Jan. 27, 2026

2026 Rehab Report: Burnout, Cash Flow, and Clinic Survival

2026 Rehab Report: Burnout, Cash Flow, and Clinic Survival
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Clinics are growing — but staff are leaving. Burnout is peaking. And your cash flow might be bleeding out.

In this episode, Jimmy breaks down the brand new 2026 Rehab Therapy Industry Report — based on data from 550+ outpatient practices — to answer the big questions:

  • Why are 80% of PTs considering leaving the profession?
  • What do high-growth clinics do differently to thrive in this economy?
  • How are automation and AI changing clinic survival and staff retention?
  • What behavior patterns predict burnout and audit risk?
  • And what one thing you should fix first.


???? This is the State of the Union for rehab therapy — packed with insights clinic owners, directors, and providers can’t afford to ignore.

Transcript
WEBVTT

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You're listening to the PT Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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Welcome to a breaking news.

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Something just hit my inbox.

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Important enough for me to put on a

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tie for the first time in, checks notes,

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three and a half years.

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I'm physical therapist, Jimmy McKay.

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And let's dive into some statistics just

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dropped in the state of physical therapy

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or the state of rehab report by Prompt.

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Health in twenty twenty six.

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Eighty percent.

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That's how many PTs,

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according to this brand new report,

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that just should have hit your inbox if

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you follow prompt.

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Now, eighty percent.

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That's how many PTs,

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according to this brand new industry

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report,

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are either considering leaving the

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profession or retiring.

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have already got one foot out the door.

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And that's not a vibe shift.

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That's a system failure.

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Let's dive deep into the twenty twenty six

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rehab therapy industry report,

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which just came off.

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It's hot off the inbox for what's really

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happening inside your clinic walls.

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You think you can figure out what's going

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on by reading anonymous survey reports

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from your clinicians?

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You can't.

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You think you can figure it out by

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being in Reddit threads or Facebook

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groups?

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You can't.

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You need hard data where all the data

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people

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Oh, good.

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There you are.

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Prompt got the data.

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This way you can figure out what's really

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happening inside your clinic walls,

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what people won't say to your face or

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in anonymous surveys.

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Why are some practices growing like crazy

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while others are bleeding out

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behind the front desk stick around we're

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going to dive into this it's not just

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for therapists this is for clinic owners

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directors and educators anybody who gives

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a damn about where this profession is

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headed i i wish this report dropped before

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this weekend so we could have talked about

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it a lot at the on-site graham sessions

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that we were at at apc headquarters but

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here we are on a random tuesday in

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january and we're going to dig into this

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now for the people watching the live

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stream on any platform you can comment

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live and eventually i'll be able to get

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to the comments

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I am a one-man show.

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I know, Tony Meritato,

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I'm dumbfounded too,

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but I dug into the closet deep to

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break out the tie.

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So let's get into this.

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We know we'll be talking about this in

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depth with Tony and Dave Kittle on our

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PT Breakfast Club live stream on Thursday

00:02:21.721 --> 00:02:22.801
morning, eight-thirty Eastern.

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Now, the report comes from Prompt Credit,

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where credit is due,

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surveying over five hundred and fifty

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outpatient practices.

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That's PTs, OTs,

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SLPs all over the country.

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The goal

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Figure out why some clinics are thriving

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in this economy while others are stuck in

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survival mode.

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We talked about some of these things on

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the show and on the podcast a lot.

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I read the whole thing.

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I didn't.

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I skimmed it just like you would.

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I then threw it into AI and I

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got some notes and then I bring them

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to you.

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So on this live stream,

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I'm going to give you the real take.

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What's driving growth?

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What's breaking people and what you can

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actually do about it starting now.

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Let's start where the fire is the hottest.

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I mean, come on.

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This is all over the place.

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Burnout is not a personal problem.

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It's an operational failure.

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We talk about this ad nauseum.

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I don't have any tattoos,

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but if I did,

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burnout might be the thing I tattoo on

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my ass.

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Nearly half of clinic leaders say burnout

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is a moderate or major concern,

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not a shock.

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Here's the plot twist.

00:03:18.192 --> 00:03:20.013
It's twelve points higher in clinics.

00:03:20.813 --> 00:03:23.355
still using disconnected or manual

00:03:23.596 --> 00:03:24.135
systems.

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I just said, it's not a personal problem.

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It's an operational failure.

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Can you solve everything by getting

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connected or automating?

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No.

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Can you reduce things by twelve points?

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Yes.

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Clinicians aren't melting down because

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they're fragile.

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They're melting down because they're doing

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three hours of stuff outside clinic hours

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while using an EHR or other systems that

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feel like they're stuck in the mud.

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They're managing sixty percent

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productivity quotas

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with zero tools to protect their time.

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And don't get us started on student loans

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and flat salaries.

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We already talked about that this morning.

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Here's a quote from the report.

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Burnout rises when admin friction rises.

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Those two things are,

00:04:07.118 --> 00:04:09.439
according to this report, in lockstep.

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You want to fix burnout?

00:04:11.341 --> 00:04:12.581
You don't need yoga mats.

00:04:12.822 --> 00:04:14.103
You don't need pizza parties.

00:04:14.582 --> 00:04:15.243
I do love pizza,

00:04:15.563 --> 00:04:16.485
but that ain't going to do it.

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You do need your damn systems to talk

00:04:19.387 --> 00:04:21.387
to each other and to act like they

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were born and live in twenty twenty six.

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That is the first pause.

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I do want to thank our friends at

00:04:27.632 --> 00:04:29.814
Sarah Health for being a new sponsor of

00:04:29.874 --> 00:04:30.495
the show.

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Talk to Stephen Cohen live from Graham

00:04:34.517 --> 00:04:35.639
Sessions this weekend.

00:04:36.519 --> 00:04:37.079
Sarah Health,

00:04:37.100 --> 00:04:38.682
the remote care platform that's turning

00:04:38.721 --> 00:04:40.283
patient engagement into real clinic

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revenue.

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Wouldn't we like that?

00:04:42.264 --> 00:04:44.026
Sarah helps PT clinics streamline

00:04:44.045 --> 00:04:46.048
communication with patients outside extra

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staff time in lockstep with this report.

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Patients get daily automated text messages

00:04:51.533 --> 00:04:53.473
tailored to their care plan.

00:04:53.514 --> 00:04:53.875
No app.

00:04:54.435 --> 00:04:55.074
No login,

00:04:55.375 --> 00:04:57.536
just better outcomes with an average sixty

00:04:57.576 --> 00:04:59.637
five percent response rate.

00:04:59.877 --> 00:05:01.559
Sarah makes it easy to meet remote

00:05:01.579 --> 00:05:03.420
therapeutic monitoring requirements and

00:05:03.439 --> 00:05:05.420
still get paid by Medicare and commercial

00:05:05.480 --> 00:05:05.961
insurers.

00:05:06.300 --> 00:05:07.161
It's simple to set up,

00:05:07.442 --> 00:05:09.442
easy to integrate with your EMR and

00:05:09.603 --> 00:05:10.603
patients actually use it.

00:05:10.704 --> 00:05:13.125
Sarah Health is where you want to go.

00:05:13.245 --> 00:05:14.045
Look, I paid the bills.

00:05:14.105 --> 00:05:15.165
Now we can go back to the report.

00:05:15.185 --> 00:05:16.166
They're not paying me to do this.

00:05:16.326 --> 00:05:16.927
Sarah Health is.

00:05:17.447 --> 00:05:20.088
Now, step two, cash flow.

00:05:21.127 --> 00:05:23.988
is more important than visit volume that's

00:05:24.028 --> 00:05:25.670
what the data in this prompt health report

00:05:25.709 --> 00:05:28.271
is saying here's what everyone gets wrong

00:05:28.312 --> 00:05:31.494
they think more visits is more money it's

00:05:31.553 --> 00:05:34.115
not all the clinics say they're busier

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than ever but revenue is still a mess

00:05:37.057 --> 00:05:39.860
so what separates the high performers and

00:05:39.879 --> 00:05:41.821
the high growth clinics to the ones who

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aren't the ones who might not be in

00:05:43.742 --> 00:05:45.764
business in january twenty twenty seven

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here's what it is the big three

00:05:48.886 --> 00:05:51.687
They submit clean claims within twenty

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four hours.

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They get their homework done and they do

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it quickly.

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What does that mean?

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They get paid in on average,

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according to this report,

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under seventeen days.

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And the third big takeaway from this,

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they use automation to catch denials

00:06:08.937 --> 00:06:09.718
before they happen.

00:06:09.757 --> 00:06:11.858
The big three submit clean claims within

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twenty four hours,

00:06:12.920 --> 00:06:14.500
get paid under seventeen days.

00:06:14.521 --> 00:06:16.482
There's cash flow and they use automation

00:06:16.521 --> 00:06:17.923
to catch denials before they happen.

00:06:19.223 --> 00:06:20.165
You know what drives all this?

00:06:21.185 --> 00:06:22.005
If you've been paying attention,

00:06:22.026 --> 00:06:22.946
you heard the beginning of the episode.

00:06:23.206 --> 00:06:23.646
Faster,

00:06:23.766 --> 00:06:26.048
accurate documentation during clinic

00:06:26.148 --> 00:06:26.528
hours.

00:06:26.889 --> 00:06:30.110
Two birds, one very powerful stone.

00:06:30.870 --> 00:06:32.892
Clinics using AI scribing are literally

00:06:32.932 --> 00:06:34.733
closing notes a full day sooner.

00:06:35.053 --> 00:06:36.115
What does that mean?

00:06:36.535 --> 00:06:39.197
Closed notes a full day sooner equals a

00:06:39.257 --> 00:06:40.117
faster claim.

00:06:40.297 --> 00:06:41.257
Faster claim?

00:06:42.576 --> 00:06:43.697
equals a faster check.

00:06:43.958 --> 00:06:45.038
Faster check,

00:06:45.759 --> 00:06:47.560
a clinic that actually pays their bills on

00:06:47.620 --> 00:06:47.920
time.

00:06:48.120 --> 00:06:49.382
I'll go one step further.

00:06:49.442 --> 00:06:50.543
Pay your bills on time.

00:06:50.923 --> 00:06:52.244
Understand cash flow,

00:06:52.504 --> 00:06:54.165
which was not on the syllabus in PT

00:06:54.185 --> 00:06:54.966
school, but should have been.

00:06:55.987 --> 00:06:57.228
When you know what money you're going to

00:06:57.247 --> 00:07:00.069
have a week, a month, a quarter ahead,

00:07:00.411 --> 00:07:01.851
you can start thinking in the future,

00:07:01.951 --> 00:07:04.434
which is where the owner should be

00:07:04.473 --> 00:07:04.814
thinking.

00:07:06.973 --> 00:07:09.016
Robbie Walkers said it best in this

00:07:09.055 --> 00:07:09.336
report.

00:07:09.375 --> 00:07:10.536
If you want predictability in your

00:07:10.576 --> 00:07:10.978
business,

00:07:11.278 --> 00:07:15.442
you can't just hope people call to book.

00:07:16.382 --> 00:07:18.024
Revenue should run like clockwork,

00:07:18.365 --> 00:07:19.726
not bingo night, kids.

00:07:20.608 --> 00:07:22.850
We're getting some more comments about the

00:07:22.889 --> 00:07:23.310
tie,

00:07:23.531 --> 00:07:24.831
and I'm starting to think maybe I need

00:07:24.851 --> 00:07:26.434
to dress better on the live streams.

00:07:26.874 --> 00:07:28.276
Let's keep going in the report.

00:07:29.454 --> 00:07:31.096
I do want to thank US Physical Therapy.

00:07:31.456 --> 00:07:33.278
This live stream brought to you by USPH,

00:07:33.298 --> 00:07:35.060
a national network of clinics focused on

00:07:35.100 --> 00:07:37.122
developing clinicians.

00:07:37.541 --> 00:07:38.182
Who would have thought?

00:07:38.362 --> 00:07:39.564
That's also in the report.

00:07:40.627 --> 00:07:41.908
Leadership tracks available.

00:07:41.927 --> 00:07:42.567
We'll get into that,

00:07:42.608 --> 00:07:44.809
why that's important in the report.

00:07:44.848 --> 00:07:46.608
But yeah, leadership tracks at USPH,

00:07:46.709 --> 00:07:48.009
mentorship, career growth,

00:07:48.069 --> 00:07:50.269
and the stability to build your future in

00:07:50.310 --> 00:07:50.651
PT.

00:07:50.711 --> 00:07:51.971
If you want a place that supports how

00:07:51.990 --> 00:07:53.050
you want to practice,

00:07:53.471 --> 00:07:54.831
that's US Physical Therapy.

00:07:54.872 --> 00:07:56.413
Hit them at USPH.com.

00:07:56.432 --> 00:07:58.752
That's USPH.com.

00:07:58.814 --> 00:08:00.014
Next segment of the report,

00:08:01.014 --> 00:08:02.735
we teased it in the intro,

00:08:03.334 --> 00:08:05.076
the automation gap.

00:08:05.235 --> 00:08:08.276
Everybody thinks they've gone digital.

00:08:09.228 --> 00:08:11.211
But there's a difference between having

00:08:11.250 --> 00:08:13.954
digital tools and running an honestly,

00:08:14.435 --> 00:08:18.699
truly connected and automated operation.

00:08:18.738 --> 00:08:20.721
Fast forward to page thirteen, the visual,

00:08:20.800 --> 00:08:23.805
if you have this report in your inbox.

00:08:24.125 --> 00:08:25.706
And here's the big three takeaways.

00:08:26.894 --> 00:08:28.935
Ninety-six percent of practices use

00:08:28.975 --> 00:08:29.456
reminders.

00:08:29.656 --> 00:08:30.617
That's fantastic.

00:08:30.776 --> 00:08:31.377
I mean, kudos.

00:08:31.677 --> 00:08:34.400
Ninety-six percent of the five hundred

00:08:34.421 --> 00:08:36.682
plus clinics surveyed for this use

00:08:36.883 --> 00:08:37.482
reminders.

00:08:38.203 --> 00:08:39.365
You know there's going to be a plot

00:08:39.404 --> 00:08:40.225
twist, though.

00:08:40.265 --> 00:08:40.865
Here it comes.

00:08:41.147 --> 00:08:41.787
Here it comes.

00:08:42.388 --> 00:08:43.168
Plot twist.

00:08:43.889 --> 00:08:46.711
Only a fraction actually automate intake,

00:08:47.251 --> 00:08:49.874
wait lists, and billing accuracy.

00:08:50.695 --> 00:08:52.096
listen that's like running a really great

00:08:52.176 --> 00:08:55.238
first six miles of the marathon and then

00:08:55.278 --> 00:08:57.080
putting on lead boots i'll say it again

00:08:57.139 --> 00:08:59.020
ninety six percent of practices using

00:08:59.061 --> 00:09:01.722
reminders kudos but that's two thousand

00:09:01.743 --> 00:09:05.144
and six only a fraction automate intake

00:09:05.725 --> 00:09:07.846
weightless and billing accuracy and that

00:09:07.986 --> 00:09:10.269
is where the big hairy scary problem

00:09:10.288 --> 00:09:11.850
begins to start drop offs

00:09:12.914 --> 00:09:13.535
What happens?

00:09:13.816 --> 00:09:14.375
No shows.

00:09:14.876 --> 00:09:15.476
What happens?

00:09:15.677 --> 00:09:17.219
Underscheduled plans of care.

00:09:17.318 --> 00:09:18.019
What happens?

00:09:18.399 --> 00:09:18.980
Missed revenue.

00:09:19.259 --> 00:09:21.841
That's what this data from Prompt says

00:09:22.043 --> 00:09:22.322
right here.

00:09:22.462 --> 00:09:24.124
The Rehab Therapy Industry Report.

00:09:24.565 --> 00:09:25.024
Get it now.

00:09:25.264 --> 00:09:27.106
Maybe at Prompt website.

00:09:27.126 --> 00:09:27.886
I don't even know what it is.

00:09:27.947 --> 00:09:28.687
I don't have the notes in front of

00:09:28.707 --> 00:09:28.768
me.

00:09:28.807 --> 00:09:29.668
I do have this report though.

00:09:30.529 --> 00:09:31.591
High growth practices.

00:09:31.650 --> 00:09:33.152
What are they doing well to separate

00:09:33.172 --> 00:09:34.972
themselves from low or no growth

00:09:35.013 --> 00:09:35.594
practices?

00:09:37.587 --> 00:09:40.250
They fill canceled slots automatically.

00:09:40.812 --> 00:09:41.913
You have inventory.

00:09:42.033 --> 00:09:43.794
You didn't go into this profession to

00:09:43.835 --> 00:09:45.918
think that you had inventory, but you do.

00:09:47.078 --> 00:09:50.722
You have whatever time slot matrix you

00:09:50.783 --> 00:09:51.283
decided.

00:09:52.284 --> 00:09:53.767
The difference between high growth

00:09:54.732 --> 00:09:57.475
Low growth and no growth or circling the

00:09:57.514 --> 00:09:58.176
drain clinics.

00:09:58.836 --> 00:10:00.398
The big one here, according to data,

00:10:00.658 --> 00:10:01.778
because everybody loves the data,

00:10:02.460 --> 00:10:04.301
high growth practices fill canceled slots

00:10:04.400 --> 00:10:04.942
automatically.

00:10:05.022 --> 00:10:06.143
I would love to hear your take.

00:10:06.163 --> 00:10:07.423
You can do it in the comments now

00:10:07.943 --> 00:10:08.845
or you can DM me.

00:10:09.284 --> 00:10:10.365
This is just what the data says.

00:10:10.405 --> 00:10:11.746
You can't yell at me.

00:10:11.807 --> 00:10:12.587
It's just not going to help.

00:10:14.048 --> 00:10:16.130
High growth practices run reactivation

00:10:16.150 --> 00:10:18.993
campaigns on autopilot.

00:10:19.933 --> 00:10:21.294
You put a lot of effort into a

00:10:21.375 --> 00:10:23.177
reactivation campaign once and

00:10:24.809 --> 00:10:26.549
Make it feel, look, smell,

00:10:26.710 --> 00:10:27.971
taste like you and your clinic,

00:10:28.451 --> 00:10:29.311
but then automate it.

00:10:30.130 --> 00:10:31.230
Let it run on its own.

00:10:31.491 --> 00:10:34.111
That will fill canceled slots

00:10:34.231 --> 00:10:34.831
automatically.

00:10:35.511 --> 00:10:37.613
And patients come back because the process

00:10:37.712 --> 00:10:38.232
is smooth.

00:10:38.293 --> 00:10:39.293
It's twenty twenty six.

00:10:39.812 --> 00:10:43.153
I could right now faster than we've been

00:10:43.193 --> 00:10:44.654
talking on this live stream and we've been

00:10:44.674 --> 00:10:45.414
talking for ten minutes.

00:10:45.855 --> 00:10:47.654
I could book a haircut at my boy

00:10:47.735 --> 00:10:50.375
Rod, his barbershop down the street.

00:10:51.225 --> 00:10:52.267
How can I do that?

00:10:52.427 --> 00:10:53.167
And ask yourself,

00:10:53.187 --> 00:10:54.607
can I do that reliably at your clinic?

00:10:54.687 --> 00:10:55.568
If the answer is no,

00:10:55.668 --> 00:10:58.071
I do not have any empathy for you.

00:10:59.552 --> 00:11:01.192
Patients come back because the process is

00:11:01.232 --> 00:11:01.572
smooth.

00:11:01.832 --> 00:11:03.173
This is not nice to have anymore.

00:11:03.433 --> 00:11:05.395
According to the data in this report,

00:11:05.596 --> 00:11:06.416
it is need to have.

00:11:06.736 --> 00:11:08.418
You don't need more patients.

00:11:08.957 --> 00:11:10.438
You need less friction.

00:11:11.019 --> 00:11:11.879
We've been saying this.

00:11:12.159 --> 00:11:14.701
Look, Tony, Dave, look, look,

00:11:15.001 --> 00:11:17.083
my live stream co-partners.

00:11:17.524 --> 00:11:18.304
But now it's proved.

00:11:18.365 --> 00:11:19.485
We didn't just feel this.

00:11:19.785 --> 00:11:20.426
Now it's proved.

00:11:21.013 --> 00:11:23.475
Okay, next segment.

00:11:23.495 --> 00:11:24.855
Let's dig into this.

00:11:26.236 --> 00:11:28.158
Five hundred and fifty plus clinics

00:11:28.759 --> 00:11:30.801
surveyed and they broke this down to

00:11:30.841 --> 00:11:31.761
something that I love,

00:11:31.802 --> 00:11:33.702
which is like personality types,

00:11:34.063 --> 00:11:35.224
clinician archetypes.

00:11:35.705 --> 00:11:36.865
I had a video just a couple of

00:11:36.885 --> 00:11:38.966
weeks ago, semi-viral,

00:11:39.227 --> 00:11:42.169
where I compared if physical therapists

00:11:42.210 --> 00:11:44.292
were Avengers and I matched personality

00:11:44.331 --> 00:11:45.832
type to types of PT.

00:11:47.374 --> 00:11:49.296
Captain America, outpatient ortho.

00:11:50.035 --> 00:11:53.576
uh iron man sports pt uh acute care

00:11:53.856 --> 00:11:56.138
hulk you get the idea they broke them

00:11:56.177 --> 00:12:01.639
down into behavior types based on how they

00:12:01.678 --> 00:12:04.700
document and bill this i like expect more

00:12:04.820 --> 00:12:07.221
short form videos for this and here is

00:12:07.280 --> 00:12:08.620
what they came up with is this the

00:12:08.640 --> 00:12:11.682
right graphic there it is okay so here's

00:12:11.721 --> 00:12:14.482
the four types and this is cute we

00:12:14.543 --> 00:12:14.982
all love

00:12:16.089 --> 00:12:18.509
cute little things like this, where we,

00:12:18.529 --> 00:12:20.289
this is why astrology is so popular.

00:12:21.811 --> 00:12:23.870
Let's figure out what it means.

00:12:24.371 --> 00:12:26.091
So here's what the report says.

00:12:26.292 --> 00:12:28.932
The four types, a traditionalist,

00:12:29.812 --> 00:12:34.695
an over coder, autopilot, and treadmill.

00:12:34.774 --> 00:12:35.975
Those are the four types.

00:12:36.054 --> 00:12:37.635
I want you keeping track at home.

00:12:38.135 --> 00:12:38.816
What type

00:12:42.094 --> 00:12:45.155
are you what type of therapist are you

00:12:45.216 --> 00:12:46.917
in terms of documentation and billing

00:12:46.976 --> 00:12:48.977
again traditionalist overcoater autopilot

00:12:48.998 --> 00:12:53.980
and treadmill so a traditionalist their

00:12:54.120 --> 00:13:01.283
risk is they slow revenue they're negative

00:13:01.364 --> 00:13:04.785
hours as fast that shouldn't be written

00:13:04.806 --> 00:13:06.486
like that that's a bad report they're

00:13:06.506 --> 00:13:07.047
hours slower

00:13:08.797 --> 00:13:10.357
than other types of billers.

00:13:11.119 --> 00:13:14.301
The risk is they slow revenue.

00:13:14.360 --> 00:13:16.201
What to do to improve the traditionalist

00:13:16.221 --> 00:13:18.263
so you're not seventeen hours behind

00:13:18.302 --> 00:13:19.024
everybody else?

00:13:19.803 --> 00:13:20.544
Remove friction.

00:13:20.904 --> 00:13:22.645
That means if you've been listening along,

00:13:22.666 --> 00:13:23.927
you're already shouting at the speaker.

00:13:24.407 --> 00:13:24.788
Automate.

00:13:25.668 --> 00:13:28.370
So the traditionalist needs to be shown a

00:13:28.490 --> 00:13:30.751
frictionless or as close to frictionless

00:13:30.792 --> 00:13:32.493
tool.

00:13:32.533 --> 00:13:34.754
So they change their behavior and this is

00:13:34.774 --> 00:13:35.975
what happens in your business.

00:13:36.115 --> 00:13:36.995
They don't slow revenue.

00:13:38.206 --> 00:13:38.826
That's step one.

00:13:39.447 --> 00:13:41.847
The second type of behavior in terms of

00:13:41.908 --> 00:13:44.169
document and billing for a therapist is

00:13:44.529 --> 00:13:45.571
the over coder.

00:13:45.671 --> 00:13:48.852
Just too many codes.

00:13:49.874 --> 00:13:51.235
So I guess an advantage there would be,

00:13:51.315 --> 00:13:53.456
hey, safer code mix.

00:13:53.816 --> 00:13:54.476
They're safer.

00:13:55.602 --> 00:13:57.224
ironically, according to the data,

00:13:57.323 --> 00:13:58.705
they are an audit risk.

00:13:59.164 --> 00:14:00.966
Ooh, your stomach just dropped out.

00:14:01.285 --> 00:14:02.005
Because you're thinking,

00:14:02.046 --> 00:14:03.326
you know who your clinicians are,

00:14:03.486 --> 00:14:04.207
business owners.

00:14:04.967 --> 00:14:06.668
You are already assigning these archetypes

00:14:07.269 --> 00:14:08.049
to your clinicians.

00:14:08.370 --> 00:14:09.730
You know you're doing that already.

00:14:10.510 --> 00:14:12.011
But you have to autopilot this.

00:14:12.532 --> 00:14:15.354
So the overcoders are an audit risk.

00:14:16.053 --> 00:14:17.774
How do you improve this?

00:14:18.034 --> 00:14:20.535
According to the report, CPT alignment.

00:14:21.136 --> 00:14:22.136
You do it with tools.

00:14:22.778 --> 00:14:23.378
Of course you do.

00:14:25.668 --> 00:14:28.130
next up the type of therapist the

00:14:28.211 --> 00:14:30.533
archetype in terms of document and billing

00:14:30.552 --> 00:14:32.134
this is not treating this is not

00:14:32.173 --> 00:14:33.835
personality type this is document billing

00:14:34.316 --> 00:14:39.700
is the autopilot now the risk here is

00:14:40.039 --> 00:14:44.443
they might under document okay so how do

00:14:44.484 --> 00:14:45.264
you prevent this

00:14:46.653 --> 00:14:48.573
Guided templates, according to the report.

00:14:48.693 --> 00:14:49.455
Guided templates.

00:14:49.634 --> 00:14:51.375
You give them, gosh,

00:14:51.495 --> 00:14:52.697
you give them guardrails.

00:14:53.256 --> 00:14:54.157
I'm not good at bowling,

00:14:54.477 --> 00:14:55.918
but bowling with those little bumpers,

00:14:56.198 --> 00:14:56.418
man,

00:14:56.519 --> 00:14:57.798
I could be in the Hall of Fame.

00:14:58.279 --> 00:15:02.182
Guided templates.

00:15:02.282 --> 00:15:03.462
And finally, the treadmill.

00:15:05.104 --> 00:15:06.384
That's burnout city, baby.

00:15:07.004 --> 00:15:08.206
That is burnout city.

00:15:09.326 --> 00:15:11.287
You need to reduce late-night charting for

00:15:11.307 --> 00:15:11.807
this person,

00:15:12.028 --> 00:15:13.908
or they will have already left or have...

00:15:15.235 --> 00:15:16.437
Two feet almost out the door.

00:15:17.596 --> 00:15:19.258
They are minus twenty-eight hours.

00:15:19.278 --> 00:15:22.159
I thought the traditionalist was bad.

00:15:22.200 --> 00:15:23.341
Seventeen hours slower.

00:15:23.400 --> 00:15:25.981
The treadmill person is twenty-eight hours

00:15:26.101 --> 00:15:26.461
slower.

00:15:26.822 --> 00:15:27.302
For here,

00:15:27.582 --> 00:15:28.984
you need to lift the note burden,

00:15:29.344 --> 00:15:30.965
and as Tony Meritato is chiming in right

00:15:30.985 --> 00:15:31.164
there,

00:15:31.445 --> 00:15:34.527
documentation shouldn't take thought.

00:15:36.479 --> 00:15:38.360
That doesn't mean it doesn't take skill,

00:15:38.822 --> 00:15:40.403
but you should be having the skill during

00:15:40.442 --> 00:15:40.943
the session.

00:15:41.364 --> 00:15:42.645
That's where the skill comes in.

00:15:43.687 --> 00:15:44.888
I don't want, you didn't sign up.

00:15:44.947 --> 00:15:45.769
I've seen so many people.

00:15:46.110 --> 00:15:47.291
I didn't sign up to be good at

00:15:47.311 --> 00:15:48.011
documentation.

00:15:48.852 --> 00:15:49.212
Good.

00:15:49.754 --> 00:15:52.356
Gosh, if only there was a tool.

00:15:52.836 --> 00:15:53.258
There are.

00:15:54.315 --> 00:15:55.155
You not using them,

00:15:55.796 --> 00:15:57.177
you not using them as an owner.

00:15:57.236 --> 00:15:58.278
I'm talking to the owners here because

00:15:58.298 --> 00:15:58.638
you're the one.

00:15:58.658 --> 00:15:59.639
You have a decision makers.

00:15:59.999 --> 00:16:01.460
You not using them in twenty twenty six

00:16:01.779 --> 00:16:02.520
is a decision.

00:16:02.841 --> 00:16:05.702
You have decided not to solve this

00:16:05.942 --> 00:16:06.423
problem.

00:16:07.465 --> 00:16:08.985
Oh, great quote from Megan Brown.

00:16:10.567 --> 00:16:12.707
Megan says an excuse is it is a.

00:16:14.667 --> 00:16:17.988
The excuse is a problem you have decided

00:16:18.048 --> 00:16:18.688
not to solve.

00:16:19.769 --> 00:16:20.609
Ooh, that hits hard.

00:16:20.889 --> 00:16:21.429
Thank you, Megan.

00:16:22.269 --> 00:16:22.970
So here's the thing.

00:16:23.070 --> 00:16:24.150
This is the kind of data you can

00:16:24.230 --> 00:16:26.392
use to coach your team, not punish them,

00:16:26.731 --> 00:16:27.591
but it also needs,

00:16:28.913 --> 00:16:30.192
you have to ask yourself as a business

00:16:30.232 --> 00:16:30.393
owner,

00:16:30.873 --> 00:16:32.734
do you have the tools to do these

00:16:32.754 --> 00:16:33.033
things?

00:16:33.553 --> 00:16:36.836
And if you don't, it's on you.

00:16:36.895 --> 00:16:37.956
I know I'm putting a lot of pressure

00:16:37.975 --> 00:16:40.076
on the owners, but you guys wanted,

00:16:40.236 --> 00:16:41.076
you wanted the ball.

00:16:41.317 --> 00:16:41.898
Now you've got it.

00:16:42.847 --> 00:16:43.389
Bottom line,

00:16:43.448 --> 00:16:45.110
in this section of Prompt's report,

00:16:45.149 --> 00:16:46.671
it says AI doesn't replace therapists.

00:16:47.010 --> 00:16:49.913
It supports them based on their work

00:16:49.952 --> 00:16:50.352
style.

00:16:50.452 --> 00:16:51.514
And it should be doing that.

00:16:51.594 --> 00:16:52.553
It should be doing that.

00:16:52.573 --> 00:16:53.914
And here's their archetypes one more time.

00:16:54.215 --> 00:16:55.255
Take a screenshot of that.

00:16:55.836 --> 00:16:57.517
I do want to thank Empower EMR.

00:16:57.557 --> 00:16:59.057
If your clinic is stuck in an EMR

00:16:59.077 --> 00:17:02.039
that slows you down, should you be?

00:17:02.159 --> 00:17:03.740
Empower EMR gives you speed,

00:17:03.760 --> 00:17:04.501
clean workflows,

00:17:04.541 --> 00:17:06.163
and features PTs actually ask for.

00:17:06.202 --> 00:17:07.763
For better notes, faster documentation,

00:17:07.784 --> 00:17:09.305
and smooth operations.

00:17:10.191 --> 00:17:11.632
All wrapped up in customer support that

00:17:11.652 --> 00:17:12.271
doesn't ghost you.

00:17:12.612 --> 00:17:14.133
Upgrade your clinic's brain with Empower

00:17:14.212 --> 00:17:14.653
EMR.

00:17:15.073 --> 00:17:15.894
You're nodding along.

00:17:16.913 --> 00:17:19.756
EmpowerEMR.com, EmpowerEMR.com.

00:17:19.796 --> 00:17:21.016
Sharif just came on the show to talk

00:17:21.036 --> 00:17:23.757
about many of these things just the other

00:17:23.797 --> 00:17:23.998
day.

00:17:24.417 --> 00:17:25.657
Fantastic.

00:17:26.298 --> 00:17:26.999
Again, bottom line,

00:17:27.138 --> 00:17:28.519
AI doesn't replace therapists.

00:17:28.660 --> 00:17:29.559
AI is not the thing.

00:17:30.601 --> 00:17:31.661
It's the thing that helps you get to

00:17:31.681 --> 00:17:32.020
the thing.

00:17:32.141 --> 00:17:33.842
It supports or should be supporting them

00:17:34.001 --> 00:17:35.363
based on their work style.

00:17:38.317 --> 00:17:39.420
let's wrap this thing up.

00:17:39.619 --> 00:17:42.563
Parting shots from this report.

00:17:42.682 --> 00:17:43.202
It's big.

00:17:43.462 --> 00:17:44.605
If you need it and you don't have

00:17:44.644 --> 00:17:45.846
it, go to Prompt's website.

00:17:46.385 --> 00:17:46.946
Download it.

00:17:47.166 --> 00:17:48.048
This is going to be everywhere.

00:17:48.188 --> 00:17:49.789
We're going to dive deep into it on

00:17:49.869 --> 00:17:50.349
Thursday.

00:17:50.630 --> 00:17:51.912
It's going to be a lot of, oh,

00:17:51.932 --> 00:17:52.451
we said that.

00:17:52.711 --> 00:17:53.553
Oh, yeah, we said that.

00:17:53.792 --> 00:17:54.334
We said that.

00:17:54.753 --> 00:17:57.757
If the information in Prompt's report

00:17:57.777 --> 00:17:58.317
shocks you,

00:18:00.070 --> 00:18:01.893
Shame on you, I feel.

00:18:02.012 --> 00:18:03.874
But some people need to be told fifty

00:18:03.894 --> 00:18:05.175
times in fifty different ways.

00:18:05.435 --> 00:18:06.717
Here it is in writing in a PDF.

00:18:07.438 --> 00:18:08.077
Parting shot.

00:18:08.298 --> 00:18:08.858
Let's do that.

00:18:08.979 --> 00:18:11.020
Let's do the parting shot.

00:18:12.362 --> 00:18:14.364
This is the parting shot.

00:18:14.923 --> 00:18:16.325
One last mic drop moment.

00:18:16.986 --> 00:18:17.787
No pressure.

00:18:18.227 --> 00:18:20.328
Just your legacy on the line.

00:18:21.957 --> 00:18:23.857
I'll give another thank you to our new

00:18:23.897 --> 00:18:25.199
sponsor, Sarah Health,

00:18:25.500 --> 00:18:27.260
a remote care platform that's turning

00:18:27.300 --> 00:18:28.521
patient engagement into real clinic

00:18:28.582 --> 00:18:29.021
revenue.

00:18:29.281 --> 00:18:30.784
Again, this report is, I mean,

00:18:30.824 --> 00:18:32.384
I'm sure Stephen Cohen is screaming at

00:18:32.404 --> 00:18:33.905
this report and saying, yes,

00:18:34.906 --> 00:18:36.567
this is exactly what RTM helps you do.

00:18:36.948 --> 00:18:37.429
Do it right.

00:18:37.788 --> 00:18:40.191
Sarah Health helps PT clinics streamline

00:18:40.211 --> 00:18:43.032
communication with patients without extra

00:18:43.073 --> 00:18:43.292
time.

00:18:44.826 --> 00:18:46.407
Patients get daily automated messages

00:18:46.448 --> 00:18:47.368
tailored to their care plan.

00:18:47.429 --> 00:18:48.450
No app, no login.

00:18:48.509 --> 00:18:49.590
It's done via text.

00:18:49.730 --> 00:18:50.991
Stephen was explaining that this weekend.

00:18:51.373 --> 00:18:52.333
You just get better outcomes.

00:18:52.534 --> 00:18:54.035
With an average sixty-five percent

00:18:54.075 --> 00:18:54.734
response rate,

00:18:54.775 --> 00:18:56.797
Sarah makes it easy to meet RTM

00:18:56.836 --> 00:18:58.679
requirements and get reimbursed by

00:18:58.739 --> 00:19:00.941
Medicare and commercial insurance faster.

00:19:01.280 --> 00:19:02.182
It's simple to set up,

00:19:02.521 --> 00:19:04.063
easy to integrate with whatever EMR you're

00:19:04.163 --> 00:19:06.204
using, and patients actually use it.

00:19:06.224 --> 00:19:06.925
That's the bottom line,

00:19:06.965 --> 00:19:07.705
so I'll say it twice.

00:19:07.946 --> 00:19:08.946
Patients actually use it.

00:19:09.208 --> 00:19:11.549
Learn more at SarahHealth.io.

00:19:11.569 --> 00:19:12.691
That's SarahHealth.io.

00:19:14.131 --> 00:19:14.651
All right.

00:19:14.751 --> 00:19:17.432
Parting shot.

00:19:17.471 --> 00:19:20.452
Growth isn't about seeing more patients.

00:19:20.532 --> 00:19:21.814
It's about reducing burnout,

00:19:22.193 --> 00:19:23.713
but that's operational, not emotional.

00:19:23.773 --> 00:19:25.894
So maybe we need a new word for

00:19:25.974 --> 00:19:26.414
burnout.

00:19:27.134 --> 00:19:28.135
Operational friction.

00:19:28.996 --> 00:19:32.557
Bad setup in twenty twenty six is not

00:19:32.616 --> 00:19:33.037
excuse.

00:19:33.798 --> 00:19:34.978
Automating the right stuff.

00:19:35.238 --> 00:19:36.218
Fixing cash flow.

00:19:36.238 --> 00:19:37.398
It's funny how all these things sort of

00:19:37.419 --> 00:19:38.239
touch each other, isn't it?

00:19:38.939 --> 00:19:40.740
Run your practice like a system.

00:19:41.637 --> 00:19:42.538
not a fire drill.

00:19:42.659 --> 00:19:44.539
That's what I took out of this.

00:19:45.160 --> 00:19:46.060
It's not an accident.

00:19:46.300 --> 00:19:48.982
The high performing clinics in this report

00:19:49.423 --> 00:19:50.824
didn't get there by accident.

00:19:50.884 --> 00:19:52.065
They didn't get there because they had an

00:19:52.105 --> 00:19:52.825
inside scoop.

00:19:53.265 --> 00:19:54.445
You don't have to guess what's working.

00:19:54.546 --> 00:19:56.948
And now it shows you in data what

00:19:57.008 --> 00:19:59.068
high growth clinics are doing and what

00:19:59.108 --> 00:20:00.890
clinics who are about to crash and burn

00:20:00.910 --> 00:20:02.872
and not exist are not doing.

00:20:02.971 --> 00:20:04.532
So if you're a clinic owner, a director,

00:20:05.053 --> 00:20:06.554
or just somebody who's trying to make PT

00:20:06.574 --> 00:20:08.075
better, if you're not the owner,

00:20:08.535 --> 00:20:10.537
send this video or that report to your

00:20:10.576 --> 00:20:10.957
boss.

00:20:12.480 --> 00:20:15.403
send it to them and let's be realistic

00:20:15.463 --> 00:20:17.986
fix one thing fix one thing this week

00:20:18.547 --> 00:20:21.528
one workflow one system one unnecessary

00:20:21.630 --> 00:20:23.932
friction point that we just talked about

00:20:24.112 --> 00:20:25.173
one let's be realistic

00:20:27.682 --> 00:20:27.781
Now,

00:20:27.862 --> 00:20:29.142
don't forget to subscribe and share this

00:20:29.182 --> 00:20:30.182
with someone who runs a clinic.

00:20:30.262 --> 00:20:31.603
I'll see you guys in the next episode.

00:20:31.682 --> 00:20:32.682
I already know we're going to be talking

00:20:32.702 --> 00:20:34.044
about this on PT Breakfast Club on

00:20:34.104 --> 00:20:35.983
Thursday, eight thirty Eastern.

00:20:36.765 --> 00:20:37.984
This has been PT Pinecast.

00:20:38.085 --> 00:20:38.404
I'm Jimmy,

00:20:38.424 --> 00:20:39.965
your tour guide through the chaos.

00:20:40.086 --> 00:20:41.486
I'm just yelling into a microphone because

00:20:41.526 --> 00:20:43.165
I want you to exist in twenty twenty

00:20:43.227 --> 00:20:43.547
seven.

00:20:43.906 --> 00:20:45.366
I'll see you guys in the next episode.

00:20:45.747 --> 00:20:46.207
Until then,

00:20:46.247 --> 00:20:48.288
stop treating your staff like robots and

00:20:48.307 --> 00:20:49.928
start building a system that support

00:20:49.948 --> 00:20:51.949
humans so you can be a great physical

00:20:51.969 --> 00:20:54.309
therapist and great PT clinic and help

00:20:54.369 --> 00:20:54.710
people

00:20:55.450 --> 00:20:56.871
which is why we started this big damn

00:20:56.891 --> 00:20:59.251
thing in the first place.