SNF Practice EHR Platform | Otangeles Notes+
PLATFORM

One platform for the whole practice.

Otangeles Notes+ is a practice-owned system of action: SNF-native EHR, AI-assisted documentation, a built-in scribe service, provider signature, coding support, claim readiness, billing visibility, and operations — in one workflow.

SNF-NATIVE EHR AI DOCUMENTATION PROVIDER SIGNATURE CLAIM READINESS BILLING & RCM OPERATIONS
HOW IT'S BUILT

Four layers, one system of action.

Clinical workspace
Where rounding and documentation happen.
Multi-facility census Rounding lists Encounter editor HPI / ROS / PE / A&P Meds & allergies Labs
Intelligence layer
AI assistance and the built-in scribe service, provider-in-the-loop.
AI note drafting Scribe service queues Completeness checks Coding suggestions Work-queue routing
Revenue workflow
From signed note to claim-ready encounter.
Charge capture Eligibility checks Claim-readiness queue Clean-claim review Denial-prevention workflow
Operations & visibility
What practice leaders see, in real time.
Unsigned-note tracking Billing queue visibility Provider throughput Facility performance Audit trails
01 · ROUNDING

SNF-native rounding workflow

Start the day with one list across every facility you cover. Census updates, new admissions, and follow-ups are organized by facility — with the post-acute context outpatient EHRs don't carry.

Facility-by-facility rounding lists
Census visibility with new-admission flags
Visit types built for post-acute care
TODAY'S ROUNDS18 of 24 seen
Willow Creek SNF
Census 42 · 9 to see · 2 new admissions
ROUNDING
Grandview LTC
Census 61 · 12 to see
NEXT
Pacific Palms ALF
Census 28 · 3 to see
2:30 PM
02 · DOCUMENTATION

AI documentation & built-in scribe service

AI-assisted drafting builds the note from the encounter; the Otangeles scribe team — included with the service — structures and refines it; providers stay in control of what gets signed. Every handoff has a status and an owner.

AI-assisted first drafts with SNF context
Scribe service included: draft, revise, submit to provider
Completeness checks before review
Alvarez, Rosa M.MRN 40217AI DRAFTOTANGELES SCRIBE
HPI
78-year-old female seen for follow-up of CHF exacerbation. Reports improved dyspnea since diuretic adjustment. Denies chest pain. Mild edema in lower extremities, improved from prior exam.
AI suggestion: document weight trend to support diuretic plan — why: supports 99308
Submit to ProviderAdd Notes
03 · REVIEW & SIGNATURE

Provider review & signature

One queue for everything waiting on a clinician: review, edit, approve, sign — or return to the scribe team with comments. Nothing moves downstream without a provider's signature.

FOR REVIEW → FOR SIGNING → SIGNED status flow
Return to scribe with tracked comments
Aging alerts before notes block claims
SIGNATURE QUEUE · DR. MERCADO
Alvarez, Rosa M. · Follow-up
Scribe team submitted 22 min ago
FOR SIGNING
Chen, Harold · New admission
AI draft ready for review
FOR REVIEW
Okafor, Grace · Discharge
Signed 1:42 PM · moved to coding
SIGNED
04 · CODING & READINESS

Coding & claim readiness

Coding support runs against the documentation itself. Eligibility, charge capture, and clean-claim checks happen while the encounter is fresh — not weeks later in a rework queue.

ICD-10 / CPT suggestions grounded in the note
Documentation-support checks per code
Human coding review where it matters
ENCOUNTER CODES · ALVAREZ, R.
I50.23
Acute on chronic systolic CHF
SUPPORTED
99308
Subsequent nursing facility care
SUPPORTED
E11.9
Type 2 diabetes mellitus
NEEDS DETAIL
Eligibility verified · Charge captured · 1 item before claim-ready
05 · BILLING & RCM

Billing & RCM visibility

Billing teams work from live queues instead of end-of-month spreadsheets — what's ready, what's blocked, and exactly why. Denials route back with reason codes.

Explore Billing & RCM →
BILLING QUEUE · THIS WEEK
38
Ready
7
Awaiting signature
5
Need docs
Okafor, G. · 99309CLEAN — SUBMIT
Chen, H. · 99306AWAITING SIGNATURE
Diaz, M. · 99307NEEDS ROS DETAIL
06 · OPERATIONS

Practice operations

Administrators see the operational health of the practice as it happens: unsigned notes, aging documentation, provider throughput, facility performance, and where revenue is getting stuck.

Unsigned-note and aging alerts
Provider- and facility-level dashboards
Revenue-cycle bottleneck detection
PRACTICE OPERATIONS · LIVE
14
Unsigned notes
3
Aging > 48 hrs
212
Signed this week
6
Facilities covered
Provider-in-the-loop
AI assists; clinicians decide. Final review and signature always belong to the provider.
Role-based by design
Physicians, NPs, billers, and admins each get the queue that's theirs — plus the built-in scribe service.
Auditable end to end
Every draft, edit, handoff, and signature is traceable in the audit trail.
Security-forward
Compliance-conscious workflow design; details customized to your implementation model.

See the platform on your practice's workflow.

Book a Demo See the Workflow