Founder Cohort · first 12 clinics · 50% off rack, locked for life
For wound centers & mobile wound care

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.

patientflows.com · Clinical

No card required · See a live walkthrough · Founder pricing while spots last

The Patchwork Economy

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.

  • 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.

  • 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.

  • 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.

Twelve unconnected applications a wound practice uses in a day - clinical chart, wound photo on a phone, wound depth scan, audio transcription, insurance eligibility, documentation form, product catalog, purchase order, active call, email, text thread and delivery tracking - floating separately with nothing linking them.

You did everything right.
The note just couldn’t prove it.

Why it's different

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.

Built on a database
AIAudit defenseAnalytics
bolted on, told what to do
Database · stores · retrieves · waits

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.

Built on workflows
If → thenRulesConnectsLearns
Workflow engine · task infrastructure
The record is what the work leaves behind

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.

01

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.

02

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.

03

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.

One record

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.

Four Patientflows workspaces - clinical, billing, fulfillment and patient - shown as translucent glass panels with a single continuous strand of violet light running through all four, representing one shared record.

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.

One continuum

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.

Stage 01

Scheduling & Routing

The visit lands on the schedule — and if it's a field visit, the route optimizes itself.

ScheduleDayWeekMonth
Wed · Jun 4 4 visits · auto-built by Sherpa
9:0030m
Linda ThompsonFollow-up · DFU R plantar hallux
Eligibility active
11:0045m
Miguel GarciaFollow-up · VLU L medial malleolus
Coverage re-check
2:0030m
Patricia NolanNew patient · field visit
Route optimised
No morning triage across three screens. The day is built, verified and routed before you open it.
Stage 02

Ambient Scribe

Scribe listens and transcribes the encounter as it happens. Hands-free, in the room.

ScribeRec 02:42

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

LCD requirements captured12 of 12
No charting after hours. The note is drafted before you leave the room.
Stage 03

Note Drafter

The transcript becomes a structured, signature-ready note. You review it — you don't retype it.

Note DrafterDraft · auto-saved
6881/ 100 ARC
ImprovingStrengthened
SubjectiveDrafted
ObjectiveDrafted
Wound findingsNeeds one answerAnswered
Scribe heard two depths. Depth drives area, Wagner grade and the debridement code.+13 ARC
You review a note. You never retype one. Every answer you give lifts the score before you sign.
Stage 04

Order Builder

The order builds straight from the note, scored against the LCD and gated before it can go out wrong.

Order BuilderSherpa working
1Read2Confirm3Score4Submit
PatientMaria AlvarezFrom chart
InsuranceBCBS PPOFrom chart
Order typeECMSherpa inferred
W1
DFU · R foot plantar metatarsal9 weeks · stalled · last visit 5/8
The order cannot go out wrong. Built from the note, scored against the LCD, gated before it ships.
Stage 05

Verification

Coverage and eligibility are verified up front. The liability check happens before fulfillment — not after the denial.

VerificationAuto‑PA running
15min
Average VOB turnaroundReimbursement Remedy · independent biller
Eligibility & benefitsActive
Medical necessityMet
Documentation integrity0 gaps
Prior authorisationNot required
Timely-filing riskClear
Every landmine found before the claim exists. Whoever runs your verification — your team, your biller, or Reimbursement Remedy — the result lands in the same record.
Stage 06

Fulfillment

The product ships — timestamped and tracked, with lot and serial captured to the record.

FulfillmentOrder AE‑2479
Order receivedMay 10 · 11:31 · Aroa Biosurgery
Processed · confirmed in stockMay 10 · 14:02
Shipped · FedEx 7742 1185 9930May 11 · 08:15
DeliveredExpected May 12 · 10:30
Lot / serialSymphony 3×2 cm · SYM‑4471Captured
Nobody chases a tracking number. Lot and serial land in the record the moment the box moves.
Stage 07

Billing

A clean claim goes out. The biller works the exact order the clinician placed — nothing re-keyed.

BillingBy payerLine
AE‑2479
Claim paid · first passSubmitted May 13 · paid May 27
14 days
93%Clean‑claim
7.2%Denial rate
88%First‑pass
34Days in A/R
Clean‑claim by payerworst first
Anthem BCBS88%
Novitas (MAC)92%
Humana MA94%
The biller works the order the clinician placed. Nothing re-keyed, so the claim goes out clean the first time.
Stage 08

Defensibility

The ARC File is already assembled. When an ADR arrives, it's a download — not a fire drill.

ARC FileServer‑verified
92/ 100 ARC
Packet‑ready
RequirementSatisfied bySource
Conservative careH&P + 3 notesEncounter
Arterial perfusionABI 0.94 / 0.92Encounter
Wound + Wagner3.2 × 2.1 cmEncounter
Product + lotSYM‑4471Wilco
An ADR becomes a download. Six of six requirements mapped to evidence, assembled as the work happened.

That is one patient, end to end. Run your own and see where the gaps are.

Your chief of staff

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.

L1 Reads

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.

S“I need three more things to structure this order — can you upload the ABI reading and the last two conservative-care visit notes?”
L2 Suggests

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.

S“Your DFU note is missing the vascular assessment. Want me to draft it based on last week's ABI reading?”
L3 Drafts

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.

S“I've drafted the ADR response for that Novitas denial using the ARC File. Want to review before I send?”
L4 Executes

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.

S“I sent 14 recall reminders this morning, updated 3 care plans and closed 7 referral loops. Two items need your attest — both flagged in your queue.”
From the founder

Two minutes. Then decide if it's worth a call.

Watch: why we built Patientflows — and the offer for the first 12 clinics
≈ 2:00
The question that decides the claim

“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.

And the clock is unforgiving
45 days To respond An unanswered documentation request becomes a denial. 45 calendar days for a MAC, RAC or SMRC — 30 for a UPIC.
Level 3 Where evidence locks Records offered for the first time at the ALJ hearing are only considered if the judge finds good cause. You can lose on evidence you had all along.
1 sample Sets the rate A sample of charts can be extrapolated across the wider population, turning a handful of weak records into a six-figure demand.

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.

The score

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.

The file

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.

ARC File
Packet builds silently
Every encounter builds its own audit packet, in the background, as you document. Downloadable on demand.
ARC Response
Sherpa drafts the reply
When a denial or ADR arrives, Sherpa drafts the response using the ARC File and the payer's specific denial reason.
ARC Defense
A team runs the play
A dedicated ARC Team manages your ADR, Level 1, and Level 2 appeals end-to-end. You keep seeing patients.
ARC Authority
Clinical Council + Network
Full defense apparatus at ALJ and above. Clinical Council peer review, ARC Network community data, expert-grade evidence.
The whole platform

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, in every tier.

The EMR spine

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 in every tier, 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.

Bundled, every tierNo migration requiredRun both, or one
Growth

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.

Marketplace & formulary

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.

Vitality

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.

Reporting & analytics

Your data, never held hostage.

Standard formats, exportable during your subscription and for 90 days after you leave. In writing.

We Know Wounds

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, in every tier. See what your practice would run on.

Built for everyone in the practice

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.

01Leadership & administrationOwners · CFO · practice administrators

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 →
02PhysiciansMD · DO · DPM

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 →
03Nurse practitioners & PAsAutonomous clinicians

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 →
04Nurses & medical assistantsRN · LPN · MA

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 →
05Billers & revenue cycleIn-house or outsourced

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 →
06Front office & growthScheduling · intake · referrals

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 →
Every setting

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.

Why now

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.

2019
$256M
Baseline
2022
$1.5B
Spike begins
2023
$4.4B
Doubles again
2024
$10B+
~40× 2019
2025–26
Crackdown
FDOC · UPIC · RAC · new fee schedule

Even airtight care isn't enough on its own. The record has to defend itself.

The offer

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.

What's included, every tier
  • 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
Founder Cohort
50% off racklocked for life

First 12 clinics only. When the 12 seats are gone, the Founder Rate is gone — rack pricing after that.

Claim a Founder seat See the tiers & pricing
What happens when you claim
01

A 30-minute scoping call. Your wound volume, your EMR, your MAC jurisdiction.

02

Supervised go-live inside 7 days. We stand it up with your team, not at them.

03

Stewardship 90 begins. A full quarter on your own patients before you owe us a verdict.

Guarantees

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.

Patientflows · customer commitments Clauses 01–05
01

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.

02

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.

03

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.

04

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.

05

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.

In the agreement, not the brochure

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.

How it works

One system that widens with your practice.

Four operating layers, each widening the circle — from the wound in front of you to the whole practice, the patient's life between visits, and the evidence your data becomes. Every layer is one shared record with role-differentiated views, not four bridged systems.

Layer 01 · the wound

The Encounter

Get it right the first time, at the point of care. Capture, guidance, ordering, and proof — on one screen, scored before you submit.

🧭

Sherpa

Your clinical co-pilot — like your best rep on your hip through every encounter, one who's read the LCD, the payer policy, and the clinical evidence. Proposes; you confirm and attest. Never decides.

Scribe & Note Drafter

The note writes itself while you talk, drafted from what was actually said — subjective, objective, assessment, plan. You author and attest; Sherpa catches the gap before the denial.

Order Builder + ARC

No order forms. Sherpa reads the chart against protocol, LCD, and product data, drafts the order, and scores its risk before submission. ~120 seconds, not 30 minutes.

Order Builder · Maria AlvarezDFU · right foot
88
ARC Score
Symphony · ECM episode
Sherpa recommends what it can defend — from clinical data, never margin.
LCD matchWagner grade ✓Vascular ✓
Coverage, checked live
Failed conservative care, 30+ days L35041
Wound measurements + photos L35041
Adequate perfusion documented L35041
Letter of medical necessity attached LMN
Layer 02 · the practice

The Practice

Run the whole practice on one system, not seven. The operating layer around the encounter — so referrals, communication, and multi-site work stop living in a fax line and an inbox.

Practice CRM & referrals

Track referral sources, manage the pipeline, and extend continuity of care from first contact through the episode — the referring relationships that feed the practice, managed in the same system that treats the patient.

Phone, text & e-fax

Voice, SMS, and fax in one place — no separate phone system, no standalone fax line. Reach patients and referral sources without leaving the record.

Chat: DMs & spaces

Secure messaging inside the clinic, with specialists, and with support — direct messages and shared spaces, so care coordination happens in-thread, not in a phone-tag black hole.

Workspace & analytics

Dashboards, patient panels, order status, and KPIs across the practice — and across sites, for multi-location programs standardizing on one discipline.

Mobile & multi-site routing

Built for care that isn't tied to a fixed office — route mobile and SNF wound care efficiently, capture at the bedside wherever it is, and keep every site on the same record.

Marketplace & Formulary

All your products in one catalog instead of ten portals. Doctors build their own formularies; Council-curated, agnostic by clinical evidence — never pay-to-rank, never white-labeled.

Layer 03 · the patient

The Continuity

Care that doesn't stop when the visit ends. Coordinated, measured continuity of care — between visits, direct to the patient, with quality captured as you document.

📱

Patient app · Vitality

A direct line to the patient between visits — messaging, education, and engagement that keeps the episode connected instead of going dark after checkout.

Chronic-care coordination

Wound care is rarely just the wound. Coordinate the chronic conditions that drive healing — keeping the whole care team, and the patient, on the same plan.

Quality, captured as you document

Quality measures (eCQM) are captured as structured fields at the point of documentation — not rebuilt from scratch quarters later. Continuity of care, measured where it happens.

Layer 04 · the field

The Evidence

Your data becomes proof. Pull a cohort and a publication-ready case study drafts itself from your own ARC-scored encounters — the data everyone in the field wants, generated from the care you already deliver.

Case studies on demand

Pull a cohort; a publication-ready case study drafts itself from your own ARC-scored encounters — ready to export.

Research-ready interface

Publishing becomes a default practice, not a year-long project — white papers without a research team.

We Know Wounds Registry

Contribute to and draw from the registry that turns real-world wound outcomes into shared, defensible evidence.

See the whole system in one walkthrough.

Book a walkthrough and we'll score 10 of your own recent cases — live, on the platform.

Get your Exposure Report
Solutions

Built for how you practice wound care.

One platform, shaped to your role, your setting, and the outcome you're after. Find the fit — then see it against 10 of your own recent cases.

By role

Whatever seat you sit in

Wound Clinicians

Defensible at the bedside, by default. The note writes itself, the order scores before you submit, and the record is built as you treat — so you treat the patient and walk to the next room.

Practice Owners

Protect margin and audit posture at once. GPO-level product economics on one side, a record that defends itself on the other — the same purchase.

Practice Admins

One path per order. A 7-day supervised go-live. Referrals, communication, and status on one screen instead of seven — the operations layer that stops the phone tag.

Mobile & SNF Wound Care

Capture away from a fixed office, route efficiently between sites, and keep every location on one shared record. Built for care that travels.

By specialty

Wound care happens in a dozen different clinics.

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; what changes is the wound mix, the codes, and the coverage policy your practice actually bills against.

Outpatient wound centers

The full mix under one roof: diabetic foot ulcers, venous and arterial ulcers, pressure injuries, dehisced surgical wounds and atypical ulcers. Facility and professional documentation stay attached to the same episode.

Mobile wound care

Sacral and heel pressure injuries, diabetic ulcers in non-ambulatory patients, venous ulcers dressed in the home. Routes optimised, photos captured offline, the note finished before the next stop.

Podiatry

Diabetic foot ulcers, Charcot deformity, post-amputation sites and suspected osteomyelitis. Wagner grading, ABI and HbA1c pulled into the note, and the DFU coverage criteria checked before the graft order goes out.

Vascular

Venous leg ulcers, ischemic and mixed-etiology ulcers, and wounds that stall after revascularisation. Perfusion studies, compression history and conservative-care duration carried forward as documented necessity.

Plastic & reconstructive

Dehisced surgical wounds, flap and graft donor sites, pressure-injury reconstruction and complex trauma. Product identity, lot and application detail captured at the point of care.

Dermatology

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.

Patientflows is built for wound care first. If your practice treats wounds, it is built for you today — whatever else your practice does.

By outcome

Whatever you're up against

Survive the 2026 audit reset

Audit-ready documentation by default — scored before submission, assembled from day one, exportable by scenario when the letter comes.

Recover lost margin

Replace the six portals, the fax, the inbox, and the phone tag with one system — and reach GPO-level product economics through the marketplace.

Eliminate the Patchwork

Consolidate the stack into one governed layer. The friction and the risk live in the gaps between systems — so close the gaps.

Find your exposure New

Run your NPI against public CMS wound-care data and see your billing gaps, MIPS exposure, and reimbursement trajectory. No PHI, no BAA — just your NPI.

Get your Exposure Report
Wound care, finally on one system

Pricing that scales with your practice.

Every wound encounter defensible by default — documented, ordered, and defended on one platform, with Sherpa alongside you.

HIPAA-eligible infrastructure
Data portability guaranteed
Wound-care built, not bolted on
Built to the AHIMA/ACDIS documentation-integrity standards
The Patientflows Standard
Audit-Ready Care: every encounter defensible by default.

Every visit assembles its own ARC File, silently, as work happens. The ARC Score tells you in real time how defensible you are — encounter, note, order, claim — so you optimize before submission, not after denial. When an ADR arrives three months from now, the record is already whole. You send. Every tier delivers this paradigm. What escalates is what happens when the audit gets real.

Monthly Annual Save 17% · 2 months free
Foundation
ARC File
You document. We keep it clean.
Best forA one- or two-provider wound-care practice that wants a complete clinical, audit, and workflow platform.
$1,997
per practice / month
Support staff always free · unlimited
White-Glove Onboarding $5,000
Waived on 2-year term
What's included
2 Providers of Record
Free support staff
2 We Know Wounds seats
+$397 each additional provider
What you get
  • ARC File on every encounter — it builds silently as you work
  • Wound-care EMR & scheduling
  • Order Builder with LCD pre-flight
  • HIPAA-eligible telehealth — included, never a line item
  • Vitality app for your patients
  • Referral Intake — capture, assign, close
  • Real-time eligibility on the schedule
  • Silent MIPS capture from day one
  • Sherpa L2 — suggests and approves
The growth engine
Performance
ARC Response
We do the documentation.
Best forA growing wound-care practice with up to 5 providers that needs referral growth, care coordination, MIPS visibility, and denial-response support.
$3,497
per practice / month
The upgrade most practices make
White-Glove Onboarding $10,000
Waived on 2-year term
What's included
5 Providers of Record
Free support staff
5 We Know Wounds seats
+$397 each additional provider
Everything in Foundation, plus
  • Scribe — ambient capture. The visit documents itself
  • Note Drafter — the visit becomes a complete draft
  • ARC Response — a denial arrives, Sherpa drafts the reply
  • CRM & referral growth engine
  • Active care coordination with Sherpa
  • MIPS Performance Dashboard + QCDR pathway
  • Denial-pattern analytics + authorization intelligence
  • Proprietary research-backed protocols
  • Healing Check + wearables in Vitality
  • ARC Network read access via We Know Wounds
  • Sherpa L3 — drafts routine work
Business
ARC Defense
Our team fights the audit. Not you.
Best forA multi-location or multi-entity wound-care organization, up to 8 providers of record, that needs centralized operations and a team that handles appeals for them.
$6,497
per practice / month
Multi-location, multi-entity ready
White-Glove Onboarding $15,000
Waived on 2-year term
What's included
8 Providers of Record
Free support staff
8 We Know Wounds seats
+$397 each additional provider
Everything in Performance, plus
  • ARC Defense — a dedicated ARC Team runs the play for ADR, L1 and L2 appeals, uncapped. L3 (ALJ) per-engagement
  • Flat fee, never a percentage of what gets recovered
  • ARC Network pattern data for L2 defense
  • Multi-location & multi-entity administration
  • Live Board — real-time shared record
  • Team chat tied to the patient record
  • RTM & CCM controls with time-integrity
  • Council peer review per-case at ALJ
  • Sherpa L4 — executes routine with gates
Custom
Enterprise
ARC Authority
Your practice becomes the evidence.
Best forHealth systems, large multisite groups, institutional partners, research networks, and organizations requiring custom integrations and governance.
Custom quote
Tailored to your operation
Custom SLA · named team
White-Glove Onboarding Custom
Scoped in your SOW
What's included
Custom sized to your practice
+$397 each additional provider
Everything in Business, plus
  • ARC Authority — Clinical Council review included at ALJ and above, on a custom scope with defined case volumes and SLAs
  • ARC Network defense — community data as evidence
  • Research & Publication Layer
  • Longitudinal ALJ evidence aggregation
  • Institutional integrations (Epic, Cerner, PCC)
  • Sherpa L5 — standing workstreams, calibrated to your protocols by a named engineer
  • Custom SLA, QBRs, named team

Additional providers of record are $397/mo — a provider of record is any clinician whose NPI goes on the claim. Every other seat is free and unlimited: nurses, MAs, wound techs, front desk, schedulers, coordinators, admin and in-house billing. See the seat rate card →

Founder Cohort · 12 practices

Be one of our first practices. Founder pricing, locked for life.

50% off the subscription and every provider seat — for the life of an uninterrupted subscription. It does not step up at renewal, and it survives any change of ownership, ours or yours.

Foundation $997 Performance $1,747 Business $3,247 Provider seats $397$197 Onboarding waived on 2-year Beta access to everything
Talk to us about Founder pricing

Reserved for a capped cohort who help shape the platform through feedback and reference calls. Usage-based services, appeal overages, external experts, legal services and custom integrations are quoted separately.

Your risk, removed

Every reason to say no, in the agreement.

We won't guarantee reimbursement outcomes or coverage decisions — those aren't ours to guarantee. Everything that is ours is below, and it's contractual.

Patientflows · customer commitments Clauses 01–05
01

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.

02

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.

03

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.

04

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.

05

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.

In the agreement, not the brochure
Optional add-ons

Add just the infrastructure you need.

Add only the piece you use — priced per user or flat per practice, never metered, nothing to reconcile at month end. Everything in the tier price is yours whether you add these or not.

Vitality — Patient App & Store
Scheduling, secure messaging, reminders, intake and forms, education and Healing Check — plus your own branded store for cash-pay supplies. You pick the products, you set the price, Wilco ships.
$197/ practice / mo
Flat, unmetered. We take nothing on store sales.
Mobile Wound Care
GPS route optimization and field scheduling. Offline capture that never loses a note. Compatible-device wound imaging with 3D/LiDAR capture where supported, tap-to-pay bedside, mileage tracking.
$197/ mo
Routing and scheduling for up to 3 users · $47 per user beyond that. Included at Enterprise.
e-Prescribing
DoseSpot-backed. Real-time patient cost, electronic prior auth, PDMP checking, interaction screening, Surescripts-certified.
$97/ prescriber / mo
Controlled substances (EPCS), PDMP, electronic prior auth, real-time benefit and identity proofing — all included. No per-state fees, where others charge to enable each state and again for PDMP. One prescribing agent per prescriber, free.
Phone system & SMS
Practice numbers, in-platform softphone, caller ID that opens the chart, voicemail transcription, appointment reminders, compliant business texting.
$37/ user / mo
Standard $37 — 300 minutes and 50 texts per user.
Plus $57 — 1,000 minutes and 250 texts per user, plus auto-attendant, call recording, campaign texting and reminder automation.
Allowances pool across your practice. Nobody tracks a balance.
Order Builder — standalone
Order management, LCD pre-flight, an ARC File on every order, ARC Score and supplier connection — every supplier you already use. Your EMR stays exactly where it is.
$897/ practice / mo
For multi-specialty practices that aren't changing systems. Flat per practice, never per order.
Supply Store
Turnkey e-commerce for cash-pay wound supplies, braces, and supplements. Practice-branded, priced by you, aligned to plans of care.
$297/ mo
Wilco fulfillment · no inventory to hold
PointClickCare integration
Read SNF patient records directly inside Patientflows. Wound-care rounding in facilities becomes one workflow instead of two systems.
Custom at launch
For practices doing SNF wound rounds
Seats

You pay for providers. Everyone else is free.

There is one paid seat, and one rule that decides it: if their NPI never appears on a claim, they're free. Nurses, MAs, wound techs, front desk, coordinators and admin are all free and unlimited. Set by role at user creation — no seat audits, no usage tracking, nothing to reconcile at month end.

Seat rate card
One paid seat. Everyone else is free.
Provider of Record
Any clinician whose NPI goes on the claim — MD, DO, DPM, NP or PA. Signs and attests.
$397 / mo$197 founder rate
Everyone else
Every clinical and administrative role whose NPI never appears on a claim. Nurses and MAs included.
Free · unlimited
Founder Cohort: 50% off the standard subscription and eligible provider seats — provider seats drop from $397 to $197locked for the life of an uninterrupted subscription — and it survives any change of ownership, ours or yours. Capped cohort, beta access to every new feature. Usage-based services and add-ons quoted separately.
Free & unlimited roles
Every seat that isn’t on a claim is on the house.

Your team should be on the platform whether they render claims or not. The rule is simple: if their NPI never appears on a claim, they're free. A nurse who documents under her physician's credential is free. An MA who queues a prescription for signature is free. Nobody counts heads, and no support seat has ever generated an invoice line.

Clinical support Free
Registered Nurse · Licensed Practical Nurse · Medical Assistant · Wound Technician · Scribe user · Care Coordinator
Front & admin Free
Front Desk · Scheduler · Patient Financial Counselor · Referral Coordinator · Practice Admin · Marketing / Growth
Read-only Free
Read-only Executive · Compliance Officer (view) · External Auditor
Compare tiers

Every capability, side by side.

Every capability at every tier. Nothing hidden behind a click — the header stays with you as you scroll.

Capability
Foundation
$1,997/mo
Performance
$3,497/mo
Business
$6,497/mo
Enterprise
Custom
Extrapolation defense

Enterprise. When they extrapolate, you have the data.

A contractor reviews thirty charts and applies the result to your entire book. Exposure goes from thousands to millions in a single letter, and the only answer is comparative outcomes data at scale. That is what ARC Network is. Everything else at this tier exists to put that data in front of the right reader — Council review at ALJ and above, longitudinal evidence, and a named team that has done it before.

  • Clinical Council peer review at ALJ and above
  • ARC Network — community data as evidence
  • Longitudinal practice data — publication-grade
  • ARC Team + counsel liaison for case management
  • Institutional integrations (Epic, Cerner, PCC)
  • Sherpa L5 — panel surveillance, ADR pre-assembly and coverage-drift watch, running without being asked
Investment
Custom quote
Every institutional practice has a different audit posture. Tell us about your operation and we'll build the right fit.
Talk to us
Common questions

Answers before you have to ask.

No. Patientflows can serve as your primary wound-care clinical operating system and EMR, or it can operate alongside your existing system depending on your workflow, integration requirements, and implementation plan. Most practices switch because their current EMR captures documentation but doesn't defend it. During the demo we'll help determine which approach is best for your practice.
Full export any time, in C-CDA, FHIR R4, CSV, or original formats. During your subscription and for 90 days after termination. No hostage clauses. This is guarantee one of two we put in writing — your data is your data.
Because that is where the visit starts documenting itself. Foundation keeps your record clean; Performance writes it — Scribe captures the encounter and Note Drafter turns it into a complete wound-care note. Priced separately at five providers, an ambient scribe runs about $595/mo, registry and MIPS reporting $245, denial workflow $120 and a practice CRM $350 — roughly $1,310 of tools most practices are already paying for. ARC Response, care coordination, the protocol library and ARC Network access sit on top of that, and nobody else sells them.
No, and we can't. The ARC Team is a flat fee at every tier. Contingency arrangements — a percentage of what gets recovered — have been a documented compliance concern since the HHS OIG's 1998 guidance on third-party billing, and New York effectively prohibits them. Most of this market is priced that way. We aren't, which means our fee doesn't move based on what your claims are worth.
Guarantee two of two: if we miss the published uptime, go-live, or support SLA and don't cure it inside the contracted window, you may terminate for cause with no penalty and no long-tail obligations. We won't guarantee reimbursement outcomes or coverage decisions — those aren't ours to guarantee. These two are.
Yes. Add a Provider of Record at any time — $397/mo, or $197/mo at the founder rate. That is the only paid seat, and it covers any clinician whose NPI goes on the claim: MD, DO, DPM, NP or PA. Charges pro-rate to your next billing cycle. Every other seat — nurses, MAs, wound techs, front desk, schedulers, coordinators, admin, in-house billing, read-only executives — is free and unlimited. The test is simple: if their NPI never appears on a claim, they're free. Seats are set by role at user creation, so there is nothing to track and no seat audit.
Yes. Patientflows operates on HIPAA-eligible infrastructure with a Business Associate Agreement in place before you go live. Every third-party integration we support (labs, eRx, telehealth, phone) is HIPAA-eligible and covered by its own BAA.
Book a walkthrough. The tier ladder maps to real wound-care practice patterns — small practice, growing practice, multi-location group, institutional operation. Fifteen minutes with our team and we'll show you which tier fits and why. No pressure to commit on the call.
Founder Cohort is a capped cohort of early adopter practices who lock in 50% off the standard software subscription and eligible provider seats for the life of an uninterrupted subscription. Beta access to every new feature. In exchange, we ask for feedback and occasional reference calls. Usage-based services, appeal overages, external experts, legal services, and custom integrations are quoted separately. Availability is limited and closing as we onboard.
Yes. We call it White-Glove Onboarding because that's what it is — a dedicated implementation lead who sets your practice up for success end-to-end. One-time: $5,000 Foundation · $10,000 Performance · $15,000 Business · Custom at Enterprise (scoped in your SOW). Waived when you commit to a 2-year term. What's included: (1) workflow mapping session with your team; (2) data migration from your prior EMR (structured records plus historical charts); (3) role-based training for providers, MAs, wound techs, front desk, and admin; (4) interface configuration for labs, pharmacy, clearinghouse, and referring providers; (5) dedicated go-live support week; (6) 30-day workflow optimization. CRM and contact migration from Kareo, DrChrono, athenahealth, HubSpot or Airtable is part of White-Glove Onboarding — not a separate fee. If your history needs heavy manual entry beyond a structured export, we scope and quote that up front, never as a surprise.
Integrations fall into four categories. Native: Stripe (payments), Waystar and Availity (clearinghouse), Junction (wearables). Available as a paid add-on: Twilio (phone/SMS), DoseSpot (eRx, EPCS included). Bring your own: lab ordering connects to the LabCorp, Quest or Bioreference account you already use — we don't ask you to change labs. Custom implementation at Enterprise: Epic, Cerner, CommonWell, TEFCA outside records with bi-directional data flow. Planned: PointClickCare (in development, shown as Coming Soon on the add-on card). Integration status is confirmed during solution design.
Patientflows connects to billing but never bills itself — that's Reimbursement Remedy (RR), a separate subscription designed for wound-care RCM. Every tier of Patientflows works with RR out of the box, or with your existing biller through standard integrations. RR pricing is a separate conversation.
Book a walkthrough. We'll walk your team through the platform with your practice's actual workflow in mind. If it's a fit, we'll set up onboarding with our SLA opt-out guarantee — if we miss the published uptime, go-live, or support SLA, you may terminate for cause with no penalty. That's the second guarantee we put in writing.
Founder Cohort · first 12 clinics

Start with your exposure, not a sales pitch.

Before anything else, see where you stand. We run your NPI through our Intelligence Engine against public CMS wound-care data and show you the gaps — then, if it fits, we set a target together.

How to get started

Three steps, no commitment to begin

Step 01

Exposure & Opportunity Report

We run your NPI and pull your public CMS wound-care data — billing gaps, MIPS exposure, reimbursement trajectory. No PHI. No BAA. Just your NPI.

Step 02

Set the target together

Based on your baseline, payer mix, and provider count, we set a lift target and document it as Exhibit A to your Wound Stewardship Agreement.

Step 03

Stewardship 90 · go live in 7 days

Sherpa-guided onboarding, data migration, supplier connection, and a supervised go-live — with our team beside you the whole way.

Find your exposure.

Give us your NPI and we'll show you what a UPIC would see — and where the margin's leaking. Then we'll score 10 of your recent cases, live.

First 12 clinics lock 50% off rack for life. No card required.

We Know Wounds

You don't just use it. You shape it.

A merit-based community for advanced wound care practitioners — where the people who do the work set the standard the platform runs on. Earn stature through collaboration and peer feedback, influence the AI, and get answers from experts. It's in every tier, and it's now forming.

We Know Wounds · CommunityMerit-ranked
92
Merit
Your standing
Contributor · Council candidate
Peer-endorsed3 protocols shared
Recent collaboration
Protocol shared 24 adopted
Endorsed by Council members ×3
Feedback fed into Sherpa live
Case reviewed by expert panel peer
Earn statureReputation grows with peer feedback
Influence the AIWhat works flows into Sherpa
The community

The community that replaces the rep

For too long, the "expert" in the room was a salesperson — often untrained, often conflicted, sometimes just wrong. We Know Wounds puts that authority back where it belongs: with peers who treat wounds every day, collaborating on what's clinically defensible and what actually works. Real influence, not a suggestion box.

Defensibility, reviewed by peers

Products and protocols get vetted for clinical defensibility and efficacy by clinicians — not pitched by a rep on commission. The documentation and coverage standards that power ARC are shaped here, and kept current as policy changes.

Shared evidence

The We Know Wounds Registry turns real-world outcomes into shared, publishable evidence — the data the whole field wants, built from the care members already deliver.

Shared voice

Case discussion, peer publishing, and a direct hand in where the platform goes next. Membership is the main event — included in every tier.

The governing layer

The Clinical Council

Behind the community sits a clinical Council with teeth — the governing layer that curates the formulary and ratifies the standards. The Council is how the community's voice becomes the platform's rules. Council seats are being filled now.

What the Council does

Curates & ratifies

Merit-ranks the formulary by clinical evidence — never pay-to-rank. Ratifies the documentation and coverage standards the community shapes. Keeps agnosticism structural.

How it relates to the community

Authority behind the many

The community is the membership; the Council is its governance. You join the community; the Council governs on its behalf. One is the movement, the other is the constitution.

Help set the standard.

We Know Wounds is now forming. Founding members shape the platform the whole field will run on.

Book a walkthrough
Company

We built the layer no one else would.

Wound programs were built to see patients. No one ever built a clinical operating layer for the whole wound episode — so the Patchwork Economy filled the gap. Patientflows is the answer: one system, clinician-governed, compliance built into the structure.

Why we're different at the foundation

We bulldozed the house to build a skyscraper.

Software is like a building. If your foundation was poured for a three-story condo, you can't add a fortieth floor — no matter how good the finishes are. The established EMRs were built on a pre-AI foundation. They can bolt AI on the side, but they can't make it agentic all the way down, because that's the foundation, not a feature.

In late 2025 we made the call to demolish our own working platform and rebuild from scratch — agentic by design — while we kept the old one running. Like a team building the new stadium while it plays the season in the old one. It cost us time and money. It's also the one thing a larger, better-funded competitor can't copy quickly: they'd have to tear their own house down first.

What an agentic foundation buys you
  • Sherpa isn't a chatbot bolted onto an EMR — it has run of the platform because the platform was built for it
  • New surfaces ship in days, not quarters — no integration seam to renegotiate
  • Offline-safe capture, real-time gap analysis, one shared record — things a bolt-on can't reach
How it fits together

One platform, a clean structure

Patientflows is one shared record with role-differentiated interfaces — not four bridged systems. Each entity has a distinct, compliant role.

Patientflows

The platform — the clinical operating system and EMR spine. Connects to billing but never bills.

Practice Prosperity

The MSO — employs the W-2 staff behind the service layer.

Reimbursement Remedy

The independent biller. Flat FMV, AKS-firewalled. A biller you can hire — never required.

Wilco Medical

The distributor. Participates as a wholesaler; the platform takes no product spread.

Why it feels different

Not a database. A system designed to get things done.

When we built Patientflows, we didn't start from an EMR. We started from the friction — decades of it — and asked what would actually make it disappear. The answer wasn't records in a database. It was workflows. At its core, Patientflows is task-based: every action runs through a custom workflow with conditional logic, guardrails, and agentic support from Sherpa. It's built to never hit a dead end — to never leave you with a problem, only a next step. That's the infrastructure for alignment underneath everything else, and it's why the platform feels less like software you fight and more like a system working alongside you.

Compliance posture

Built to survive the audit you haven't gotten yet

Patientflows is software that assists clinicians, who remain the sole authors of and attesters to all clinical content. It strengthens documentation; it does not practice medicine or guarantee coverage, payment, or audit outcomes. Compliance reasoning is baked into the structure, not bolted on. Pricing reflects fair-market value for software and compute and never varies with patient volume, reimbursement, or referrals. Product ordering is manufacturer- and distributor-neutral. The AKS firewall between the platform and the independent biller is structural. Not legal advice; counsel signs off before execution.

Let's talk.

Request Founder Cohort access, or reach out about a multi-site or partnership conversation.

Patientflows, LLC · patientflows.com

Get started

See Patientflows in action.

One record from schedule to defensible — capture, orders, communication, and audit defense, built for how wound care actually happens.

  • Watch the order flow from the bedside to the ARC File
  • See Sherpa propose — and the provider confirm and attest
  • Get your practice's Exposure Report from your own CMS data
  • Founder Cohort pricing while the first 12 seats last

Book your walkthrough

Book a walkthrough

The Wilco team handles onboarding & support — we'll reach out within one business day.

You're on the list.

The Wilco team will reach out within one business day to schedule your walkthrough.

About

Replacing the Patchwork Economy with one system.

Wound care runs on six disconnected tools to see a single patient. Patientflows collapses that into one clinical operating record — capture, orders, communication, and audit defense — so the work is done right the first time, at the bedside.

How it's built

Three companies, one accountable partnership.

Patientflows builds the software and stays in its lane. Sourcing, fulfillment, and billing are handled by partners built for exactly that — so you deal with one system, not a patchwork of vendors.

The platform
Patientflows

The clinical operating record for advanced wound care. It builds the software, connects to billing, and never bills itself. Sherpa proposes; the provider always decides and attests.

Distribution & support
Wilco Medical

A compliance-first medical distributor. Wilco brokers sourcing, fulfillment, and support at GPO pricing — one accountable partner instead of a dozen vendor portals.

Billing
Reimbursement Remedy

An independent biller at flat, fair-market rates. Billing sits behind a structural firewall — the platform supports documentation; it never makes the coverage or billing call.

Patientflows, Wilco Medical, and Reimbursement Remedy are affiliated companies under common ownership. We disclose that plainly — it's how you get one system that's accountable end to end, with software, sourcing, and billing each kept in their proper lane.

See where you stand.

Run your NPI for a free Exposure & Opportunity Report, or book a walkthrough with the team.

Contact

Talk to the team.

Sourcing, fulfillment, and support run through Wilco Medical, our distribution partner — so you get one point of contact for the whole system.

Talk to sales

See a walkthrough, pricing, and the Founder Cohort. The Wilco team responds within one business day.

Book a walkthrough

Provider support

Already onboarding or live? Reach the support team routed through Wilco for anything you need.

Get support

Patientflows builds the platform; Wilco Medical, an affiliated compliance-first distributor, handles sourcing, fulfillment, and support.

The Platform · Sherpa

Knows a provider better than they know themselves.

Sherpa is the AI woven through the whole platform — an executive assistant that specializes in wound care, plans of care, and payer policy. Not a chatbot bolted on the side; the steward of alignment across every task, team, and order. It does the heavy lifting so the provider becomes the editor, not the typist.

Sherpa · New Task
Order a graft for Maria's diabetic foot ulcer
Sherpa suggests — you confirm
ECM application15275 · LCD L35041
Select
Vascular eval (ABI) required first93922 · coverage gate
Add
Vascular referraloptional · care coordination
Select
Provider confirms & attestsConfirm & attest
What Sherpa does

Proposes, never decides

In our industry, software can't make the clinical call. So Sherpa makes the provider informed instead — surfacing the best options with substantiation and objective data, then letting the clinician choose, test, click, decide.

🧭

Reads the rules in real time

Every provider account connects to its local LCD and MAC. Sherpa knows what's required for what you're doing — the prerequisites, the derivatives, the justification — and flags gaps before they become problems.

Runs the whole board

Because the platform was built for it, Sherpa has run of everything — documentation, orders, verification, communication, fulfillment. It anticipates needs and never lets a task fall through the cracks.

Learns your practice

Your protocols, your preferred plans of care, your formulary. Sherpa is programmed for automated workflows and gets sharper over time — without the user errors that come from doing it by hand.

Meet Sherpa on your own cases.

Book a call and watch Sherpa work a live encounter end to end.

Get your Exposure Report Book a walkthrough
The Platform · Scribe & Note Drafter

The note drafts itself. You become the editor.

Every other EMR's idea of "modern documentation" is dot-clicks and templated phrases — the exact cloned language our industry warns against. Scribe and Note Drafter do the opposite: capture the encounter, and Sherpa drafts a note that's personalized, unique, and custom to every patient — then names the gaps before you lock it.

Note Drafter · DFU right foot Scribe live
Subjective
Drafted from the encounter…
Objective · wound
! Measurements needed
Assessment & plan
! Conservative-care history
68
ARC
Improving
2 of 4 complete
Sherpa drafting…You edit · you attest
Gap analysisProblems named before they're problems
You become the editorSherpa does the heavy lifting
Capture → draft → optimize

From spoken encounter to pristine note in seconds

Scribe captures

Speak naturally through the encounter. Scribe transcribes it — hands-free, at the bedside, on a phone or iPad.

Note Drafter builds

Sherpa drafts the note against the provider's protocols and the payer's rules — not a template to customize, a real draft to refine. Orders surface automatically from what was said or the plan of care.

The ARC Score optimizes

The draft arrives with a baseline ARC Score. Sherpa creates the exact fields to fill the gaps; you dictate or enter, and watch the score climb before you lock the note.

Always current

Amendments, handled proactively

When something needs to change, Sherpa facilitates the amendment in real time — so the record stays ironclad and up to date, instead of someone going back weeks later to fix it. An LMN generator produces letters of medical necessity where the documentation calls for one.

See a note draft itself.

Book a call and run a live encounter through Scribe and Note Drafter.

Get your Exposure Report Book a walkthrough
The Platform · Order Builder

Forms are dead. The order builds itself.

It all originates at the order. Every treatment needs a product, so the work starts where the order does — no paper, no redundant manual entry, no fax-receive-upload. Once the encounter is captured, Sherpa knows the logic, the custom requirements for each product, the formulary for each provider, and the clinical data that supports the choice — and builds the order against payer policy.

The relay race

The order is the baton

Every order moves through the activity feed like a baton in a relay — a Facebook-style feed where every team sees the hand-off in real time. This is chain of custody unlike ever before, and chain-of-custody gaps are exactly where audits find trouble.

The hand-off

Clinician → review → VOB → approve → fulfill

Clinician to medical review, to verification of benefits, back to the clinician to approve, to the vendor to fulfill — every step logged, nothing dropped.

The trail

Received → shipped → delivered → applied → paid

Then the logistics: received, packaged, shipped, delivered, applied, claim submitted, claim paid, invoice paid. One transparent trail, start to finish.

Marketplace & Formulary

Build your own formulary. Order in one place.

Every product in one catalog instead of ten portals — Council-curated, agnostic by clinical evidence, never pay-to-rank. Providers can e-prescribe through a direct DoseSpot integration (including controlled substances, to CVS, Walgreens, and more), and re-order trunk stock against par levels without anyone re-keying a thing.

Watch an order build in ~120 seconds.

Book a call and see the relay run from encounter to fulfilled order.

Get your Exposure Report Book a walkthrough
The Platform · Growth

The practice runs on one system. Not seven tabs.

Growth is the CRM and operations layer — lead generation, patient acquisition, scheduling, and communication, all inside the platform. Instead of eight tabs, three portals, and two apps, you simply have Patientflows.

Everything in one place

From first contact to booked visit

CRM & referral management

Track referral sources and the pipeline, manage account liaisons, and automate the referral-bonus math that used to eat a day a month in spreadsheets.

Phone, SMS & fax, built in

A full VoIP and SMS system on Twilio — each provider keeps their own number to text patients directly. Fax and email intake flow into the platform, so nothing lives in a separate inbox.

Chat & the activity feed

Slack-style channels and direct messages — with your team, your biller, your rep, and (securely, in-system) your patients. All PHI stays inside the platform.

📅

Scheduling that talks to the record

Schedules feed straight into the encounter and the Scribe tool — no separate calendar to reconcile, no double phone calls to confirm.

See the whole practice on one screen.

Book a call and we'll map your current stack against Growth.

Get your Exposure Report Book a walkthrough
The Platform · Vitality

Care that doesn't stop at the visit.

Vitality is the patient app — the continuity layer that keeps the episode connected between visits. Plan of care and post-visit instructions auto-populate; patients check in, report a pain score, and photograph their wound, and the whole care team stays in the loop.

For the patient

Engaged, informed, connected

📱

Daily check-ins

Pain scores, wound photos, and progress — captured by the patient and surfaced to the provider, so a problem is seen early, not at the next appointment.

Sherpa-guided answers

Dressing-change guidance, FAQs, and instructional videos for patients and caregivers — replacing the call-the-office-and-wait-a-day loop with answers now.

Wellness challenges

Optional engagement to help patients own their health and support the plan of care — behavioral change that complements what the provider prescribes.

Diagnostics & devices

Labs and wearables, in one view

Through our Junction integration, Vitality connects walk-in labs, in-house phlebotomists, mail-based diagnostics, home kits, and 300+ wearables — feeding biometric data to the provider and back to the patient, so transparency extends to everyone.

See the patient side of the platform.

Book a call and walk through Vitality from the patient's phone.

Get your Exposure Report Book a walkthrough
The Platform · Reporting & Analytics

Your data. Never held hostage.

Analytics on par with Google Analytics — but for wound care. Real-time, actionable data across payer, clinical, operational, and product dimensions. It's your data; you should be able to leverage it, not beg a vendor to export it.

Built for the operator

The visibility decision-makers actually want

Any variable, any time

Customize any report with any variables — no fixed templates, no worthless canned dashboards. Slice payer, clinical, ops, and product data however the question demands.

Auto-schedule & share

Push reports to your inbox on a schedule, share them with the team, and surface the insights and trends that drive the practice — transparency and accountability by default.

Every dimension in one place

Because it's all one system, the analytics see everything — margin, audit posture, throughput, denial patterns — the transparency that lets owners and operators manage with confidence.

See your practice, measured.

Book a call and we'll show the reporting on real wound-care data.

Get your Exposure Report Book a walkthrough
Partners

Partners, not just vendors.

Patientflows is a new layer in wound care — and the manufacturers, suppliers, and billers who join early get first-mover advantage on a platform changing the paradigm. We don't want customers on the sidelines; we want partners building the standard with us.

Who partners with us

Two ways to build with Patientflows

Manufacturers & suppliers

Fulfill through Wilco

Wilco Medical is the master wholesaler and head of fulfillment on the platform. Come on as a manufacturing partner and gain real-time order transparency and the ability to fulfill directly — drop-ship or supply — with full visibility into the chain of custody.

Billers

An interface second to none

Billers get an operations interface built for the work — and a direct line to their clients, the clinics on the platform. Over time, that connection can grow the book of business, not just manage it.

Strategic partners

Building the standard together

We promote the partners who move early — the manufacturers with the clinical data to stand behind their products, and the billing partners who share our standard for defensible, transparent care. Partner names featured here as they come on board.

Become a partner.

Manufacturers, suppliers, and billers — start a partnership conversation.

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Who we serve · Practice Owners

Protect your margin and your audit posture — at once.

You carry the margin and the audit posture at once. Patientflows gives you one system to run the whole practice — the product economics on one side, a record that defends itself on the other — so you protect reimbursement without hiring a compliance department.

What it's costing you now

The current workflow has a price.

Today

Where it leaks

  • Margin leaks across six vendors, portals, and a fax line
  • One documentation gap can turn into a six-figure clawback
  • No single view of orders, denials, or throughput across the practice
  • Every new hire is another person to train on five disconnected tools
The cost of waiting

Every week it stays this way

Rework piles up, documentation gaps accumulate, and the exposure compounds. The practices that move early set the standard; the ones that wait inherit it.

The outcome

What changes with Patientflows.

Protect the margin

GPO-level product economics through one marketplace, with the spread transparent and the ordering agnostic by clinical evidence.

Protect the posture

Every order scored for defensibility before it goes out — audit exposure managed as a system, not a fire drill.

Run it from one screen

Orders, denials, throughput, and KPIs across the whole practice — the visibility to manage the business, not just the charts.

How it works

The mechanism, in plain steps.

Step 01

See your exposure

We map where your current workflow leaks margin and creates audit risk — against public CMS data, before you commit to anything.

Step 02

Set the target

We agree on a lift target for your practice and document it — so success is defined, not assumed.

Step 03

Go live in 7 days

Supervised onboarding with our team beside you — workflows live in a week, not a quarter.

Proof

Owners protect margin and posture at once.

Named case studies and measured results are being added as our Founder Cohort goes live. — we won't publish a number we can't stand behind.

See it for your practice.

Get your Exposure Report in minutes — or book a call and we'll score 10 of your own recent cases, live.

Get your Exposure Report Book a walkthrough
Who we serve · Clinicians & Staff

Better orders, less documentation at 9pm.

You didn't go into medicine to fight an EMR at 9pm. Patientflows drafts the note as you treat, builds the order without forms, and names the gaps before you sign — so you treat the patient, walk to the next room, and go home on time.

What it's costing you now

The current workflow has a price.

Today

Where it leaks

  • Charting after hours because the note couldn't keep up with the visit
  • Re-keying the same information into forms, portals, and faxes
  • No confidence an order is complete until a denial says it wasn't
  • Every tool wants a different login and a different workflow
The cost of waiting

Every week it stays this way

Rework piles up, documentation gaps accumulate, and the exposure compounds. The practices that move early set the standard; the ones that wait inherit it.

The outcome

What changes with Patientflows.

The note drafts itself

Scribe captures the encounter and Note Drafter builds the note — you become the editor, not the typist.

Orders without forms

Sherpa builds the order from what you documented, scored against payer policy before you submit.

🧭

A guide on your hip

Sherpa surfaces the right next step in real time — the prerequisites, the gaps, the plan — so nothing falls through the cracks.

How it works

The mechanism, in plain steps.

Step 01

Capture

Speak through the encounter; Scribe transcribes it, hands-free, at the bedside.

Step 02

Draft

Note Drafter builds a personalized note and surfaces the order — no templated dot-clicks.

Step 03

Sign

Fill the named gaps, attest, and move on — the record is built as you treat.

Proof

Clinicians finish the note in the room.

Named case studies and measured results are being added as our Founder Cohort goes live. — we won't publish a number we can't stand behind.

See it for your practice.

Get your Exposure Report in minutes — or book a call and we'll score 10 of your own recent cases, live.

Get your Exposure Report Book a walkthrough
Who we serve · Billing & Compliance

Catch documentation gaps before they become denials.

You're the last line before submission — and you're doing it with incomplete charts, manual verification, and payer rules that change under you. Patientflows scores every order for defensibility before it goes out, so you catch the gap at the visit, not in the denial.

What it's costing you now

The current workflow has a price.

Today

Where it leaks

  • Incomplete documentation lands on your desk after the visit is over
  • Manual eligibility and benefit verification, order by order
  • Payer requirements you have to chase across policies and portals
  • Rework and appeals eating time you don't have
The cost of waiting

Every week it stays this way

Rework piles up, documentation gaps accumulate, and the exposure compounds. The practices that move early set the standard; the ones that wait inherit it.

The outcome

What changes with Patientflows.

Scored before submission

Every note and order gets an ARC Score — a gap analysis against the LCD, payer policy, and documentation integrity — before the claim goes out.

Verification in the workflow

Eligibility and benefits checked inside the order path, timestamped and documented — not a separate portal and a sticky note.

Defense assembled from day one

When an ADR arrives, the file is already built — pick the scenario, ADR to ALJ, and export.

How it works

The mechanism, in plain steps.

Step 01

Verify

Coverage and requirements checked as the order is built, documented as you go.

Step 02

Score

The ARC gap analysis names what's missing before submission — not after the denial.

Step 03

Defend

The audit-ready file assembles itself, so an ADR is an export, not a scramble.

Proof

Billing teams catch it before it's a denial.

Named case studies and measured results are being added as our Founder Cohort goes live. — we won't publish a number we can't stand behind.

See it for your practice.

Get your Exposure Report in minutes — or book a call and we'll score 10 of your own recent cases, live.

Get your Exposure Report Book a walkthrough
Who we serve · Mobile & SNF

Standardize orders across facilities, EMRs, and vendors.

Your team captures wounds in facilities and homes, not at a fixed desk — and every site has its own EMR, its own fax, its own way. Patientflows travels with you: capture at the bedside, route between sites, and keep every location on one record.

What it's costing you now

The current workflow has a price.

Today

Where it leaks

  • Documentation captured on paper, re-entered later — if it gets entered at all
  • Every facility's system is different; nothing talks to anything
  • Windshield time between sites with no efficient routing
  • Orders and referrals lost between the visit and the office
The cost of waiting

Every week it stays this way

Rework piles up, documentation gaps accumulate, and the exposure compounds. The practices that move early set the standard; the ones that wait inherit it.

The outcome

What changes with Patientflows.

Capture anywhere

On a phone or iPad, at the bedside, in the facility or the home — the record builds where the care happens.

🧭

Route the day

Mobile and multi-site routing so the team spends time on patients, not in the car.

One record, every site

Every facility, every provider, on one shared system — standardized orders and documentation across all of it.

How it works

The mechanism, in plain steps.

Step 01

Capture in the field

Scribe and the mobile interface build the note at the bedside, wherever that is.

Step 02

Route efficiently

Optimize the day across facilities so more time goes to care.

Step 03

Sync to one record

Every site and provider on one platform — nothing stranded in a facility's system.

Proof

Mobile groups finish before they leave the building.

Named case studies and measured results are being added as our Founder Cohort goes live. — we won't publish a number we can't stand behind.

See it for your practice.

Get your Exposure Report in minutes — or book a call and we'll score 10 of your own recent cases, live.

Get your Exposure Report Book a walkthrough
Who we serve · Vendors & Manufacturers

Complete orders, less friction across accounts.

Inconsistent orders, missing information, and manual follow-up slow every account you serve. Come on as a partner and your products flow through a platform where orders arrive complete, scored, and traceable — with real-time visibility across every provider account.

What it's costing you now

The current workflow has a price.

Today

Where it leaks

  • Orders arrive inconsistent and incomplete, needing manual follow-up
  • No visibility across the provider accounts you serve
  • Slow, opaque fulfillment with no shared chain of custody
  • Friction between your team and every clinic's different process
The cost of waiting

Every week it stays this way

Rework piles up, documentation gaps accumulate, and the exposure compounds. The practices that move early set the standard; the ones that wait inherit it.

The outcome

What changes with Patientflows.

Orders that arrive complete

Sherpa builds orders against payer policy and product requirements — fewer touchpoints, less follow-up.

Visibility across accounts

Real-time order status and chain of custody across every provider account on the platform.

First-mover advantage

The manufacturers who join early help set the standard — partners building the paradigm, not vendors on the sidelines.

How it works

The mechanism, in plain steps.

Step 01

Partner

Come on through Wilco, the master wholesaler and head of fulfillment on the platform.

Step 02

Integrate

Your catalog in the marketplace, agnostic by clinical evidence — never pay-to-rank.

Step 03

Fulfill

Real-time order transparency and chain of custody, drop-ship or supply.

Proof

Vendors get complete orders and full visibility.

Named case studies and measured results are being added as our Founder Cohort goes live. — we won't publish a number we can't stand behind.

See it for your practice.

Get your Exposure Report in minutes — or book a call and we'll score 10 of your own recent cases, live.

Get your Exposure Report Book a walkthrough
How it works

One workflow, encounter to evidence.

Patientflows sells a workflow, not a pile of features. Here's the full path an order travels — the same path, every time, with nothing dropped between the steps.

01

Capture & build

Capture the encounter; Sherpa drafts the note and builds the order — formless, against payer policy.

02

Verify

Eligibility, benefits, and coverage requirements checked inside the workflow, documented as you go.

03

ARC analysis

The order is scored for defensibility — a gap analysis against the LCD and payer policy — before it's submitted.

04

Fulfill

The order moves through the relay — review, approval, vendor, shipment — with chain of custody the whole way.

05

Retain the record

The audit-ready file assembles itself and stays ready — so an ADR months later is an export, not a scramble.

Get your Exposure Report See the platform in depth
The standard we're pioneering

Audit-Ready Care is a new standard.

For years, wound care had no standard for whether a record could actually defend the care it documented. Notes were written to describe a visit — not to survive scrutiny. We built the standard that closes that gap, and we named it Audit-Ready Care: ARC.

What ARC means

Structure it for scrutiny, from the beginning.

Audit-Ready Care means the record is built to withstand review from the first keystroke — not reconstructed under a deadline when the letter comes. It's a discipline, expressed through two artifacts.

The measure · ARC Score

0–100, objective

A gap analysis that grades a note or order against the matrix of regulatory and payer requirements. Purely objective — it doesn't critique your clinical judgment or dictate a product. It reveals what's missing, so you can fix it before you submit.

The artifact · ARC File

The defense, pre-assembled

Every qualifying case builds an indexed file — the wound, the conservative care, the payer policy, the evidence, the medical necessity. When an ADR arrives, you pick the scenario (ADR, Level 1, Level 2, ALJ) and export.

The industry had no standard for this. We built it — and it's the floor now.

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Make the case internally

Everything you need to move this forward.

Convinced, but you're not the only decision-maker? This page is your ammunition — the summary, the numbers, and the comparison to send to whoever signs off, so the deal doesn't stall in someone else's inbox.

Send these upstairs

Built for the person who has to approve it.

One-page summary

What Patientflows is, the problem it removes, and why now — on a single page a busy decision-maker will actually read.

ROI & payback logic

The cost of the current workflow versus the cost of the platform — with the payback assumptions laid out.

Comparison sheet

Patientflows versus the patchwork of tools you run today — what it replaces and what that consolidation is worth.

Executive email template

A ready-to-forward note that frames the decision for your boss or partners — the "why change now" in their language.

Short product video

A two-minute walkthrough that shows, not tells — for the stakeholder who won't sit through a full demo.

Your exposure, in their terms

The Exposure & Opportunity Report translates your practice's risk into the financial language a decision-maker moves on.

Get your Exposure Report See the pricing
Free · Instant · Built from your own CMS data

The metabolic story behind your non‑healing wounds.

Chronic wounds don't heal in a vacuum. The diabetes, vascular disease, and metabolic dysfunction underneath decide whether they close. But wound care is a subspecialty — so no one owns the whole picture, and those signals sit scattered across your record. Enter your NPI and we bring them together: the drivers behind your hardest wounds, the coverage gaps on your grafts, and where coordinating the whole picture moves the needle. Your own data — nothing to argue with.

Show me my numbers

It's your own data — nothing to argue with. Prepared for your practice only · not for redistribution. Built from public CMS data for discussion purposes, not a determination. We'll email your report and occasional insights; unsubscribe anytime.

Exposure & Opportunity ReportSample
Your practice
Your city · your MAC · CY2024 CMS release
Org Risk Score — your objective baseline
0.9X
Above 1.0 signals documentation gaps that affect denials and MIPS
3X
Metabolic-risk wound patients
Required
Vascular eval before grafts
Metabolic drivers behind non-healing wounds
[FLAGGED]
Vascular evaluation before grafts (ABI)
[COVERAGE GATE]
Wound-correlated MIPS measures
[ROOM TO IMPROVE]
Prepared by Wilco Medical, powered by Patientflows · from public CMS data
Your own dataNothing to argue with
We do the liftingTurnkey, inside the workflow
What's in it

Because no one owns the wound, no one connects the metabolic picture.

The metabolic drivers underneath

A diabetic foot ulcer is a metabolic wound. We surface the drivers in your panel — diabetes, vascular disease, perfusion — that decide whether a wound closes, and that no single provider in the chain is currently connecting.

The coverage gates on your grafts

Many payers require a documented vascular evaluation (ABI) before graft coverage — and it's one of the most common denial reasons. We flag where that documentation is missing, before a claim is.

Where your wound-care MIPS can climb

An objective baseline of the wound-correlated quality measures moving your MIPS score — and where coordinating the whole metabolic picture gives you room to improve it.

And then the part that matters

We coordinate the care no one else owns.

The wound falls between the PCP treating the diabetes, the vascular surgeon treating the perfusion, and the podiatrist treating the foot. Patientflows connects them — bringing the metabolic picture into one record, capturing the wound-correlated documentation as you treat, and coordinating the care that actually closes wounds. Turnkey, inside the normal workflow, not another project on your plate.

Show me my numbers Book a walkthrough →

Built from public Medicare data for discussion purposes — a starting point, not a compliance audit, coding determination, or guarantee of reimbursement. You make every clinical and billing decision.

Why now: the environment is tightening

Wound-care reimbursement is under more scrutiny than ever, and in some states a prior-authorization requirement now applies to graft applications. Your report flags whether your state and services are affected — and Patientflows routes prior authorization inside the order workflow, before the claim is submitted.

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