US Patent 10331856 Physical therapy patient treatment monitoring systems and methods

The physical therapy treatment systems and methods described herein include an active utilization management (UM) program that can monitor the clinical efficacy of outpatient rehabilitation, including on-going physical therapy or occupational therapy. When a treating physician submits a claim, the systems and methods described herein can automatically apply a guideline for monitoring the pace of treatment and outcome of the rehabilitation. The systems and methods can also apply an additional level of clinical oversight when a patient's progress is not improving. By combining the objective criteria with a patient's actual clinical data, a claims handler can more appropriately make an objective decision on a case-by-case basis.