The operating system for Audit-Ready Care.
The note. The order. The proof. Ready before the next patient.
Patientflows connects clinical documentation, product selection, orders, communication and audit defense in one workflow. Built for outpatient wound centers and mobile wound care — and for the podiatry, vascular, plastic and dermatology practices carrying real wound volume.
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Documentation stopped being paperwork. It became defense.
EMRs document visits. Vendor portals show their own orders. No one built the layer in between — so the friction, the risk, and the leaked revenue all live in the gap. Every role in your practice pays for it.
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A different login for every job
One wound program we work with was running six systems to see a single patient. Every one is another login, another silo, another place a dollar quietly leaks — and someone burning four hours a day just turning faxes into referrals by hand.
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The note waits — and so does the filing
Four or five clicks to do one thing, so the note sits — for after hours, the weekend, when the detail’s already fuzzy. Then billing spends the week hounding providers to close charts before the timely-filing clock runs out. The record that has to defend you gets built late, by whoever’s most tired.
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Every chart could be a deposition
Authorizations expire silently. A staffer chases red-flagged quality measures by hand every quarter. Then the letter arrives, and two weeks of somebody’s job becomes reconstructing a chart from five systems. One program lived a six-figure clawback before they fixed it.
You did everything right.
The note just couldn’t prove it.
The difference isn't the features.
It's what they're built on.
Every EMR is a database. It's in the name — electronic medical records. A database is a shelf: it holds what you put on it and waits to be asked. Patientflows was built on a workflow engine instead, so the system runs the work rather than storing proof that you did.
A shelf can't run a clinic. A database holds what you put on it and returns it when asked. No conditional logic, no rules that fire, no step that knows what the next one needs. So every capability above it has to be added later and driven by a human.
Workflows can act. Shelves can't. Conditional logic means the system responds to what it finds. Rules fire, steps connect to other steps, and because that logic already exists, AI has something to be agentic about. We didn't set out to build an EMR. We built the engine that runs a wound practice, and the record fell out of it.
Three questions to ask any wound-care platform.
Does it have conditional logic, or does it only store what you type?
Workflow‑first. If‑then, rules that fire, and steps that know what the next one needs. The system acts on what it finds instead of waiting to be asked.
Is the AI actually agentic, or is it search bolted onto a shelf?
Agentic by construction. Sherpa acts on logic that already exists in the workflow. Bolt AI onto a database and the only thing it can do is find text faster.
Can you show me the system doing something nobody asked it to do?
Yes — live, on your cases. The coverage gap surfaces before you submit. The ADR response drafts from the ARC File. Not because someone clicked. Because a rule fired.
Patientflows answers yes to all three — and will show you the third. Ask every other platform the same three questions.
Everyone aligned. In real time.
Clinicians, billers, vendors, and patients — four interfaces, one shared record. No re-keying, no portal-hopping, no version only one team can see.
Nothing re-keyed. The order the clinician places is the order the biller works, the vendor fulfils, and the payer sees.
Nothing hidden. The vendor sees fulfilment, the patient sees their care, and nobody waits on a portal invitation.
Nothing waiting. Everyone acts on the same record at the same moment, so the handoff stops being a delay.
It starts with the visit. It ends with your proof.
One current runs the whole way: the visit becomes the note, the note becomes the order, the order becomes the claim, and the claim becomes your defense. Nothing re-keyed. Nothing lost in a gap.
Scheduling & Routing
The visit lands on the schedule — and if it's a field visit, the route optimizes itself.
Ambient Scribe
Scribe listens and transcribes the encounter as it happens. Hands-free, in the room.
Dr. Patel Wound on the left hallux measures three point zero by two point two centimetres, depth superficial.
Linda Every time I leave the bedroom, yes. My daughter checks.
Dr. Patel Wound bed eighty percent granulation, twenty percent slough, no eschar.+2
Note Drafter
The transcript becomes a structured, signature-ready note. You review it — you don't retype it.
Order Builder
The order builds straight from the note, scored against the LCD and gated before it can go out wrong.
Verification
Coverage and eligibility are verified up front. The liability check happens before fulfillment — not after the denial.
Fulfillment
The product ships — timestamped and tracked, with lot and serial captured to the record.
Billing
A clean claim goes out. The biller works the exact order the clinician placed — nothing re-keyed.
Defensibility
The ARC File is already assembled. When an ADR arrives, it's a download — not a fire drill.
That is one patient, end to end. Run your own and see where the gaps are.
Sherpa works the list. You work the patient.
Every action starts from one New Task button. Sherpa proposes, you confirm and attest. Its authority escalates as your practice matures. Yours never moves.
Reads what you upload
Sherpa parses documentation, asks for what's missing, structures the order, and runs LCD pre-flight. This is the floor. Every level above includes everything below it.
Suggests and approves
Full chart context. Sherpa proposes at every decision — documentation gaps, order assembly, referral triage — and you attest. You are the author; Sherpa is the assistant.
Drafts routine work
Sherpa drafts outreach, denial responses, appeal starts, recall messaging and care-coordination tasks. You review and send. Your team stops doing what a machine can do.
Executes with gates
Routine work happens autonomously. Money and compliance actions hold for your attestation. Enterprise adds custom thresholds, tuned with a named Patientflows engineer.
Two minutes. Then decide if it's worth a call.
“Why did you choose this product?”
It's the question in front of an administrative law judge. The honest answer can't be “my rep told me to.” With Patientflows you open one file: the wound, the failed conservative care, the payer policy, the clinical evidence, the medical necessity. Indexed and legible.
Sources: 42 CFR § 405.903 (response window) · 42 CFR § 405.1028 (good cause for new evidence) · SSA § 1893(f)(3) (extrapolation).
Readiness turns the whole thing from a fire drill into a download.
Graded before you submit
Every note and order gets an ARC Score — a gap analysis against the LCD, payer policy, and documentation integrity. Amber? Draft the addendum right there, attest, and the score moves to green before the claim goes out.
Assembled from day one
When the ADR letter arrives, you don't hunt across the EMR, the portal, the fax, and a drafts folder. Open the ARC File, pick the scenario — ADR, Level 1, Level 2, ALJ — and export.
The standard never changes. What escalates is what happens when the audit gets real.
Everything else that runs a wound practice.
The continuum covers the clinical work. This is the rest of the operation — bundled, on the same record, for every practice.
Keep your EMR. Ours is included anyway.
Patientflows is EMR-agnostic. Run it alongside the system you already have, or run ours — the operating record is bundled for every practice, never a bolt-on and never a line item. You get to use it before you decide anything. If it turns out to be the better place to work, consolidating is your call, not a condition of starting.
The front office, included.
CRM, phone, text, e‑fax, chat and scheduling on the same record as the chart. Referrals stop living in a fax tray.
One catalog, agnostic by evidence.
Every product in one place, organised by what the record supports — not by who happens to be calling on you this week.
The patient stays in the loop.
Photos, dressing changes, pain logs and care-plan steps from the patient's phone, landing in the record your team already works from.
Your data, never held hostage.
Standard formats, exportable during your subscription and for 90 days after you leave. In writing.
The community that replaces the rep.
A merit-based network of wound clinicians: protocols, product evidence and peer review. So when the judge asks why you chose this product, the answer is the record and your colleagues — not whoever was in the hallway.
All of it, on one system, for every practice. See what your practice would run on.
Whatever seat you're in, it takes the worst part of your day.
One platform, a different win for every role. Find your seat — then see exactly how.
See the whole business without asking anyone for a number.
Margin by payer and product, denial and A/R trends, documentation quality by provider and by site — current, on one screen, without filing a report request and waiting three days.
See owner outcomes →Stop doing paperwork at 9pm.
The note drafts itself from the encounter, the order scores before you submit, and the record builds as you treat. You review and attest — you never retype.
See how documentation works →Order with the coverage rules already read.
Sherpa reads the LCD as the order is built, so a missing criterion surfaces before you submit rather than after the denial. Your attestation is the last step, not the first hurdle.
See the order flow →Stop being the integration layer.
No re-keying faxes into referrals, no chasing photos across three phones, no hunting for the last ABI. Intake, measurements and images land in the record once and stay there.
See the intake flow →Work the order the clinician actually placed.
Nothing re-keyed between the chart and the claim. The documentation gap is caught before submission, and the appeal packet is assembled as the work happened rather than reconstructed under a deadline.
See the biller view →Referrals stop dying in the fax tray.
Inbound faxes become structured referrals on the schedule. CRM, phone, text and outreach run on the same record as the chart, so a new patient is booked without opening a second system.
See growth & CRM →One platform, every kind of wound program.
Wound care isn't a specialty. It's a sub‑specialty — which is why it ends up scattered across half a dozen of them. The record is the same everywhere; the interface fits the wounds your practice actually sees.
The full mix under one roof: diabetic foot ulcers, venous and arterial ulcers, pressure injuries, dehisced surgical wounds and atypical ulcers. Rounding, orders and defense in one flow, with hospital and SNF billing rules built in.
See the workflow →Sacral and heel pressure injuries, diabetic ulcers in non-ambulatory patients, venous ulcers dressed in the home. Capture at the bedside, route between sites, finish the note in the room.
See the mobile flow →Diabetic foot ulcers, Charcot deformity, post-amputation sites and suspected osteomyelitis. Wagner grade, ABI and HbA1c land in the note, and the coverage criteria are checked before the order goes out.
See the podiatry flow →Venous leg ulcers at the medial malleolus, ischemic and mixed-etiology ulcers, and wounds that stall after revascularisation. Perfusion studies and compression history carry forward as documented necessity.
See the vascular flow →Dehisced surgical wounds, flap and graft donor sites, pressure-injury reconstruction and complex trauma. Product identity, lot and application detail captured where the operative record meets the supply chain.
See the reconstructive flow →Post-Mohs defects on the face, scalp and lower leg, plus atypical ulcers — pyoderma gangrenosum, vasculitic and calciphylaxis wounds. Serial photography and closure decisions documented to one standard.
See the dermatology flow →The gold rush is over. The audits are here.
Medicare Part B skin-substitute spend ran ~40× in five years. Regulators noticed. The survivors will be the practices whose records defend themselves.
Even airtight care isn't enough on its own. The record has to defend itself.
Everything, on one system — at a price that pays for itself.
The Founder Cohort is the first 12 clinics. You lock 50% off rack for life, and you get the whole platform — not a module, not a trial.
- ✓ The EMR spine — the operating record, bundled, never a bolt-on
- ✓ Sherpa — the AI steward across every task and order
- ✓ Scribe & Note Drafter — the note drafts itself; you edit
- ✓ Order Builder + ARC — formless orders, scored before submit
- ✓ Marketplace & formulary — one catalog, agnostic by evidence
- ✓ Growth — CRM, phone, text, e-fax, chat, scheduling
- ✓ Reporting & analytics — your data, never held hostage
- ✓ Vitality — the patient app & continuity layer
- ✓ We Know Wounds — the community that replaces the rep
- ✓ 7-day supervised go-live — we stand it up with you
First 12 clinics only. When the 12 seats are gone, the Founder Rate is gone — rack pricing after that.
Claim a Founder seat See what it costsA 30-minute scoping call. Your wound volume, your EMR, your MAC jurisdiction.
Supervised go-live inside 7 days. We stand it up with your team, not at them.
Stewardship 90 begins. A full quarter on your own patients before you owe us a verdict.
Every reason to say no, removed.
We won't guarantee reimbursement outcomes or coverage decisions — those aren't ours to guarantee. Everything that is ours, we put in the agreement.
Ninety days to prove it.
Stewardship 90. Run the workflow on your own patients for a full quarter. If it isn't delivering, we help you leave — we don't hold unhappy practices hostage to a contract.
Live in seven days, or the first month is on us.
Supervised go‑live inside seven days. Miss it and your first month of platform fees is credited. The implementation risk sits with us, not with your staff.
Data portability, always.
Full export at any time, in C‑CDA, FHIR R4, CSV or original formats. During the subscription and for 90 days after termination. Your data is your data.
Service levels, or you leave.
If we miss the published uptime, go‑live or support SLA and don't cure it within the contracted window, you may terminate for cause with no penalty.
Built to keep changing.
Most EMRs go years without shipping what their users ask for. Every request gets a written response and a decision, and we publish a release cadence you can hold us to.
Treat the patient. Walk to the next room.
The note is waiting for your signature, not your evening.
Start with your Exposure & Opportunity Report — run your NPI, see where you stand in minutes. Or book a call and we'll score 10 of your own recent cases, live.
Free · instant · your practice only. No card required.