A faster note is
not a safer note.
Built for the US therapists who author and sign
Physical therapists, occupational therapists and speech-language pathologists in outpatient practice, and the assistants who work alongside them. The report is always authored and signed by the licensed clinician.
The reports US therapists write
Researched against the Medicare Benefit Policy Manual, the IDEA evaluation regulations, the SSA exertional definitions and state licensure rules. US sources only.
The Medicare Progress Report and the Evaluation and Plan of Care are switched on. The other six are written and are being tested against real cases before anyone can pay for them; they stay marked coming soon until each passes.
Medicare Progress Report
Progress against plan-of-care goals, written to the CMS documentation requirements for Part B outpatient therapy.
Evaluation & Plan of Care
Initial evaluation with diagnoses, long-term treatment goals, and the type, amount, frequency and duration Medicare requires.
Functional Capacity Evaluation
Demonstrated abilities, consistency of effort and job-match findings, classified against the federal exertional levels.
School-Based Evaluation (IDEA)
OT, PT and speech-language evaluation reports for IEP teams, to the federal evaluation procedures.
Home Safety & Aging-in-Place
Fall risks, barriers and modification recommendations for safe independent living.
Wheelchair & Power Mobility Evaluation
Specialty evaluations supporting Medicare power mobility and complex rehab equipment funding.
FBA / Behavior Intervention Plan
Functional behavioral assessments and behavior intervention plans for school teams.
Discharge Note / Summary
End-of-episode summary covering progress since the last report, to CMS requirements.
What actually gets therapy claims denied
Palmetto GBA reviewed 1,237 therapeutic exercise claims before payment and published the result: a 14% claim denial rate, with these five reasons on top. Three of the five, marked below, are a documentation problem rather than a billing one.
In the 2025 Medicare fee-for-service improper payment data, the leading root cause in the service category that contains outpatient therapy is named as Physical/Occupational/Speech Therapy — Certification/Recertification — Missing. Across Part B as a whole, insufficient documentation accounts for 58.4% of improper payments.
CMS, 2025 Medicare FFS Supplemental Improper Payment DataEveryone shipped a scribe. Nobody shipped a clock.
Between February 2025 and July 2026 every major rehab EMR launched an ambient AI scribe. Read their own announcements and the promises cluster in three places: minutes saved per note, CPT code suggestions, and the phrase audit-ready.
That is real work and it helps. Dictating is genuinely faster than typing.
Those four dates are what the reviewer opens the chart to check. They are what Carearoo is built around.
The numbers the engine is written against
Invoicing you can use today
Free whether report drafting ever matters to you. Cash-pay clients, school contracts, independent contractor work, medico-legal work. Set your details once and every invoice after that takes seconds.
Pay for a report,
or don’t pay at all.
No subscription, no seats, no minimum. Invoicing stays free whether you ever generate a report or not.
Create free account · Pay when ready
Create free account · Pay when ready
Create free account · Pay when ready
Paid per report. Your first report is free, and founding members keep launch pricing as the US range grows. Invoicing stays free whether you draft a report or not.
Straight answers about your data
Before you sign up
What can I actually use today?
Two Medicare report types, drafted from your notes on your own template: the Medicare Progress Report (including the discharge note) and the Evaluation and Plan of Care. Your first one is free. Plus invoicing, free and unlimited, in US dollars with your routing and account numbers, sales tax handled honestly and travel billing.
When do the other report types open?
The functional capacity evaluation, school-based evaluation, home safety, wheelchair and mobility, FBA and discharge summary types are written and are being tested against real cases. Each opens when it passes, not on a date we picked in advance. Join early access and you will be told the day a type opens.
Is this a scribe?
No. A scribe listens to the visit and turns speech into a note. Carearoo takes what you already have, your measures, your goal progress, your clinical reasoning, and writes the document the reviewer reads, in the structure section 220 asks for.
Will it write an Australian report with American words in it?
No. The US engine has its own prompt, its own vocabulary and its own structures, built from the Medicare Benefit Policy Manual itself rather than a summary of it. No NDIS language, no G-codes, no re-evaluation label where a progress report belongs.
Do I need to use your template?
No. Upload your own practice template and the draft is written into it. Your branding, your layout, untouched.
Who is it for?
Physical therapists, occupational therapists and speech-language pathologists in outpatient practice, and the assistants who work alongside them. The report is always authored and signed by the licensed clinician.
What does it cost?
Invoicing is free and stays free. Reports are $39 each, whatever the type, with the first one free. Ten and twenty report packs bring it to about $20 each. The tools you are already being shown charge $69 to $100 a month per clinician; here you pay only for the reports you actually generate, and nothing in a month you do not.
Guides on the reports you write
Free, no sign-up. Written from the rules themselves, with every source linked.
Judge the output
on one of your own cases.
Start free today. Your first Medicare report is on us, you keep founding-member pricing, and you get direct input into the US report formats as the range grows.
Carearoo assists with drafting only. The treating clinician reviews everything and signs the report under their own professional authority.