Fill CMS-1500 claims and sign plans of care in your browser

Evaluation codes, timed treatment units, the KX modifier, and a physician-certified plan of care — put them on the form and sign, free.

Physical therapy billing carries paperwork no other specialty does. Each episode opens with an evaluation coded 97161–97163 by complexity, treatment is billed in timed units that live or die by the 8-minute rule, and once a patient crosses the Medicare therapy threshold every claim needs the KX modifier. On top of the CMS-1500 sits the plan of care — which a physician has to certify with a signature before the visits count. This free tool lets you fill the CMS-1500 and drop a real signature onto the plan of care or progress note, then download print-ready PDFs. It's a filling tool, not a billing engine: you decide the codes and units, it puts them where they belong — and none of it leaves your computer.

Frequently asked questions

Can I sign a plan of care or progress note, not just fill a claim?+

Yes — add a signature field anywhere, so a physician-certified plan of care or a signed progress note comes out ready to file alongside the claim.

Does it calculate units or apply the 8-minute rule for me?+

No. It doesn't compute billing units or modifiers — you enter the codes, units, and KX modifier, and the tool places them on the form exactly as typed.

Is anything sent to a server?+

No — the form and everything you enter stay in your browser on your machine, which matters when a plan of care carries patient health information.

A claim and a plan of care per episode?

dojobase can auto-fill CMS-1500s and draft plans of care from your PT EMR each visit — so the documentation keeps pace with the schedule.

Open the free Fill & Sign tool →