New Meet us in Philadelphia, February 2027
One system · Seven products

Seven products.
One login.

Everything a clinic pays seven vendors for, built to fit together as one. Each piece below is its own product. Together they run the whole business.

Cowboy Systems is an all-in-one, AI-native EHR and practice-management platform for physical therapy and allied health clinics. Providers complete a full initial evaluation in about 6 minutes, and claims go out clean the first time.

And the agent that runs it
Our physical therapy agent

A physical therapy agent
trained for your
whole business.

Our physical therapy agent is built and trained by Doctors of Physical Therapy, to help manage workflow, workforce, and much more. Read more

Book a Demo See pricing
What the agent does

That is six of them. See all 42 or what it costs.

The six-minute eval, uncut
4:31
Watch a full initial evaluation go from exam to a signed, coded note, ready to bill. Timed end to end at about six minutes.
The signed, coded note it produces
100%
Signed initial evaluation, page 1 of 9: patient information and subjective history Signed initial evaluation, page 2 of 9: past medical history, vitals and pain Signed initial evaluation, page 3 of 9: observation, palpation and gait Signed initial evaluation, page 4 of 9: range of motion and strength Signed initial evaluation, page 5 of 9: outcome measures and special tests Signed initial evaluation, page 6 of 9: exercises performed and assessment Signed initial evaluation, page 7 of 9: plan of care, goals and CPT codes Signed initial evaluation, page 8 of 9: signatures and physician certification Signed initial evaluation, page 9 of 9: Lower Extremity Functional Scale and therapist signature
The same evaluation, documented: diagnoses, ROM and strength, special tests, goals and CPT codes, signed and ready to bill.
Day onebefore any of it

Your clinic comes with you.

The reason clinics stay somewhere they hate is the thought of moving. 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 on the way in
  • Every row checked before anything is saved, with a problem list you can download
  • Old notes and scanned forms filed onto the right chart
  • Undo any import in one click

Nothing is saved until you have seen the check.

How the move works
Import checkwebpt-export.csv
  • Patients1,284 rows
  • Appointments9,417 rows
  • Documents and scans3,106 files
  • Insurance coverages1,190 rows
  • Phone numbers22 reformatted
  • Dates of birth6 need a look
Ready to import Undo available for 30 days
Sunrise6:15 a.m.

The day starts without you.

Before anyone unlocks the door, the reminders have gone out, the replies have come back, and the empty slot has already been filled from the waitlist.

  • Reminder texts go out 24 hours ahead, and a YES marks the visit confirmed
  • A NO releases the slot, and the waitlist books into it in one click
  • Pre-visit calls confirm the visit and check the insurance before the day opens

You wake up to a day that is already sorted.

Overnightwhile you slept
  • 9:02 p.m.Reminder texts sent14 patients, 24 hours ahead
  • 9:06 p.m.M. Rivera replied YESThursday 2:00 p.m. confirmed
  • 9:31 p.m.T. Okafor replied NOSlot released to the waitlist
  • 9:33 p.m.Waitlist booked the openingD. Hale takes Thursday 2:00
  • 6:15 a.m.Pre-visit calls placedInsurance confirmed on 4 charts
12 visits today11 confirmed, 1 open
You walk in8:05 a.m.

The desk is already done.

Nobody is stood at the counter with a clipboard. The calls that came in overnight were answered, the forms are filled, and the coverage is checked before the first patient sits down.

  • The SI receptionist answers questions, books visits and takes messages
  • Patients complete their own intake, and it lands on the chart
  • Scan an insurance card or a licence and the details fill themselves in
  • Referrals arrive by fax and file straight into charts, not a pile

Fewer holds, fewer callbacks, fewer surprises at check-in.

Pre-visit call
Hi Marcus, confirming your PT eval Thursday at 2. Any change to your insurance?
Nope, same Aetna plan.
Verified, you are all set. See you then.
Lunch12:30 p.m.

And you actually eat it.

The morning's notes were signed in the room. There is nothing to catch up on, so the hour is yours.

What that adds up to. Per full-time provider.
~7 hrsBack every weekAbout 340 hours a year
~8More visits a week, if you fill the timeAbout 380 a year
~$840More revenue a weekAbout $40,000 a year

That is dinner at home, not charting at 9 p.m.

Afternoon2:40 p.m.

Proud to work with the best in the business.

The same rails the biggest companies in the world run on. Wired into your clinic, and included in the price.

Your clinic runs on one system
Evening6:40 p.m.

The building is busy without you in it.

The yoga class is running, the memberships billed this morning, and somebody just booked next Tuesday from their phone. You are at home looking at it on yours.

  • Classes, memberships and packages sit on the same calendar as therapy
  • Patients book, message, pay and do their home exercises in the app
  • Sign a note or text a patient from your phone, from the clinic's number
  • Clinic TV keeps playing your own video library on the floor

One business, one schedule, one set of books.

Today9 visits
9:00 Treatment sessionChecked in
Daily noteDraft, finish
Text sentDay and time
Time off, FridayBlocked
Sign & Lock
Night9:30 p.m.

Everything it runs. All 42 of them.

Everyone else sells you a note taker, then you go buy six more things to run the place. This is the whole list, on one login, for every service you sell and not just the physical therapy side.

  • Whole-business scheduling
  • Yoga, Pilates and dance
  • Memberships
  • Reminder texts
  • YES confirmations
  • SI pre-visit calls
  • The phone answered
  • Waitlist rebooking
  • Booking widget
  • Calendar sync
  • SI drafts the note
  • Nine region suites
  • 42 templates
  • Home exercise program
  • Flow sheets
  • Outcome measures
  • Recert tracking
  • Discharge summaries
  • Telehealth
  • The provider app
  • Eligibility
  • Coding review
  • Claim scrubbing
  • Clearinghouse submission
  • ERA posting
  • Denial appeals
  • Prior authorizations
  • Visits used vs approved
  • Invoices
  • Card payments
  • Missed units found
  • Revenue cycle for 4%
  • Reviews and recalls
  • Referrals into charts
  • Clinical faxing
  • The patient app
  • Patient forms
  • Clinic TV
  • Audit log
  • A signed BAA
  • Role-based access
  • Data export
ehr.cowboy-systems.com
A signed initial evaluation on the patient chart in Cowboy Systems
One system One login. One schedule. One set of books.
  • The front desk 10
  • In the treatment room 10
  • The money 12
  • Reach and trust 10
The front desk10
  • Scheduling for the whole business
  • Yoga, Pilates, dance and classes
  • Memberships and packages
  • 24-hour reminder texts
  • YES replies confirm the visit
  • SI pre-visit calls
  • The phone answered while you treat
  • Waitlist and one-click rebooking
  • Your website and booking widget
  • Two-way Google and Apple Calendar sync
In the treatment room10
  • SI drafts the note from the visit
  • Nine region suites
  • 42 ready-made templates
  • Home exercise program built on signing
  • Flow sheets built on signing
  • Outcome measures scored
  • Recert and progress note tracking
  • Discharge summaries
  • Telehealth visits included
  • The provider app on iPhone and Android
ehr.cowboy-systems.com
The notes and billing screen in Cowboy Systems
One system One login, one schedule, one set of books. Every item around this box is included or priced on the page, never quoted behind a demo. See every feature in detail
The money12
  • Eligibility checked before the visit
  • Coding review on every note
  • Claims scrubbed against the chart
  • Submission through the clearinghouse
  • ERA posting
  • Denial appeals
  • Prior authorizations drafted from the chart
  • Visits used against visits approved
  • Invoices you can email and print
  • Card payments at the desk and online
  • Missed units and unbilled visits surfaced
  • The whole revenue cycle for 4%
Reach and trust10
  • Reviews and recalls after discharge
  • Referrals filed into charts, not piles
  • Clinical faxing
  • The patient app and portal
  • Patients handle their own forms
  • Clinic TV video library
  • Tamper-evident audit log
  • A signed BAA
  • Role-based access per staff member
  • Your data exported whenever you ask

Run a clinic and a studio out of the same building and this is the part nobody else does. One system for the therapy side and everything else, not two.

Buyer questions

Straight
answers.

The questions clinic owners actually ask, answered plainly.

What is the best all-in-one EHR for a physical therapy clinic?

Cowboy Systems is an all-in-one, AI-native EHR and practice-management platform for physical therapy and allied health clinics. It combines documentation, clean-claim billing, scheduling, native patient and provider mobile apps, marketing, websites, and a 24/7 AI phone receptionist in one login, so a clinic runs on a single system instead of paying seven separate vendors.

What is a good WebPT, Prompt, or Empower EMR alternative?

Cowboy Systems is a modern alternative to WebPT, Prompt, and Empower EMR. Unlike older PT EHRs, Cowboy Systems is AI-native: therapists complete a full initial evaluation in about 6 minutes, an AI phone agent answers the clinic's calls and books patients 24/7, and it ships native iPhone and Android apps for patients and providers. It is also truly all-in-one, so billing, scheduling, apps and marketing are included rather than bolted on.

Which PT EHR has AI documentation and ambient note-taking?

Cowboy Systems. Its SI agent drafts the note from the visit and the patient's chart; the therapist reviews, edits what they want, and signs — nothing is final until they do. In our own clinic a full initial evaluation takes about six minutes, a re-evaluation about five, and a progress note under four.

Which EHR includes billing, scheduling, patient apps, and marketing in one system?

Cowboy Systems includes documentation, clean-claim billing, scheduling with text reminders, native patient and provider apps, built-in marketing and patient reactivation, and a website builder — all in one login. Optional full-service billing is available at 4% of collections on top of the monthly plan.

Is there a PT EHR with native iPhone and Android apps?

Yes — Cowboy Systems ships native iPhone and Android apps for both patients and providers. Patients book visits, message the clinic, pay, and follow their home exercise program from the app; providers chart, schedule, and run the clinic from their phone.

What EHR is good for a new or small PT clinic?

Cowboy Systems is built for new and small physical therapy clinics. Pricing is public and starts at $249 a month for up to 2 providers, onboarding includes a guided migration from systems like WebPT, Jane and Prompt, and one platform replaces the stack of separate tools a small clinic would otherwise juggle.

Does Cowboy Systems support RTM (Remote Therapeutic Monitoring) billing?

Yes — Remote Therapeutic Monitoring is built in. Patients are enrolled with a consent flag, the patient app and AI agent capture daily data and count the days of data, a clinician worklist shows which CPT codes are billable, and claims auto-draft when thresholds are met. Under 2026 Medicare rates RTM can bill up to about $168.68 per patient per month — roughly $3,400 a month at 20 enrolled patients. See the RTM revenue calculator.

See it live

Twenty minutes.
Then you will get it.

Book a 20-minute live demo on a real note type. Watch an initial evaluation go from exam to a signed, coded note, ready to bill.

Pick a time below View pricing

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