Otangeles Notes+ | SNF EHR & Revenue Platform
New   Claim-readiness checks now run at the note — before the billing queue. See how →
The modern EHR + revenue platform for SNF-based physician practices

One SNF-native workflow
from rounds to revenue.

Otangeles Notes+ gives physicians, NPs, billing teams, and administrators one SNF-native workflow — with a built-in scribe service, AI-assisted documentation, provider review and signature, coding support, claim readiness, and revenue cycle execution.

See the Workflow Book a Demo

Practice-owned. Provider-in-the-loop. Built to work alongside facility EHRs — not replace them.

For Physicians & NPs Scribe Service For Billing Teams For Administrators
Otangeles Notes+ logo Otangeles Notes+
Otangeles Notes+ logoOtangelesNotes+
Sunrise Care Center
123 Main Street, Springfield, IL 62701
Tel: (555) 010-4320 | Fax: (555) 010-6744
SMITH, JOHN (M)
Rec ID: ENCT0000457 DoB (Age): 06-15-1948 (78)
Date of Service
06-24-2026
Visit Type
Acute
Attending Provider(s)
J. Doe, MD
Referring Provider(s)
Progress Notes
CODE STATUS In Review Edit|Add Revision Comment|Mark as Verified
Full Code
All life-sustaining measures are permitted, including CPR, intubation, defibrillation, and advanced life support.
CHIEF COMPLAINT In Review Edit|Add Revision Comment|Mark as Verified
Medical necessity: Patient Request
Follow-up of CHF exacerbation
HPI In Review Edit|Add Revision Comment|Mark as Verified
{{ hpiText }}
REVIEW OF SYSTEMS In Review Edit|Add Revision Comment|Mark as Verified
Constitutional: Denies fever, chills, or weight loss
Cardiovascular: Denies chest pain or palpitations
Sign Encounter
THE GAP

SNF physician practices were not built for generic EHR workflows.

Outpatient EHRs assume clinic visits. Facility EHRs are the facility's system of record. Physician groups rounding across skilled nursing, long-term care, and assisted living still need their own workflow — for documentation, review, coding, billing, and operations.

GENERIC EHR WORKFLOW
Built around a single clinic — not rounding across multiple facilities
Patient data scattered across different facility systems
No documentation support — scribes are yours to find and manage
Coding and claim readiness happen after the fact — too late
Admins can't see unsigned notes, billing queues, or facility performance
SNF-NATIVE PRACTICE WORKFLOW
Multi-facility rounding lists with census and SNF context
One practice-owned record of the encounter, across facility systems
AI drafting and a built-in scribe service, inside the note itself
Claim readiness checked at the note — not at the clearinghouse
Live visibility into unsigned notes, billing queues, and facility performance
FROM ROUNDS TO REVENUE

A practice-owned system of action — from documentation to revenue.

A note isn't complete when it's written. It's complete when it's reviewed, signed, code-supported, claim-ready, and visible to billing and operations. Otangeles Notes+ makes that one workflow.

01
Round
Multi-facility patient lists with census and SNF context.
02
Draft
AI drafts the note; the built-in scribe service refines it.
03
Review & Sign
Provider queue for review, edits, and signature.
04
Code
Coding support and documentation completeness.
05
Check
Claim-readiness and clean-claim review.
06
Bill
Billing queue and RCM workflow.
07
Track
Practice dashboards and operational visibility.
One workflow.
Every role, every facility.
See role workflows →
THE PLATFORM

Six pillars. One SNF-native platform.

SNF-native rounding workflow

Built around multi-facility rounding, census visibility, facility-specific workflows, and post-acute documentation needs.

AI documentation & built-in scribe service

AI drafts every note and the Otangeles scribe team — included with the service — refines it, so providers complete notes faster — clinicians stay in control of final review and signature.

Provider review & signature

A clear queue for physicians and NPs to review, edit, approve, and sign notes before anything moves downstream.

Coding & claim readiness

Documentation connects to coding support, charge capture, eligibility checks, clean-claim review, and billing readiness.

Billing & RCM visibility

Billing teams see what's ready to bill, what needs attention, and where documentation gaps are slowing revenue.

Practice operations

Administrators get visibility into unsigned notes, provider productivity, billing status, facility-level performance, and bottlenecks.

FROM YOUR SEAT

One workflow, seen from every seat.

Pick your role. This is the day Otangeles Notes+ gives you.

{{ tourCaption }}
Signature Queue 3 FOR SIGNING
Alvarez, Rosa M.99308Willow Creek SNF · drafted by your Otangeles scribeReview & Sign
Chen, Harold99306Willow Creek SNF · AI draft, refined by scribe teamReview & Sign
Diaz, Miguel99307Grandview LTC · addendum requestedReturn to Scribe
Sign here, and the encounter moves to coding and claim readiness on its own — nothing else to file.
Handoff Queue OTANGELES SCRIBE TEAM
Alvarez, Rosa M.Follow-up · AI draft structuredIN PROGRESSSubmit to Provider
Diaz, MiguelReturned: add ROS detail for E11.9FOR REVISION
Chen, HaroldSubmitted 22 min agoWITH PROVIDER
The built-in scribe service drafts, structures, and routes notes to your providers — every handoff has a status, an owner, and a clear next step.
Billing Command Center This week · all facilities
38
Claims ready
5
Needs documentation
7
Needs signature
61
Submitted
ENC-4021Diaz, M. · 99307Missing ROS detail for E11.9→ SCRIBE TEAM
Blockers are named and routed before submission — you chase documents days earlier, not after the denial.
Practice Operations LIVE
14
Unsigned notes
3
Aging > 48 hrs
212
Signed this week
6
Facilities covered
Provider B — unsigned notes aging over 48 hoursNudge sent automaticallyWATCHING
You see bottlenecks the day they form — not in a month-end report.
ROLE-BASED WORKFLOWS

Built for everyone who moves the practice forward.

MD

Physicians & NPs

Review notes drafted by AI and the scribe service, complete signatures, and move from rounds to finished documentation with less administrative drag.

SIGNATURE QUEUE
SC

Scribe service

Included with Otangeles Notes+ — our scribe team drafts, structures, and routes notes into provider review, so your practice never has to hire or manage scribes.

HANDOFF QUEUE
BL

Billing teams

See what's ready to bill, what needs documentation support, and where claim-readiness issues are blocking revenue.

BILLING QUEUE
AD

Practice administrators

Track note completion, provider productivity, billing cycle health, facility performance, and operational bottlenecks.

OPS DASHBOARD
GRP

SNF-based medical groups

Run documentation, coding, billing, and practice operations in one SNF-native platform — instead of stitching together disconnected tools.

Book a Demo
AGENT-FIRST

AI that works inside the workflow — not around it.

Intelligent assistants watch the queues, surface what needs attention, and move work to the right person. Providers stay in control — every note gets provider review and final signature.

LIVE Claim readiness: 99308 supported by documentation — moved to billing queue
PROVIDER REVIEW QUEUE
3 notes ready for provider signature
OwnerDr. Mercado
Next actionReview & sign
ReadinessBlocks 3 claims
CLAIM READINESS ASSISTANT
2 claims missing documentation support
OwnerOtangeles scribes
Next actionAdd ROS detail
RiskDenial risk if submitted
BILLING WORK QUEUE
12 encounters ready for billing review
OwnerBilling team
Next actionClean-claim review
ReadinessAll checks passed
ROUNDING ASSISTANT
Willow Creek SNF: census updated
OwnerRounding list
Next action2 new admissions to eval
StatusSynced 8 min ago
OPERATIONS INTELLIGENCE
Provider B: unsigned notes aging over 48 hours
OwnerPractice admin
Next actionNudge sent to provider
Impact4 encounters delayed
Provider-in-the-loop, always.
Assistants organize and surface work. Clinicians make the decisions and own final review and signature.
BILLING & RCM

Your revenue workflow starts before the claim.

In SNF-based practices, billing problems usually begin at the documentation stage. Otangeles Notes+ connects note completion, coding support, eligibility, claim readiness, and billing visibility — so teams catch issues earlier, not after denial.

Documentation completeness checks
Coding support
Charge capture support
Eligibility workflow
Claim-readiness queue
Clean-claim review
Denial-prevention workflow
Revenue-cycle dashboards
Estimate your practice's time savings →
Billing Command Center This week
38
Claims ready
SUCCESS
5
Needs documentation
ACTION
7
Needs provider signature
PENDING
4
Coding review
IN REVIEW
2
Eligibility issue
VERIFY
61
Submitted
SENT
3 denied / needs follow-up — routed to rework queue with reason codes
THE PRACTICE LAYER

Built to work across post-acute facility environments.

Physician groups work across facilities with different systems. Otangeles Notes+ is the practice-owned layer that coordinates documentation, review, billing, and operations — with a native PointClickCare integration, and designed for environments like MatrixCare and other post-acute EHRs.

Facility EHRs
Systems of record
Census data
Admissions, discharges
Labs & imaging
Results routed to the note
eRx
E-prescribe workflow
Otangeles Notes+ logo
Otangeles Notes+
The practice-owned workflow layer across facility systems
DOCUMENT REVIEW BILL TRACK
Billing / clearinghouse
Claim-ready output
Practice dashboards
Ops + revenue visibility
Provider & scribe-service workflows
Queues, handoffs, signatures
Integration-oriented by design. We don't replace facility EHRs — we help your practice work across them.
FEATURED INTEGRATION
Native PointClickCare integration
Census, admissions, and patient context flow in from PCC automatically — and signed provider notes file back to the facility chart. No double documentation.
See how it works →
OPERATIONAL VISIBILITY

See the work before it becomes a revenue problem.

Unsigned notes, aging documentation, billing queues, provider productivity, facility performance, revenue-cycle bottlenecks — visible to practice leaders in real time, not at month end.

Unsigned notes
14
↓ 6 since yesterday
Notes aging > 48 hrs
3
Nudges sent to 2 providers
Ready for billing
38
Across 6 facilities
Claims needing docs
5
Routed to the scribe service
Facility productivity
Encounters per facility, wk
Provider throughput
212
Signed encounters this week
Denial trends
Trending down, 6 wks
Revenue-cycle status
Healthy
No stage aging beyond target
ON YOUR ROUNDS

Built for the hallway, not just the desk.

Rounding happens between rooms, units, and buildings. Capture the encounter at the bedside, dictate on the walk to the next unit, and sign from your phone before you leave the facility. The full queues are waiting on desktop.

Today's rounding list, organized by facility
Capture or dictate the encounter at the bedside
Review and sign from your phone
Everything syncs to the same practice-owned record
Otangeles Notes+ logoOtangeles Notes+ 18 OF 24
WILLOW CREEK SNF
Alvarez, Rosa M.
Rm 214 · Follow-up · 99308
IN REVIEW
Chen, Harold
Rm 218 · Admission eval
NEXT
Diaz, Miguel
Rm 305 · Follow-up · 99307
SIGNED
Dictating… HPI updating
Sign Encounter
WHY OTANGELES NOTES

Purpose-built for the way SNF physician practices actually work.

Generic outpatient EHRs
Built for clinic visits
Not designed for multi-facility rounding
Documentation and billing disconnected
No built-in scribe service
Billing teams lack early visibility
Facility EHRs
Built around the facility record
Not practice-owned
Not the physician group's full operating workflow
Doesn't solve practice billing & RCM visibility
Otangeles Notes+
Built for SNF-based physician practices
Supports multi-facility rounding
Connects documentation to revenue workflow
Built-in scribe service and AI drafting
Provider review & signature workflow
Billing & admin visibility built in
A practice-owned system of action
FOUNDING PARTNERS

Built in the field, with the practices who live this work.

Otangeles Notes+ is shaped with SNF-based physician practices — providers and billers running real rounds through the workflow and telling us what to fix next. We're early, and we'd rather show you the workflow than tell you about it.

WHAT YOU GET
Early access for every role — providers, billers, admins — with the scribe service included
A direct line to the product team — your workflow shapes the roadmap
Founding pricing, locked in as the platform grows
White-glove implementation and training, included
WHAT WE ASK
Run real rounds through the workflow — including your hardest facility
A monthly working session with your providers and billers
Candid feedback — especially where it falls short
Founding Partner Program
A limited cohort of SNF-based physician practices. Bring your facility mix — we'll map the workflow to it live.
Become a Founding Partner Why we're building this →
TRUST & ACCOUNTABILITY

Built for healthcare workflows where accuracy, accountability, and auditability matter.

HIPAA-COMPLIANT WORKFLOW BAA AVAILABLE SOC 2 · IN PROGRESS

PHI is encrypted in transit and at rest, access is role-based, and every draft, edit, handoff, and signature is auditable.

Read the security overview →
Provider-in-the-loop
Final review and signature always belong to the provider.
Audit trails
Every draft, edit, handoff, and signature is traceable.
Role-based workflows
Clinicians, the scribe service, billers, and admins see the work that's theirs.
Security-forward architecture
Compliance-conscious workflow design from the ground up.
Documentation completeness
Checks run before notes move downstream to billing.
Coding support
Suggestions grounded in the documentation — reviewed by people.
GETTING STARTED

Live in weeks, not quarters.

No rip-and-replace. Facility EHRs stay exactly where they are — we set up the practice layer around how your group already rounds.

WEEK 1Map your practice

Facilities, census sources, provider roster, note templates, and payer mix — we configure the workflow around what already exists.

WEEK 2Train by role

Providers learn their queue in about an hour, and billers train inside the queues they'll actually work. The Otangeles scribe team arrives already trained — it comes with the service.

WEEK 3+Go live, one facility at a time

Start where it's easiest, expand as the team settles in. We watch the first encounters through the pipeline with you — from note to claim.

Your data stays yours — notes, claims history, and operational data are exportable at any time.

QUESTIONS

The questions every practice asks.

{{ faq.a }}
How pricing works → Security & compliance →
SEE IT IN MOTION

From rounds to revenue, in 90 seconds.

PENDING — replace with the 90-second product walkthrough video
FOUNDING PARTNERS

Practices running rounds through Otangeles.

"PENDING — founding-partner quote 1. Needs: the quote, written permission to publish, name, role, and practice name."

?
Name pending
Role, Practice pending

"PENDING — founding-partner quote 2. Ideally a biller or administrator, so the physician voice in quote 1 is balanced by an operations voice."

?
Name pending
Role, Practice pending

"PENDING — founding-partner quote 3. If only two quotes are available, delete this card; the grid adjusts automatically."

?
Name pending
Role, Practice pending

Ready to modernize your SNF practice workflow?

See how Otangeles Notes+ connects rounds, notes, signatures, billing, and practice operations — in one SNF-native workflow.

Book a Demo See the Workflow

From rounds to revenue — one SNF-native workflow.