For physiotherapy and massage practices

Treatment time runs on a clock, staff planning rarely does

Individual therapy, group therapy, manual therapy, lymphatic drainage, equipment training and home visits: the daily plan reflects the 20-minute rhythm and shows who is with a patient and who is at reception.

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  • Treatment units of 20 minutes as the default
  • Home visits and equipment cleaning are part of the plan
  • Hour balance per therapist right in the sheet

In shortPhysiotherapy practices have to record all working time, not only the treatment units billed (section 3(2) no. 1 ArbSchG, Federal Labour Court, 13 September 2022). Documentation, preparation and follow-up count too. In the Professional plan, MetronHR maps the therapy day in 20-minute slots and records working time separately in the app, the browser or at the terminal.

Legal position

What sits above time tracking in a physiotherapy practice

Here a second clock runs alongside working time: the deadline by which a prescription has to be started. Miss it and it lapses, and the treatment cannot be billed.

Typical size
4 to 12 employees
Price for 8 people
40 euros on Team, 80 euros on Professional
Matching template
Duty roster for the month, free of charge
Start of treatment
within 28 days, urgent 14, discharge 7
  1. Deadlines from the Remedies Directive

    For a regular prescription, treatment must begin within 28 calendar days of issue. If an urgent need for treatment is noted it is 14 days, and for prescriptions from discharge management 7 days.

    Under section 187 (1) BGB the deadline starts on the day after issue. For a business this is a planning question: an appointment two days too late costs not just the appointment but the whole prescription. The plan therefore has to know the deadlines, not just the free slots.

  2. Therapy time and working time are two quantities

    Scheduled treatment time is the service that gets billed. Working time additionally covers documentation, preparation and follow-up, coordination and travel time for house calls.

    Anyone who only counts the slots records too little working time and creates a problem for the next inspection. MetronHR records working time to the minute and maps the rhythm alongside it as an activity in the daily plan.

  3. House calls are working time, including the journey

    Travel time between two work locations during work counts as working time and towards maximum working time and the duty to take breaks.

    With house calls this creates days that look short on paper and actually run past eight hours. Anyone clocking in with the app on the move has the times where they arise instead of reconstructing them from memory in the evening.

Deadlines for starting treatment

Type of prescriptionStart at the latestWhere it comes from
regular prescription28 calendar days after issueRemedies Directive
urgent need for treatment noted14 calendar daysRemedies Directive
from discharge management7 calendar daysRemedies Directive

The deadlines have applied since the 2021 reform of the Remedies Directive and were checked on 4 September 2026. Under section 187 (1) BGB the day of issue does not count. The applicable version of the directive and the framework agreements is authoritative.

  • regular prescription

    Start at the latest
    28 calendar days after issue
    Where it comes from
    Remedies Directive
  • urgent need for treatment noted

    Start at the latest
    14 calendar days
    Where it comes from
    Remedies Directive
  • from discharge management

    Start at the latest
    7 calendar days
    Where it comes from
    Remedies Directive

The deadlines have applied since the 2021 reform of the Remedies Directive and were checked on 4 September 2026. Under section 187 (1) BGB the day of issue does not count. The applicable version of the directive and the framework agreements is authoritative.

Further reading: Remedies Directive of the Federal Joint Committee (start of treatment) · Section 187 (1) BGB (start of a deadline) · Sections 3 and 4 of the Working Time Act (maximum working time, breaks)

As at: September 2026. This is not legal advice; for a specific case in your business it is better to ask someone with a licence to practise.

In the business today

The appointment book is full, the staff plan is empty

Treatment appointments are fixed. Who covers reception, cleans the equipment and checks the prescriptions works itself out during the day.

  • Problem

    Non-treatment time is invisible

    Documentation, prescription checks and equipment cleaning take time, but appear in no plan and therefore in no hour calculation.

  • Problem

    Home visits break up the day

    Travel time and treatment away from the practice fall outside the practice rhythm, yet show up in the weekly plan as an ordinary working day.

  • Problem

    Part-time work makes the hours question hard

    Many practices work with different part-time models. Whether someone reaches their hours only becomes clear after the fact.

With MetronHR

The therapy day on a single sheet

The physiotherapy template comes with the groups physiotherapists, masseurs, trainees and reception, plus fourteen activities from individual therapy through lymphatic drainage and equipment training to prescription checks and equipment cleaning. Grid interval 20 minutes.

Documentation and cleaning are planned time tooWhatever is in the plan counts towards planned time and towards the comparison with the target.

Try it yourself

This is how the therapy day comes together

Three steps, and the sheet is valid.

  1. Load the template for the therapy practice

    Qualification groups, fourteen activities with colour and abbreviation, the 20-minute rhythm and a staffing rule for reception are preset.

    Whatever does not fit you change yourself, without a consulting appointment

    Template for the therapy practice
    Template for the practiceGroups, activities, grid, rules
    GroupsDoctors, medical assistants, trainees, reception, lab
    Grid30 minutes, 08:00 to 19:30
    RulesDoctors require a medical assistant, reception at least 1
    Consultation hoursCON · Doctors, medical assistantsbillable
    Blood testsBT · Medical assistantsbillable
    ReceptionREC · Receptioninternal
  2. Place treatment blocks

    Drag a time span in the therapist's column and pick an activity. Home visits get their own block, so travel and treatment do not disappear into practice time.

    The day is planned the way it actually runs

    Treatment block in the 20-minute grid
    Day in activitiesAylin Demir · Thursday
    That day9:00h
    Billable6:00h
    Consultation hoursbillable4:45h
    Documentation1:30h
    Maintenancebillable1:15h
    Handover0:45h
    Break0:45h
  3. Publish and share

    The released plan is available on the web, in the app and as a PDF. Anyone who has to hand over a block offers it for pickup, and management approves.

    Absences are reassigned in an orderly way instead of by phone calls

    Published day plan
    Day plan for Friday, 6 NovemberPublished on Thursday, 17:02
    0810121416Dr. LindnerSPRSPRSPRSophie B.ANMANMTELLena H.BELABDOK

    Reminder sent to all three the evening before.

Features for therapy practices

From the treatment unit to the hours account.

  • Planning

    20-minute rhythm

    The grid follows the usual treatment unit.

    Selectable from 5 to 60 minutes per grid cell.

  • Planning

    Home visit as its own block

    Time away from the practice is visibly planned.

    Can also be recorded on the move via the app.

  • Time

    Part-time calculated cleanly

    Every employee has their own working-time model.

    The daily target follows from it, and the difference is shown in the plan.

  • Team

    Reception staffed throughout

    The rule checks the full opening hours, not just the morning.

    Gaps are flagged before publishing.

  • Apps

    Therapy plan on the phone

    Your own day is available, even on the way to a home visit.

    For iOS and Android, including handing over a block.

  • Reports

    Analysis by type of therapy

    How much time went into manual therapy, how much into massage?

    Each row of the export gives date, person, type of therapy and duration.

  • Documents

    Certificates in the personnel file

    Proof of further training sits with the personnel data.

    Including a reminder before a certification expires.

  • Security

    Long therapy days under control

    Maximum working time and rest periods are checked when assigning.

    Data encrypted in German data centres.

For management, therapy and reception

Every role asks the plan a different question.

  • Practice management

    Treatment time and ancillary time in proportion

    • How much staff time actually reaches the patient cannot be quantified.
    • The plan separates therapy, reception, documentation and cleaning into their own blocks.
  • Therapists

    Your own day is set the evening before

    • The sequence emerges in the morning from the appointment book and from people calling out.
    • Your own blocks with time and type of therapy, available in the app.
  • Reception

    Answers without asking back

    • Only management knows who is covering an absence today.
    • The published plan is readable for everyone and always up to date.
  • Billing

    Hours without retyping

    • Part-time hours and home visits are collected at the end of the month.
    • Export with hours as a number, separated by activity and person.
Security

Secure, traceable, in Germany

A practice's personnel data is closely protected.

  • Server location Germany, processing under the GDPR
  • Hours and reasons for absence only for authorised roles
  • Who changed what in the plan and when stays on record
  • Transmission and storage encrypted end to end
GDPR compliant

Made in Germany, hosted on German servers

See the ArbZG check

Frequently asked questions from therapy practices

Answered briefly.

Question not answered here? Every step is explained in the help centre.

Send us a message
Why is there no pairing rule like in a doctor's practice?

Because therapists work with patients on their own. Blindly carrying a rule like „treatment requires an assistant“ over from another template would be consistency misunderstood. The template therefore contains only the rule for reception; you can add your own rules at any time.

Do home visits get their own time?

Yes, a home visit is a separate activity in the template. The block appears in the plan with a time, and the actual time can be recorded on the move with the app.

Does this work with different part-time models?

Yes. Every employee gets their own working-time model, and the daily target in the plan follows from it. The difference between target and planned time is shown per person below the grid.

Does MetronHR replace our appointment software?

No. Patient appointments stay in your appointment software, MetronHR plans the staff and records working time. There is no interface to practice management systems.

Can we post the plan on the wall?

Yes, as a real PDF. There is a daily sheet and a compact weekly sheet that fits a whole week on one page.

How quickly are we up and running?

Register, choose the physiotherapy template, invite the team. After that the first day can be planned. There is no setup appointment and no activation fee.

Make the therapy day plannable

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