Precision EMR Infrastructure
Voice-first documentation. Intelligent billing. Predictive analytics. One platform built from the ground up for physical therapy.
No credit card required · 14-day free trial · HIPAA compliant
Everything Your Clinic Needs
Documentation writes itself while you treat. Rootline listens and generates complete SOAP notes automatically.
Hands-free control. Dictate notes, navigate the chart, and trigger workflows without touching your keyboard.
Catch claim issues before submission. AI reviews every claim against payer rules and flags errors before they cost you.
Identify dropout risk early. ML models analyze attendance, pain scores, and engagement to flag at-risk patients.
Autonomous overnight AR recovery. AI follows up on denials, resubmits claims, and chases payment while you sleep.
AI audits every note for undercoded or overcoded CPT/ICD-10 pairs and surfaces missed billing opportunities.
Instant insurance verification. Check benefits, copays, and deductibles in real time before every visit.
Upload and extract structured data. AI parses referrals, labs, insurance cards, and imaging reports.
Track denial rates, payment timelines, and policy shifts by payer with AI-generated alerts.
Automated SMS and push outreach. Reminders, HEP nudges, and satisfaction surveys — all on autopilot.
Video visits with auto-documentation. Full telehealth built in with notes generated post-session.
Remote patient monitoring. Track activity between visits with Apple Health and Fitbit integration.
HIPAA-compliant messaging built into the chart. Threaded, searchable, and audit logged.
Litigation-ready reports in minutes. Comprehensive medicolegal reports with one click.
Everything new PTs need to open. Templates, intake forms, billing setup, and workflows for day-one readiness.
Connect with any health system. HL7 FHIR R4 compliant APIs for seamless data exchange.
One dashboard for all locations. Staff, schedules, billing, and analytics from a single view.
How It Works
Create your account in 60 seconds. No credit card required to start your 14-day trial.
Import your patients, set up your team, and customize workflows to match how you practice.
Begin documenting with AI from day one. Most clinics are fully productive within 48 hours.
Simple Pricing
Flat monthly pricing · No per-provider fees
A physical AI employee deployed in your clinic. Handles documentation, billing, denial recovery, and coding — autonomously, 24/7.
$599
/month · flat rate
Hardware included · No per-provider fees
Or choose a software-only plan by service line
PT clinics & practices
Flat rate
Home health agencies
Flat rate
Hospice agencies
Flat rate
AI That Actually Works
Save 2+ hours
per day on documentation
94%
first-pass claim acceptance
Reduce denials 67%
compared to manual review
7-day churn prediction trained on 50,000+ PT episodes
+31% retention
through proactive intervention
Every note audited for missed revenue before submission
+18% revenue
average increase from coding optimization
Autonomous overnight AR recovery — works while you sleep
Recover 40% more
of aged AR within 30 days
Expand Beyond the Clinic
Purpose-built modules for home health and hospice — not bolted-on afterthoughts.
Complete home health PT management with regulatory compliance built in.
CMS-compliant out of the box
OASIS-E1 ready with auto-validation
Compassionate care deserves purpose-built tools — not generic EMR workarounds.
Built for dignity and compliance
Medicare hospice benefit workflows included
Security-First Architecture
PHI access controls, audit logging, and minimum necessary standard enforced across every feature.
Independently audited controls for security, availability, and confidentiality.
All data encrypted at rest with AES-256 and in transit with TLS 1.3.
Business Associate Agreement provided to all customers.
Every PHI access logged with user, timestamp, IP, and action. Retained 7 years.
PHI is never sent to AI models. All data stripped before processing.
Technical Specifications
Every AI feature runs locally on a Mac Mini deployed in your clinic. PHI never leaves your building. No per-token fees. No rate limits. Fully offline-capable.
On-premise (Apple Silicon M4 Pro)
All AI models run locally on a Mac Mini deployed in your clinic. PHI never leaves the building.
Llama 3.1 8B + Qwen 2.5 32B
Open-weight models with commercial licenses. No per-token fees, no rate limits, no cloud dependency.
Whisper Large v3 (local)
OpenAI Whisper runs on-device for all transcription — ambient scribe, voice commands, telehealth documentation.
AES-256 at rest, TLS 1.3 in transit
Zero-knowledge architecture. All PHI encrypted with AES-256. All network traffic over TLS 1.3.
Immutable, 7-year retention
Every PHI access logged with user, timestamp, IP, and action. Tamper-proof, append-only audit trail.
Automatic PHI stripping
Names, DOB, SSN, MRN, phone numbers, and addresses are stripped via regex before any AI processing. AI models never see patient identifiers.
Automated, runs locally
Rule-based compliance auditor with AI-assisted anomaly detection. Monitors access patterns, verifies audit log integrity, flags minimum-necessary violations. Runs nightly on the local Mac Mini — no cloud AI involved.
HIPAA, SOC 2 Type II, BAA
Full HIPAA compliance with BAA for every customer. SOC 2 Type II independently audited. All AI processing on-premise eliminates third-party PHI exposure.
AI denial prevention (local)
Pre-submission claim analysis runs locally. CPT/diagnosis alignment, unit limits, auth verification, 8-minute rule compliance. No claim data sent to cloud.
Autonomous AI billing agent
AI agent processes AR recovery, resubmits corrected denials, and drafts appeal letters overnight on the local Mac Mini. Morning digest emailed to billing managers.
HL7 FHIR R4
Full FHIR R4 API for data exchange with hospitals, payers, and health information exchanges.
None (failsafe only)
Rootline runs fully offline on local hardware. Cloud APIs are kept as automatic failsafe only — activated if the local device is unavailable.
Rootline includes a built-in HIPAA compliance auditor that runs entirely on a local Mac Mini deployed in your clinic. It performs rule-based access pattern analysis, audit log integrity verification, minimum-necessary enforcement, and AI-assisted anomaly detection — all without sending any data to the cloud. Nightly reports are generated locally using an on-device LLM. No third-party AI services process your PHI.
Rootline runs all AI documentation features locally on an Apple Silicon Mac Mini in your office. The OASIS documentation assistant, EVV compliance tracker, and Medicare certification workflow all use on-device AI models (Llama 3.1 and Whisper). Your OASIS assessments are validated against CMS requirements locally, documentation completeness is scored in real-time, and compliance gaps are flagged before submission — all without PHI ever leaving your network. The built-in HIPAA auditor runs nightly to verify access patterns and audit log integrity.
Rootline is an AI-native EMR built specifically for physical therapy that runs its entire AI stack locally on a Mac Mini deployed in your clinic. Features include ambient AI scribe (generates SOAP notes from session audio), AI coding copilot (CPT/ICD-10 optimization), AI denial prevention (pre-submission claim scrubbing), predictive patient risk scores, and an autonomous overnight billing agent. All AI inference runs on-device using open-weight models — PHI never leaves your building. HIPAA compliant, SOC 2 Type II audited, with BAA included.
Yes. Rootline deploys a Mac Mini M4 Pro with 48GB unified memory directly in your clinic. All AI features — ambient scribe, voice commands, coding copilot, denial prevention, and billing automation — run on local open-weight models (Llama 3.1 8B and Whisper Large v3). Patient data is processed entirely on-device. Cloud APIs exist only as an automatic failsafe if the local hardware is unavailable, and can be disabled entirely for air-gapped deployments.
On-premise AI eliminates the largest HIPAA compliance risk in cloud AI: PHI transmission to third-party model providers. With Rootline, AI models run on a Mac Mini in your clinic using Apple Silicon acceleration. No BAA is needed with model providers because their models run on your hardware. You get the same AI capabilities — ambient documentation, claim scrubbing, coding optimization — with a stronger compliance posture. The local HIPAA auditor continuously monitors access patterns and generates compliance reports without any external data exposure.
Rootline includes AI-powered denial prevention that runs entirely on local hardware. Before every claim submission, the system analyzes CPT/diagnosis alignment, verifies units are within payer limits, checks authorization requirements, and validates 8-minute rule compliance. The AI model (Llama 3.1 8B) runs on a Mac Mini in your clinic — no claim data is sent to cloud AI services. Historical denial patterns are analyzed locally using a larger model (Qwen 2.5 32B) during overnight batch processing to continuously improve payer-specific rules.
Answers
We handle the entire migration for you. Our onboarding team exports your data from your current EMR, cleans it, and imports it into Rootline. Most clinics complete migration in under 2 weeks with zero downtime.
Yes. We support imports from WebPT, Therabill, Clinicient, SimplePractice, and most other PT EMRs via CSV or direct API. Patient demographics, visit history, notes, and treatment plans all transfer.
Sign up and get full access to Rootline for 14 days, no credit card required. At the end of your trial, choose a plan that fits your clinic size. Your data is never deleted if you decide to subscribe later.
Absolutely. Rootline is HIPAA compliant, SOC 2 Type II audited, and uses AES-256 encryption. We sign a BAA with every customer. Your data is hosted in HIPAA-eligible AWS infrastructure and never shared with third parties.
Most solo practitioners are fully productive within 24 hours. Multi-provider clinics with data migration typically take 1-2 weeks. We provide dedicated onboarding support, live training sessions, and video tutorials.
Yes. The AI scribe works for both in-person and telehealth visits. For telehealth, it transcribes and documents the video session in real time, generating a complete SOAP note by the time the visit ends.
We support real-time eligibility checks with 900+ payers including all major commercial insurers, Medicare, Medicaid, and workers' comp through our Stedi clearinghouse integration.
Yes. Enterprise customers with 3+ locations receive volume discounts starting at 15%. Contact our sales team for a custom quote based on your clinic network size.
Get Started
Start your free trial today — no credit card required.