HENO

HENO is integrated billing software and clearinghouse functionality built specifically for physical therapy, occupational therapy and speech-language pathology clinics, designed to automate the large volume of manual administrative work those practices carry. Therapy billing is unusually demanding compared with general medical billing. Treatment happens in timed units rather than discrete visits, the eight-minute rule governs how those units are counted, Medicare imposes therapy caps and progress reporting requirements, plan-of-care certifications expire and must be renewed, modifiers must be applied correctly, and functional limitation reporting adds further complexity. A generic practice management system handles none of this natively, which is why therapy clinics so often end up with a billing company or a member of staff maintaining spreadsheets alongside the software.

HENO combines documentation, scheduling, billing and the clearinghouse in a single platform, which removes the handoffs where therapy claims usually fail. Clinical documentation uses therapy-specific templates for evaluations, daily notes, progress notes and discharge summaries, and the notes feed the billing directly so charges are derived from what was actually documented rather than re-entered by a biller reading a note. Compliance checks run before submission, flagging missing certifications, exceeded caps, unit miscounts and modifier errors at the point they can still be corrected cheaply. Claims are scrubbed and submitted electronically through the built-in clearinghouse, with remittance posting, denial management and appeals tracking handled in the same system, so a denied claim is visible and workable rather than lost. Patient responsibility, copays, deductibles and payment plans are tracked alongside insurance balances. Scheduling covers therapist calendars, recurring appointment series typical of a plan of care, authorisation tracking against visits used, waitlists and automated patient reminders. Reporting covers collections, days in accounts receivable, denial rates by payer and reason, therapist productivity and units per visit — the metrics that determine whether a therapy clinic is profitable. Pricing starts from around USD 99 per month; there is no free version and no free trial.