Abstract: The physical therapy treatment systems and methods described herein include an active utilization management (UM) program that can monitor the clinical efficacy of outpatient rehabilitation, including on-going physical therapy or occupational therapy. When a treating physician submits a claim, the systems and methods described herein can automatically apply a guideline for monitoring the pace of treatment and outcome of the rehabilitation. The systems and methods can also apply an additional level of clinical oversight when a patient's progress is not improving. By combining the objective criteria with a patient's actual clinical data, a claims handler can more appropriately make an objective decision on a case-by-case basis.