The EMR that does the paperwork with you.

SKYTIME AI is a complete home-health EMR where the AI drafts the notes, suggests the codes, scrubs the claims, and keeps unsigned orders moving — and your team reviews and approves every step.

Built hands-on with a Medicare-certified home health agency in Illinois. Demo runs on synthetic data.
skytime — agency dashboard
SKYTIME AI agency dashboard — every count is a worklist
23integrated modules
OASIS-E2validated exports
PDGMgrouping & UB-04 / 837I
131automated acceptance test suites
7role-scoped workspaces
The AI layer

AI that does the work — never behind your back.

Most EMRs bolt on a chatbot. SKYTIME's AI lives inside the chart: it stages its work at the exact field it belongs to, cites the source language for every suggestion, and nothing it writes can be signed until a human reviews it.

📥

Referral intake, extracted

Upload the referral packet — demographics, payer, diagnoses, meds, and orders arrive pre-filled with source citations. Your coordinator confirms instead of retyping. Unmentioned means blank: it never invents data.

🎙️

Ambient scribe

Record or dictate the visit and the note drafts itself — vitals pulled, skilled-care justification in the clinician's own words, and honest flags for what the dictation didn't cover.

🩺

OASIS & coding assist

M-item and ICD-10 suggestions with the exact note language cited on every one. Real coding rules built in — hypertension combos, Z79, diabetes linkages. Accept, edit, or clear each item; bulk-accept is view-gated.

🧾

Claim scrub

Every claim checked before it leaves — PDGM groupability, cert and F2F consistency, dozens of denial-pattern checks. It flags and explains; your biller decides.

📠

Order tracking that chases

Unsigned orders age visibly, escalate on schedule, and show exactly which dollars they block. Portal e-signing, fax, and download paths — one pipeline, one signature chase.

🌙

The overnight agent

While the office sleeps, SKYTIME sweeps every chart, stages suggestions inline, and flags risks — so staff arrive to a triaged morning, not a backlog.

🛡️

Our AI doctrine, in one line: it guides, it never guarantees — and it never acts alone. Every AI feature carries a kill switch, an audit trail, and a promotion gate: no AI capability runs autonomously until it passes its own regression test set. When sources disagree, SKYTIME shows you the cited timeline — it never picks a side for you.

Product tour

One system, from referral to remittance.

Every role gets one inbox.

My Day computes each person's real worklist — patient, what's needed, why, and one verb. The dashboard counts and the worklists are the same query, so they can never disagree.

  • Nurses see returned notes and undocumented visits — theirs only
  • Billers see blocked claims with the named gate and a link to the fix
  • QA sees the review queue with aging clocks
my day — the one inbox
My Day — the per-role worklist

Scheduling you can see.

Every visit on a live map with clinician territories, day paths with mileage, and proximity outliers flagged. Type any address to see instantly who covers it before you accept the referral.

  • Credential-checked assignment — a PTA can't be booked without a supervising PT
  • Missed-visit and conflict workflows built in
  • Calendar and map always agree — same data, two views
scheduler map
Scheduler map with clinician territories

A billing center that knows why.

NOA and claim readiness computed from the chart itself — every blocked claim names its gate and links to the fix. SNIP-validated 837s, real 835 posting with denial routing, per-payer emission rules, and honest tracking for files you submit through a clearinghouse or portal.

  • Timely-filing clocks and hard close
  • RCD/pre-claim review and ADR defense workspaces
  • Biller exception tools — adjustments, cancels, condition codes — all validated and audited
billing center
Billing center with claim readiness gates

Walk into survey ready.

SKYTIME continuously runs the checks a state surveyor or accreditor runs — against your live data, not a binder you assemble the week before. Every finding names the patient, the regulation, and the fix.

  • Condition-level and standard-level tags, scored
  • Mock-survey mode with a mintable read-only surveyor login
  • Infection, incident, and QAPI logs feed the same picture
survey readiness
Survey readiness — live G-tag checks
Role-scoped by design

Everyone sees their job. Nothing else.

Permissions are modeled on the workflows agencies already know — each role lands on its own worklist, and the navigation only shows what that role can actually open.

Field clinician

My Day, own patients' charts and documentation, own schedule — scoped to their assignments, enforced server-side.

Intake coordinator

The referral pipeline with AI extraction, duplicate detection, eligibility checks, and document intake at every phase.

Scheduler

Calendars, the live map, staff availability, and chart summaries — enough to schedule, nothing clinical to wade through.

Care coordinator

Coordination notes, the orders desk, document scanning, and med reconciliation proposals across all patients.

Biller

The billing center, eligibility hub, AR reports, and read-only chart evidence — verify everything, edit nothing clinical.

Coder

The coding queue, ICD picker, diagnosis worksheets, and the pick list. Coders code; QA approves.

QA reviewer

The QA center, survey readiness, infection and incident logs, and full audit read across the agency.

Administrator

All of it — plus the executive dashboard, setup, and the AI governance console with every kill switch.

Compliance & trust

Built like a medical record, not a startup demo.

✓
Event-sourced documentation

Every status change is backed by an immutable event with an author — signatures, versions, and QA history preserved forever. Nothing is ever silently edited or deleted.

✓
Role-based access with MFA

Granular permission grants, per-role session timeouts, TOTP two-factor, and full audit logging with export.

✓
PHI-aware everywhere

Identifiers masked on prints and claims views, sensitive-field reveal is itself a permission and an audit event, and print output carries exactly what the record supports — empty sections say "Not documented."

✓
Standards-native billing & reporting

OASIS-E2 exports with pre-submission edit checks, PDGM grouping, SNIP-validated UB-04/837I, 835 remittance posting, and Cures-Act-complete EVV capture.

✓
AI governance as a feature

Every AI capability has a test set, a policy level, an audit trail, and a kill switch on one governance screen. Suggestions cite their sources; conflicting sources render as a timeline, never a guess.

✓
Migration without the fear

Our data-migration process is rehearsed and documented: full backup, dry-run reconciliation you can read, count verification on every screen, and a rollback plan — before a single record moves.

SKYTIME AI is in staff testing with our first partner agency. Production onboarding — including HIPAA business associate agreements and payer enrollment support — opens with our early-access cohort.

See it with your own charts in mind.

Book a 30-minute walkthrough and we'll run your intake-to-claim workflow end to end. Or click around the live demo right now — it runs on synthetic data with every role available to try.

Open the live demo →
Questions

The ones every administrator asks.

We're on KanTime / Axxess / WellSky. How painful is switching?

Less painful than staying, and we've built for exactly this. SKYTIME's navigation and permissions are modeled on the workflows your staff already knows, migration follows a rehearsed runbook — backup, dry-run with a readable reconciliation, verification, rollback plan — and we handle the payer-enrollment paperwork alongside you. Your team's retraining burden is a design goal, not an afterthought.

Is the AI safe to use on real clinical documentation?

The AI never signs anything and never acts without review. Every suggestion cites the source language it came from, editing a suggestion counts as reviewing it, bulk-accept is gated on actually viewing each item, and every capability has a kill switch your administrator controls. We treat "the AI guides, it never guarantees" as a hard product rule — you'll never see us promise that software prevents denials or survey findings.

What does it cost?

Early-access pricing is set per agency with our first cohort — one conversation and you'll have a number. No per-module nickel-and-diming: the AI features are the product, not add-ons.

Who builds SKYTIME?

SKYTIME AI is built by CareOS AI LLC, an Illinois company, hands-on inside a Medicare-certified home health agency — every feature ships because a real coordinator, biller, nurse, or QA reviewer needed it, and their feedback lands in the product weekly.