The visit note is drafted before you arrive, the coding and the deadlines are checked while you work, and the signed note reaches the home and the family the moment you finish.
Works with the chart and the home’s records you already use. Every screen here shows sample patients.
Five more visits · two notes from yesterday still to sign
“I spend more time on paperwork than I spend with patients. And I’m still getting denials.”
The visit ends and the writing starts. Evenings and weekends go to charting that should have been finished at the bedside.
Every resident carries several chronic conditions. Holding all of it in your head between homes is the part of the job nobody accounts for.
The chart supports a specific diagnosis. The claim goes out with the unspecified one, and the denial arrives weeks later.
The home keeps one record, the chart keeps another, and the billing rules sit somewhere else again. Nothing joins them but you.
One visit, start to finish. Nothing waits for you to get back to a desk.
Charts, hospital documents, and the home’s own notes are pulled together while you sleep.
Your route, your visits, and a draft for each one, ordered by drive time.
Speak the exam. Read what is already written. Change anything that is wrong.
The audit check runs first. If something would fail a records request, you see it before you sign.
Staff at the home and the health care POA receive a secure link. You are already driving.
Each visit opens with a note already written from the chart and the home’s records. You dictate the exam by voice, edit what needs editing, and sign. Every sentence is marked as yours, drafted, or drafted and edited.
Chronic diastolic heart failure, stable. Left knee pain after a near-fall, no fracture suspected. Fall risk reviewed with staff; walker to remain in use at night.
When a diagnosis code is less specific than the record supports, you are shown the better one and the line it came from. One patient at a time, or across the whole panel.
Echo, 4 Jun 2026: preserved ejection fraction, grade 2 diastolic dysfunction.
Transitional care contacts, chronic care time and language, quality measures, and an audit check that runs before the note can be signed. The rules are watched for you, and they are shown in plain words.
The signed note goes to the home’s staff and to the patient’s health care power of attorney through a secure link, opened with a one-time code by text. You can see who opened it and when.
Link expires 15 minutes after the code is used. Every open is recorded.
Four examples from a sample panel. Each suggestion names the chart entry it came from. You accept it or dismiss it — nothing changes a claim on its own.
| Current code | Suggested code | In plain words |
|---|---|---|
| I50.9 | I50.32 | Heart failure, unspecified → chronic diastolic heart failure |
| E11.9 | E11.65 | Type 2 diabetes → type 2 diabetes with hyperglycemia |
| J44.9 | J44.1 | COPD, unspecified → COPD with acute exacerbation |
| N18.9 | N18.4 | Chronic kidney disease, unspecified → stage 4 |
General AI scribes are built for a clinic room or a hospital floor. The rest of the AFH visit — the coding, the deadlines, the delivery — is left to you.
| Capability | General AI scribes | AlderHealth |
|---|---|---|
| AI notes | Yes — dictated after the visit | Yes — drafted before the visit |
| Diagnosis coding | Not included | Specificity checked per patient and per panel |
| AFH workflow | Built for one clinic room | Built for a route between homes |
| Chronic and transitional care | Not tracked | Deadlines, time, and contacts tracked |
| Compliance checks | Left to you | Audit check runs before you sign |
Comparison describes categories of tool, not any named product.
Trust and security
Protected health information sits at the centre of this product, so the controls around it are not an add-on.
Your records are kept apart from every other practice at the database level, not by a filter in the application.
Who read a record, who changed it, who signed it, and who opened a delivered note.
Your practice keeps control of accounts and access, including the day someone leaves.
A demo takes half an hour. Bring one busy day and we will walk it through, start to signed note.