Weekend sign-out list
In developmentA running hand-off line for each active patient, seeded from the latest note and sent to the covering physician before the weekend starts.
Honolulu, Hawaiʻi
Clinical software for infectious diseases practices, built by an ID physician.
Our first product, idrounds, takes a consulting physician from the Epic face sheet to a filed claim: capture on the phone, one-tap rounding, AI-drafted notes in the practice's own format, billing rules built in, and a portal for the biller.
idrounds
LiveInpatient charge capture, documentation and billing for consultants who round at several Epic hospitals. It runs as an app on the physician's phone, a portal for the biller, and a locked-down page for hospital workstations. app.idrounds.ai
- 1 · New consult Photograph the face sheet Name, MRN, date of birth, admit date, hospital and insurance fill in.
- 2 · Rounds Tap the visit, or dictate the note One tap per patient, or a drafted note that picks its own code.
- 3 · Submit Send the day's batch A readiness check catches what the biller cannot fix alone.
- 4 · Billing The biller files by stay One claim per hospital stay, with questions sent back to the phone.
Face-sheet capture
- Reads Epic face sheets on the phone itself, with no signal needed.
- Tuned to the Queen's, Hawaiʻi Pacific Health, Adventist Health Castle and Hilo Benioff layouts, including ʻokina and macrons in names.
- Optional AI reading for hard screens, with multi-page sheets combined.
- Detects the hospital and warns about a likely duplicate patient before it becomes a double claim.
One-tap rounding
- Census grouped by hospital, showing who is still to be seen today.
- One tap per patient on the right code, critical care included, with Undo.
- Mark a patient not seen, or sign off when you stop following.
- Works fully offline and syncs when signal returns.
AI scribe
- Dictate in short parts or type; the note drafts in the practice's own consult and follow-up format.
- Each follow-up builds on the stay's previous note, adding a dated line of interval history for the day.
- Nothing carried forward is dropped: cultures, imaging, allergies and problems stay unless replaced.
- Review on the phone, copy into Epic, sign, and send the code straight to the charge.
Coding you can defend
- Medical decision making graded against the AMA 2023 table, with the quotes from the note that support each grade.
- The software picks the visit code from the grades. The AI never does.
- Every diagnosis checked against the full ICD-10-CM billable code set for its date of service.
- Photograph a finished note to check its level, or a problem list to get its ICD-10 codes.
Payer rules built in
- One visit per patient per day, and initial versus subsequent codes enforced.
- Consult codes held back for Medicare and QUEST; G0316 or 99418 by payer; observation place of service.
- The G0545 ID complexity add-on offered wherever it applies.
- Diagnosis fixes applied across a whole stay in one step.
No missed charges
- A week-by-week board of every day a patient was followed without a visit entered.
- Fill in a whole stay at once, with days not seen left unticked.
- Photograph an Epic patient list to see which admissions never made it in.
- Trip calendar support, so days away from Hilo never count as missed.
Weekend coverage
- The physician on call sees the group's active patients for the weekend.
- "Seen by" markers stop two visits on one patient on one day across the group.
- A covering visit bills under the covering physician's own NPI.
- Sign-off can email the office to book outpatient follow-up.
Biller portal
- Batches arrive numbered, with a readiness check for name, date of birth and face sheet.
- Visits grouped into one claim per hospital stay, add-ons joined to their visit.
- Face-sheet images, CSV export, mark billed, and a flag-and-comment loop to the physician's phone.
- Each biller sees only the physicians she bills for.
Productivity and hospital computers
- wRVUs by month, week or day from the CMS Physician Fee Schedule.
- Expected collections shown as a range from the practice's own payment history.
- A desk page for shared hospital computers: edit, sign and copy notes, with nothing left behind on the machine.
Security and privacy
idrounds holds protected health information, so the safeguards are part of the software, not a policy on paper.
- Encrypted at rest and in transit AES-256 database encryption, separately encrypted face-sheet images, HTTPS only.
- Two-step sign-in and a phone PIN Authenticator-app codes, account lockout, and an app PIN on every physician's phone.
- Append-only access log Every view of patient information is recorded and can be reviewed by an administrator.
- Minimum necessary access Physicians see their own patients; billers see only admissions submitted to them.
- No patient data where it can leak Never in web addresses, server logs or browser caches. Hospital computers keep nothing.
- AI switched on one feature at a time Each AI reader stays off until its vendor's business associate agreement is in place, and every transmission is logged.
How we build
- A physician approves every output Nothing reaches a chart or a claim until the treating physician has reviewed it.
- Rules come from the source The AMA decision-making table, the CMS fee schedule and the official ICD-10-CM code set live in the software as data, and are updated each year.
- Tested on real rounds first Every feature is used in daily consult work across Oʻahu and Hilo hospitals before it goes anywhere else.
What's next
AI call answering for ID clinics
In developmentAnswers the clinic line during working hours, takes reschedules, refill and records requests, and hands scheduling to staff, so medical assistants can stay with patients.