Fusion's outpatient PT expansion

Monday morning, your first client is seven years old and working on motor planning. By early afternoon, you’re progressing a 54-year-old through week six of rotator cuff rehab. Same clinic, same team, same schedule. But if you’ve shopped for physical therapy practice management software lately, you’ve probably noticed the industry keeps trying to split that day in two: one system that gets pediatrics, another that gets adult ortho, and a lot of awkward workarounds in between.

Fusion by Ensora Health was built to hold the whole day. More than 1,200 practices already use Fusion to serve adult clients, and 600+ of them run adult and pediatric PT side by side.¹ This year, Fusion is backing that up with its biggest run of outpatient PT releases yet. Here’s everything that’s new, what it does for your practice, and what’s coming next.

What’s new for outpatient PT, at a glance

This launch isn’t one feature. It’s a coordinated set of releases built to support outpatient physical therapy end to end, from documentation to compliance to care that continues after the client leaves.

Documentation that ends when the session does

Documentation is the biggest source of after-hours work for therapists, and it’s where Fusion invested first this year. AI Session Assistant, released earlier in 2026, captures sessions through ambient listening or dictation and generates structured, ready-to-edit notes inside Fusion. Custom Assessment Sections let clinic administrators build evaluation sections tailored to the practice, designed to capture the adult outcome measures payers expect, so documentation stays consistent across the whole team without paper or rework.

Christina Swendra, Co-Owner at Embrace Therapy Services describes what AI Session Assistant has done for her documentation:

I’m usually behind on my notes, but AI Session Assistant by Fusion has been a game changer for me. It’s honestly been life-changing.

— Christina Swendra, OT & Co-Owner, Embrace Therapy Services

Now, Flowsheets are here. Adult outpatient episodes tend to run long: post-surgical protocols, progressive loading programs, plans of care that span months. Fusion’s flowsheets are customizable and protocol-driven, automatically tracking time-based activities and applying the right CPT codes and CO/CQ modifiers using CMS de minimis logic, so high-volume documentation gets faster and billing gets more accurate at the same time. And because they build on the Activity Lists already in Fusion, there’s no new system to learn: the whole plan of care sits in one view, so clinicians can see progress, plateaus, and what changed between visits immediately.

Compliance and billing built for how practices grow

Insurance-heavy practices feel software gaps in the billing office first. Fusion’s billing has been native to the platform from the start, no third-party billing product, no second login, and this year’s releases close the gaps that matter most as practices scale.

The headline addition is Merit-based Incentive Payment System (MIPS) reporting, now available. MIPS is the Medicare quality program that adjusts reimbursement up or down based on reported performance, and for most practices it currently means managing quality data outside their EHR through manual, disconnected workflows. Fusion’s MIPS support enables native configuration of PT quality measures and provides a system-generated MIPS Data Status Report that identifies complete, missing, or incomplete data before it impacts reimbursement. Quality reporting happens where the clinical data already lives, so staying compliant stops being a second job.

It joins two releases already reshaping billing operations: multiple tax IDs per location, which shipped earlier this year so multi-location practices can run separate billing entities in one system, and account payment tracking, on the way, which will give front offices clear visibility into what every client owes.

Regan Graham, CAP, Senior RCM Manager at Central PA Therapy Connections, described what native billing looks like day to day:

Ensora has improved the efficiency of our staff by the ease in which claims are submitted, payments are processed, and rejections are corrected.

— Regan Graham, CAP, Senior RCM Manager, Central PA Therapy Connections

Care beyond the visit

This year also further extends care past the four walls of the clinic. Powered by Wibbi, Home Exercise Programs (HEP) keep clients engaged with their plan of care between sessions, with adherence data syncing back to Fusion automatically. Remote Therapeutic Monitoring (RTM) builds directly on that same connection: clients’ adherence data and self-reported symptoms flow into Fusion the same way HEP data does today, and Fusion maps that data to the applicable RTM billing codes and generates claims for the monitoring work your team is likely already doing. Two new 2026 Medicare codes also lower the qualifying thresholds, so more of your current caseload is eligible than under the old rules.²

One platform for the whole rehab team

A platform built for one discipline eventually asks every other discipline to work around it. Fusion was built the other way, as a multi-specialty EHR from day one.  Speech-language pathology, physical therapy, and occupational therapy run natively on the same system, which is part of why 58% of Fusion’s customers already operate as multi-specialty practices. Whether your caseload spans disciplines, ages, or both, your team works in one system, on one schedule, with one billing workflow.

Your caseload doesn’t sort itself by age. Your software shouldn’t either.

Time for something new

If your practice has been squeezed between single-discipline software and the cost of running separate systems for separate teams, see what one platform can do.

Frequently asked questions

What’s new in Fusion for outpatient physical therapy in 2026?

Fusion’s 2026 outpatient PT releases include flowsheets, Merit-based Incentive Payment System (MIPS) reporting, and Remote Therapeutic Monitoring powered by Wibbi, all available as of July 14, 2026. They join AI Session Assistant, Custom Assessment Sections, multiple tax IDs per location, and Home Exercise Programs powered by Wibbi, which released earlier in the year, with account payment tracking on the way.

Does Fusion support MIPS reporting for physical therapy?

Yes. As of July 14, 2026, Fusion supports native configuration of MIPS quality measures for speech-language pathology, physical therapy, and occupational therapy, and generates a MIPS Data Status Report that identifies complete, missing, or incomplete data before it affects reimbursement, so quality reporting happens in the same platform as your clinical documentation.

How do Fusion’s flowsheets handle CPT codes and modifiers?

Fusion’s flowsheets automatically track time-based activities and apply the appropriate CPT codes and CO/CQ modifiers using CMS de minimis logic as clinicians document. Because they’re protocol-driven and built on the Activity Lists already in Fusion, billing accuracy improves without adding documentation steps.

Does Fusion work for practices that treat both children and adults?

Yes. Fusion is outpatient PT software built for every stage of care on one platform, and 600+ practices already run adult and pediatric PT side by side on it. Practices expanding from a pediatric base into adult care, or the reverse, keep one schedule, one documentation workflow, and one billing system.

¹ on all three internal stats (1,200+, 600+, 58%) → cited to “Ensora Health customer account data, 2026”

² on the Medicare RTM code claim → cited to CMS’s 2026 fee schedule