket.
Check the day, sign a note, or text a patient from your phone, without opening a laptop.
Today's schedule, charts, and notes written and signed with the web forms
Book visits, add patients, and text patients from the clinic number
Unsigned notes, plan-of-care and authorization alerts in one list
Face ID lock and access logging
More includedThe provider app comes with Cowboy. SPRY puts its companion mobile app in its higher SPRY Plus tier. SPRY
Patient app and portal
Patients handle the small stuff themselves.
Fewer calls to reschedule, fewer paper handouts, and balances paid from home.
Book, message the clinic and pay a balance
Home exercises with demo videos and check-offs
Progress screen with the patient's real scores and visits
Clinic TV add-on: your own on-demand video library, in the app and the portal
Your brandYour clinic's own app on the App Store and Google Play for $99/month.
Telehealth
Video visits without another subscription.
Book, see and document a video visit from the same schedule and chart.
Built-in video visits with private, random room links
50 sessions a month on Starter
One loginNo separate video tool to buy, sign a BAA for, or train staff on.
Payments
Get paid at the desk and from home.
Card and cash payments are tied to the chart with a receipt, so the day closes out cleanly.
Card payments go straight to your own bank through Stripe
Cash with change due, and patient portal payments
Invoices you can email or print, showing what is paid and what is due
No markupCowboy takes no platform fee on card payments.
Security and compliance
Ready when the auditor calls.
The records an auditor asks for are already kept, and you can check them yourself.
Signed BAA, two-step sign-in and sign-in lockout
Signed notes are locked: corrections are dated addenda, and each note carries a fingerprint that proves it was not changed
Tamper-evident audit log with a one-click integrity check
Your clinic's own trail of who opened, printed, faxed or exported records
See it yourselfOne button confirms the audit log has not been edited.
Growth and marketing
Turn discharges into reviews and referrals.
The follow-ups that bring patients back happen without a marketing hire.
Google review request texted and emailed at discharge
Birthday and 6- and 12-month follow-up reminders on the chart
Marketing studio, plus a custom website with booking built in
No monthly website billA custom website with online booking for $599, one time.
Watch it work.
Short clips of the real product on a test patient.
Coming soon
Initial evaluation, exam to signed note, uncutThe whole thing, on the clock
We care about the family
The small things that get your evenings back.
We run our own clinic, so we built the little details that save a text, a phone call, or a trip back to the office. Your team, and the families waiting at home, notice.
Your schedule in Google or Apple CalendarEach provider sends their visits to their own Google or Apple Calendar with one click, without patient names, next to school pickups and family plans.
Time off, blocked in secondsBlock a provider's time off from the web or the phone, or close the whole clinic for a holiday in one step. No one gets booked on a day off.
Patients confirm by textReminders go out 24 hours ahead. A YES or NO reply shows on the schedule, so no one spends the morning calling to confirm.
Text patients from the clinic numberStaff text a patient from the chart or the app. It comes from the clinic's number, never a therapist's personal phone.
Sign the last note from the couchThe provider app opens the same note forms as the web. Sign on your phone and the claim and appointment update on their own.
Reach a colleague fastCall, text or email anyone on staff from the app's staff list, without hunting for a number.
Book the whole plan of care at oncePick the days and the number of weeks, and every visit is booked with conflicts checked.
Remembering the peopleBirthday and 6- and 12-month follow-ups show on each chart, and discharged patients are asked for a Google review automatically.
