TL;DR
About 65% of patients abandon their home exercise programs within the first month, making software choice a clinical outcome decision. This physical therapy software review covers seven HEP and patient engagement platforms (not full EMR suites) with transparent pricing, real user feedback, and honest tradeoffs. AC Health stands out for solo and small-clinic PTs who want custom video HEPs and RTM automation. MedBridge wins for CEU-bundled workflows. Physitrack fits high-volume library clinics. Budget-conscious students should look at HEP2Go, but “free” comes with hidden costs.
Why Your HEP Software Choice Actually Matters
Patient adherence to home exercise programs sits somewhere between 35% and 72% depending on the study, and non-adherence in unsupervised programs can reach as high as 70%. That means the exercises you prescribe between sessions, the ones that drive long-term outcomes, go unfinished more often than not.
This isn’t just a patient motivation problem. It’s a systems problem. Printed handouts get lost. Generic stock videos don’t match the cues you gave in the clinic. Texting exercise photos from a personal phone creates HIPAA risk. The software layer between your sessions and your patient’s living room determines whether your plan gets followed or forgotten.
The physical therapy technology category has expanded rapidly, and the 2026 CMS rule changes make the stakes even higher. New RTM codes (including CPT 98985, which pays roughly $51 for just 2 to 15 days of monitoring data) mean platforms with built-in Remote Therapeutic Monitoring can generate $77 to $116 per patient per month in reimbursement. Platforms without it leave that money on the table.
This physical therapy software review focuses specifically on HEP, patient engagement, and RTM platforms. Full EMR suites like Raintree and TheraOffice solve a different problem (scheduling, documentation, billing infrastructure). If you need the engagement layer that lives between visits, keep reading.
Explore AC Health’s free plan to see how it fits your practice.
At-a-Glance Comparison Table
| Platform | Starting Price | Custom Video | HIPAA Chat | RTM Billing | Library Size | Best For |
|---|---|---|---|---|---|---|
| AC Health | Free (5 patients); $14/mo+ | ✅ One-tap | ✅ Native | ✅ Full automation | Custom + optional 20K+ | Solo/small clinics, personalized care |
| MedBridge | $325/yr (individual) | Upload only | ✅ Included | ✅ ($10/episode) | 8,000+ stock | Multi-site + CEU needs |
| Physitrack | $21.99/mo per practitioner | Upload only | ✅ Two-way | Coming soon | 17,000+ narrated | High-volume library clinics |
| HEP2Go | Free; Pro ~$7/mo | Upload photos/video | ❌ | ❌ | 2,000+ | Students, budget practices |
| WebPT HEP | $99/mo per provider (base) | Upload available | ✅ Secure | ✅ (Keet add-on) | Thousands | Existing WebPT users |
| PtEverywhere | ~$125/provider/mo | ✅ Upload | ✅ Secure | Limited | Hundreds built-in | Cash-pay all-in-one |
| Keet/Net Health | Custom quote | Via library | ✅ Secure | ✅ | 8,500+ | Enterprise outcomes focus |
Now for the detailed physical therapy software review of each platform.
1. AC Health
Best for: Solo and small-clinic PTs who want personalized video HEPs and automated RTM billing
AC Health is built around a simple idea: patients follow through when they see their own clinician demonstrating their exact exercises, not a stock model performing a generic version. The platform lets you record custom video instructions in one tap during the visit, assign them instantly, and track adherence from a single workspace.
Pricing:
- Free: $0/month, up to 5 active patients
- Basic: $14/month, 6 to 15 patients
- Professional: $29/month, 16 to 30 patients (adds printable care plans)
- Unlimited: $45/month, 31+ patients (adds RTM automation)
- Clinic: $60/month for multi-location practices with shareable libraries
- White-label branded app: $400 setup + $150/month
Full tier details are on AC Health’s pricing page.
Key features:
- One-tap custom video capture during appointments, eliminating after-hours HEP creation. Practitioners report this reduces admin time significantly.
- HIPAA-native messaging with unlimited video, photo, and text, keeping PHI off personal phones and SMS threads.
- RTM automation supporting CPT codes 98975, 98977, 98980, and 98981 with 16-day automatic updates, code-state visual cues, and one-click report generation for CMS-1500 attachment. Details on implementing RTM billing workflows walk through the full process.
- Behavior-change nudges and patient-scheduled reminders designed to boost compliance between sessions.
- Knowledge Tracks for post-discharge revenue: subscription or one-time content channels (ergonomics, sport-specific programs) that maintain patient relationships after formal care ends.
- White-label option for clinics wanting their own branded iOS, Android, and web app with built-in NPS surveys, in-app referrals, and optional third-party exercise libraries (20,000+).
Tradeoffs:
- No built-in CEU library. If continuing education bundled with HEP is a priority, MedBridge is better suited.
- EMR integrations aren’t prominently featured. Clinics deeply embedded in a specific EMR may need to evaluate workflow compatibility.
- Smaller vendor scale compared to MedBridge or WebPT, though the lower price point and fast setup offset this for small practices.
- Some app store reviews mention occasional sign-out issues, though the development team responds publicly and has addressed server-side updates.
Real user perspective: AC Health reports a 91/100 patient NPS and holds a 4.9/5 rating on Capterra across 10 reviews, with practitioners praising the in-visit capture speed, easy sharing, and responsive support. Case studies from clinics like Total Body Physical Therapy and Dallas Pelvic Health document real clinic results including increased referrals and 10+ hours saved weekly.
RTM revenue math: If even 20 of your 30 active patients qualify for RTM at a blended average of roughly $90 per patient, that’s approximately $1,800 per month, or $21,600 per year. At the $45/month Unlimited plan, the software pays for itself with a single qualifying patient.
For multi-location practices, the Clinic plan details explain how shareable libraries and multiple channels work.
2. MedBridge
Best for: Multi-site practices that want CEUs and HEP in a single subscription
MedBridge is the most recognized name in the physical therapy software review space, largely because it bundles continuing education with clinical tools. The HEP builder includes thousands of professionally filmed exercise videos, pre-built templates, and a patient education portal, all connected to one of the largest CEU libraries in rehabilitation.
Pricing:
- Individual plans start at $325/year (Education tier) with the Premium plan (HEP builder + patient education) at approximately $349/year with promotional pricing.
- Group plans use episodic billing: Care Essentials plans provide 100 HEP episodes per seat, shared across the organization.
- Episodes beyond the pool cost $1.50 each.
- RTM/Pathways episodes are billed at $10 each.
- All plans require a 12-month commitment paid upfront.
Key features:
- 8,000+ stock exercise videos with professional production quality.
- Integrated patient education content and CEU courses in a single platform.
- MedBridge GO app with over 100,000 reviews across Google Play and the App Store.
- Clinicians using MedBridge HEP with EMR integration report saving 2 minutes per patient, averaging $4,500 in savings per clinician per year.
Tradeoffs:
- The per-episode overage model can create cost surprises at scale. Physitrack has specifically called out MedBridge’s “$1.50 per HEP episode” as a scaling concern for larger organizations.
- All video content is stock footage. You can upload your own, but the platform wasn’t designed around clinician-recorded custom video. For nuanced cases like pelvic floor cues, sport-specific movements, or post-surgical modifications, stock libraries often don’t have the exact exercise you need.
- No permanent free tier. The annual upfront commitment is a barrier for solo clinicians testing the waters.
Real user perspective: A recurring complaint on Capterra involves the 30-minute HIPAA auto-logout, which logs users out mid-session and causes unsaved work to be lost. One reviewer noted, “My only complaint about the software is that the home exercise database doesn’t always have the exact exercise I want to give my patient.” These are solvable annoyances, not dealbreakers, but they matter during busy clinic days.
3. Physitrack
Best for: High-volume clinics that want a massive exercise library with PROMs and global compliance certifications
Physitrack positions itself as the largest exercise library in the HEP space, with over 17,000 narrated, high-definition exercise videos and 3D anatomical animations. It’s used by more than 110,000 practitioners in 174 countries, and holds HIPAA, GDPR, and ISO 27001/27018 certifications, making it one of the most compliance-credentialed options available.
Pricing:
- $21.99/month per practitioner (USA pricing).
- Monthly and annual billing options, both with a complimentary 2-week trial.
- Volume discounts available for 100+ practitioners.
Key features:
- 17,000+ narrated exercise videos and 3D anatomical animations.
- Real-time adherence tracking, pain level monitoring, and Patient-Reported Outcome Measures (PROMs).
- Two-way HIPAA-compliant messaging.
- Broad EMR integrations and built-in telehealth capabilities.
Tradeoffs:
- RTM is listed as “coming” but not fully launched. For clinics looking to bill CPT 98975 through 98981 now, this is a significant gap. Platforms with active RTM workflows offer an immediate revenue advantage.
- Per-practitioner pricing adds up quickly for multi-provider clinics. A 10-provider practice pays roughly $220/month before any add-ons.
- The platform is designed around its stock library rather than clinician-recorded video. You can upload custom content, but the workflow wasn’t built for in-visit capture.
Real user perspective: One Physitrack user on a review site noted, “The price is not the lowest as far as HEP software goes, but worth it due to all the great features!” The general sentiment is that you get what you pay for: a polished, library-first experience with strong outcome tracking, but less flexibility for personalized content creation.
4. HEP2Go
Best for: Students and extremely budget-constrained solo clinicians who need basic exercise handouts
HEP2Go has been a staple in physical therapy education for years, and its zero-cost entry point makes it the default recommendation in many PT programs. With over 2,000 exercises and a straightforward interface, it gets the job done for simple printed handouts.
Pricing:
- Free tier with basic functionality.
- Pro plan at approximately $7/month, unlocking unlimited saved routines, email/SMS/QR sharing, custom branding, and Google Translate support in 95 languages.
Key features:
- Zero-cost entry point for basic HEP creation.
- Quick program creation with a simple, no-frills interface.
- Pro plan adds sharing options and multilingual support.
Tradeoffs:
- No Remote Therapeutic Monitoring support whatsoever. You cannot bill CPT codes 98975 through 98981, which means forfeiting roughly $77 to $116 per patient per month in potential RTM revenue.
- No HIPAA-compliant messaging. Any communication about exercises happens through unsecured channels, and this creates compliance risk. Learn more about secure alternatives to texting PHI.
- Practitioners on Reddit and PT forums flag frequent outages and security concerns. Multiple threads describe losing access to saved programs during periods of downtime.
- Limited to no EMR integration, forcing manual data entry.
- The printout-first model feels increasingly dated as patients expect app-based delivery with video.
The “free vs. hidden cost” argument: HEP2Go’s price tag is genuinely $0, but the cost of not having RTM capabilities is real. If you have 20 patients who could qualify for monitoring, that’s potentially $1,800/month in unbilled revenue. “Free” HEP software can be the most expensive option in your practice.
For a deeper comparison, read the full HEP2Go vs. AC Health breakdown.
5. WebPT (HEP Add-on)
Best for: Practices already using WebPT EMR that want chart-level HEP integration
WebPT is one of the most widely adopted EMR systems in outpatient rehabilitation, and its HEP module is designed to work seamlessly within that ecosystem. If you’re already invested in WebPT for documentation and billing, adding the HEP component avoids introducing another vendor.
Pricing:
- Base EMR starts at $99/month per provider.
- Implementation costs range from $500 to $2,000.
- Additional fees for setup, training ($150 to $300/hour), advanced billing modules, and telehealth.
- HEP is an add-on to the EMR, not available as a standalone product.
Key features:
- Strong standardized documentation templates and automated flowsheets.
- HEP includes thousands of video exercises available in up to eight languages.
- Deep integration with WebPT’s charting, making exercise prescriptions visible at the chart level.
Tradeoffs:
- Total cost with add-ons climbs well beyond the $99 base. One user on a review platform put it bluntly: “It was very expensive and everything was ala carte.”
- Implementation timelines run 8 to 16 weeks, creating a long onboarding period before the practice sees value.
- Multiple users report performance and speed issues including frequent outages and slow loading. Users migrating away frequently cite documentation speed as a primary driver.
- HEP is secondary to the EMR. If your main need is patient engagement and you aren’t already a WebPT customer, this adds unnecessary complexity and cost.
Real user perspective: The WebPT community is large and vocal. While many appreciate the documentation workflow, the recurring theme in review forums is frustration with the pricing model and incremental add-on costs that make budgeting difficult. Practices looking specifically for HEP and engagement features can often find more focused, lower-cost solutions.
6. PtEverywhere
Best for: Cash-pay and hybrid rehab clinics wanting a single all-in-one platform
PtEverywhere takes the opposite approach from specialized HEP tools: it bundles EMR, scheduling, billing, telehealth, messaging, and patient engagement into one platform. For cash-pay practices that want to avoid managing multiple vendors, it’s an attractive proposition.
Pricing:
- Starts at approximately $125 per provider per month, billed annually.
- Telehealth is an add-on at $25/month per provider.
- AI Scribe included at no extra cost.
Key features:
- All-in-one practice management with EMR, scheduling, billing, and patient engagement.
- AI Scribe for documentation assistance.
- Secure messaging and telehealth capabilities.
- Custom exercise upload supported.
Tradeoffs:
- HEP functionality is clearly secondary to EMR features. The exercise prescription module exists, but it wasn’t the reason the platform was built.
- Some users find the exercise prescription UX lacking. One reviewer on a public review site admitted, “The exercise prescription is not user friendly so we use another program,” while simultaneously praising the EMR: “This is by far the best EMR I’ve ever used. I run a cash PT clinic and it’s perfect.”
- The built-in exercise library is smaller (hundreds, not thousands) compared to dedicated HEP platforms.
- Annual billing requirement with per-provider pricing makes it expensive for growing practices.
If you’re running a cash-pay clinic and want one platform for everything, PtEverywhere delivers on that promise. Just be prepared to supplement the HEP piece with a dedicated tool if personalized exercise prescription is central to your care model. Exploring innovative PT business models can help clarify which tools match your revenue strategy.
7. Keet Health / Net Health Limber
Best for: Mid-to-large organizations focused on outcomes reporting and value-based care
Keet Health was originally a WebPT product before Net Health acquired it in January 2026 as part of a broader rehab therapy platform strategy. It’s now being integrated with Net Health’s Limber platform, combining patient engagement, outcomes tracking, and RTM into an enterprise-grade offering.
Pricing:
- Available upon request only. Some third-party sources list a free tier, but pricing specifics are opaque.
- Enterprise-focused, likely requiring custom contracts.
Key features:
- CMS-approved Qualified Clinical Data Registry (QCDR) for MIPS reporting and value-based care.
- 8,500+ exercise videos with clinical-grade education and questionnaires.
- RTM capabilities for monitoring patient progress between appointments.
- Outcomes benchmarking designed for larger organizations.
Tradeoffs:
- The Net Health acquisition creates integration uncertainty. Clinics considering Keet should ask directly about the product roadmap and how Keet features will merge with Limber.
- Opaque pricing makes it impossible to evaluate cost without a sales conversation, which is a red flag for small practices watching their budget.
- Not designed for solo or small practices. The enterprise focus, QCDR features, and value-based care positioning assume a certain organizational scale.
- Practices outside the Net Health/Clinicient ecosystem may find onboarding and integration more complex than alternatives built for independence.
How to Choose the Right Physical Therapy Software
After reviewing these seven platforms, the right choice depends on your practice type, patient volume, and revenue model. Here’s how to think about it:
Solo or mobile PTs: Start with a free or low-cost option that prioritizes personalized content and doesn’t charge per-provider fees. AC Health’s free tier (5 patients) lets you test without commitment, then scales to $14/month.
Small clinics (2 to 5 providers): Custom video and RTM automation will generate the most return. Flat-rate monthly pricing beats per-episode or per-provider models at this scale. Improving patient engagement should be a core part of the evaluation criteria, not an afterthought.
Multi-site organizations: Consider whether your priority is CEU bundling (MedBridge), library breadth (Physitrack), or outcomes reporting (Keet/Net Health). For these organizations, enterprise pricing and EMR integration depth matter more than per-feature comparisons.
Cash-pay clinics: An all-in-one like PtEverywhere simplifies vendor management, but supplement the HEP piece if personalized exercise prescription drives your outcomes.
Key questions to ask during demos:
- What happens when I exceed the included patient/episode limits?
- Can I record and assign custom video during a visit, or only upload pre-recorded content?
- Is RTM billing fully automated, or does it require manual steps?
- How does the platform handle HIPAA-compliant messaging? Is it in-app or outsourced?
- What’s the total cost for my provider count, including all add-ons?
RTM revenue should be a deciding factor, not a checkbox. With CMS expanding codes in 2026, a platform that automates RTM billing workflows can add $21,600 per year for a solo clinician with just 20 qualifying patients.
Frequently Asked Questions
What is physical therapy software?
Physical therapy software is a broad category covering everything from EMR and practice management systems (scheduling, billing, documentation) to specialized tools for home exercise programs, patient engagement, and remote monitoring. This physical therapy software review focuses on the HEP and engagement layer, not full EMR platforms.
What’s the difference between EMR software and HEP software?
EMR software handles clinical documentation, scheduling, and billing inside the clinic. HEP software manages what happens between visits: exercise prescription, patient communication, adherence tracking, and remote monitoring. Some platforms (WebPT, PtEverywhere) bundle both. Others (AC Health, Physitrack, HEP2Go) specialize in the engagement layer and work alongside your existing EMR.
Can PT software help with Remote Therapeutic Monitoring?
Yes, but not all of them. AC Health, MedBridge, and Keet/Net Health offer RTM features supporting CPT codes 98975, 98977, 98980, and 98981. Physitrack lists RTM as “coming soon.” HEP2Go has no RTM support at all. Given that RTM can generate $77 to $116 per patient per month, this capability directly impacts your bottom line.
Is there a free physical therapy software option?
HEP2Go offers a free tier, and AC Health provides a permanent free plan for up to 5 active patients. The critical difference: AC Health’s free tier includes HIPAA-compliant messaging and the ability to create custom video HEPs, while HEP2Go’s free tier is limited to basic printout-style programs without HIPAA messaging or RTM.
How do I know if my clinic needs custom video HEPs or a stock library?
If your caseload involves standard exercises (wall slides, quad sets, basic stretches), a stock library covers most needs. But for specialized populations like pelvic floor, post-surgical rehab, or sport-specific training, stock videos rarely match your clinical cues. One pelvic health PT in a case study reported switching to custom video because generic libraries didn’t address the specificity her patients needed.
What should a physical therapy software review prioritize?
Focus on five factors: pricing transparency (watch for per-episode and per-provider costs that scale unexpectedly), RTM billing capability, HIPAA-compliant communication, custom content creation, and adherence tracking. Marketing feature lists look similar across platforms. The real differences show up in cost structure and daily workflow fit.
Choosing the right patient engagement platform is one of the highest-impact decisions a PT clinic owner makes. The adherence gap won’t close itself, and the RTM revenue opportunity won’t last forever as a competitive advantage. If you’re ready to evaluate how personalized video HEPs and automated RTM could work in your practice, schedule a demo with AC Health or start with their free plan to test the workflow with your next five patients.
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