You just want to be a nurse.
Not the data-entry clerk the EMR turned you into. NotePush walks the visit at the bedside, drafts the eligibility-defensible note, and pushes it into whatever EMR your agency uses — so you can close your laptop by dinner.
Three problems hospice nurses have at 10:42pm.
The Tuesday visit you're trying to remember on Friday.
Twelve thumb-friendly steps that walk you through the visit while you're standing in the home. PPS, FAST, NYHA when they apply. LCD-mapped phrase chips written by hospice nurses — you tap, you don't type. Tuesday's visit gets finished on Tuesday.
The “stable” note that gets your patient denied.
A live worksheet against CMS LCD L34538 that shows you exactly what your chart still needs before you sign. Auto-evaluated from your charted values; attested where it has to be. Recertification narratives that walk the criteria for you — so you're not panicking on Thursday night.
The 47 clicks in your EMR.
Not a replacement for Homecare Homebase, Axxess, WellSky, or MatrixCare. A bypass around them. NotePush builds the note; you copy it in once. Paste presets for the big three EMRs, fax-to-physician for the recert, family text for the visit update.
Charts in the wrong direction get denied. Notes that say "stable" get denied.
NotePush is built around the exact CMS coverage rule every hospice reviewer reads from. Every criterion in the engine cites its source. Every auto-evaluation traces to charted data. Every recertification narrative walks the worksheet line by line.
And every generated note is checked for the auditor-flagged phrases that sink eligibility — no complaints, tolerating well, WNL — before it gets to your EMR.
CGS J15 today · NGS & Palmetto on the roadmap
Eleanor M., 84 F · MRN VR-10412
Evaluated from 8 measurements, 6 attestations
- ✓PPS ≤ 70%30% on 6/8
- ✓≥ 2 ADL dependent6 of 6
- ✓FAST ≥ 77C
- ✓Unable to ambulate
- ✓Unable to dress
- ✓Unable to bathe
- ✓≤ 6 intelligible words
- ✓Aspiration pneumonia12 mo
- ✓Pyelonephritis
- ✓10% wt loss / 6 mo12.4%
Determination
Eligibility supported.
What it looks like with NotePush.
At the bedside, 11:30am.
You walk into Mrs. Davis's house. She's in her recliner, eyes half-closed, oxygen at 3 liters. Open NotePush. The wizard shows you her last PPS (40) and a prompt: dementia recert window opens in nine days. Tap through Arrival, Vitals, Pain. Forty-five seconds a section. Voice dictation when your thumbs are tired. The phrase chips were written by hospice nurses — the words you'd reach for anyway are already on the screen.
Before you walk to the car.
Tap Generate. NotePush drafts a note that traces every sentence back to something you observed — no invented vitals, no hallucinated symptoms. Every line shows its source. The eligibility tab updates: Decline supported. Recert narrative ready when you are. Edit a sentence, sign, copy.
On the front steps.
Paste into Homecare Homebase, Axxess, or WellSky. Fifteen seconds. Drive to the next visit. When Thursday rolls around and the recert is due, the narrative is already drafted in the eligibility tab — it was building itself across every one of Mrs. Davis's visits the whole time.
Honest about the limits.
Every AI scribe out there sounds the same. Here's what NotePush is not, so you know what you're getting.
- ×
Sit in the room and record your visit.
Hospice families don't want a mic in the bedroom. NotePush is a guided wizard you control, not an ambient scribe listening over your shoulder.
- ×
Write a SOAP note.
SOAP is a physician format. Hospice notes need decline-focused narrative — “painting the picture.” That's what NotePush writes.
- ×
Replace your EMR.
Your agency picked Homecare Homebase, Axxess, or WellSky for billing reasons. NotePush builds the note and hands it to them. One paste.
- ×
Promise 80% time savings.
Every AI vendor promises 80% time savings. We'll promise the only number that matters: a closed laptop at 6:30pm.
- ×
Invent clinical facts.
Every sentence in a generated note traces to something you observed. If you didn't chart it, NotePush won't write it.
Two audiences. One product.
For nurses
Built for the case manager with 14 patients, 90 minutes between visits, an ADR response due Friday, and a kitchen-table charting session that's been ruining her evenings for three years. Free for clinicians. Works alongside your EMR, not instead of it.
Join the waitlist →For agencies
White-label the entire product under your own name and colors. Admin oversight of your nurses' documentation patterns. Per-seat billing rolled into one invoice. BAA included. Early-design partners shape the roadmap.
For agencies →Simple. Three lines.
Free
$0 forever
Live today
Try every feature on synthetic patients. No card. No PHI processed.
- —Guided 12-step RN visit wizard
- —LCD-grounded eligibility worksheet
- —Note Auditor — paste any note from any EMR
- —Quick Note for any patient
- —Push-to-EMR formatting presets
Pro
$29 / nurse · mo
Coming — join the waitlist
Real patients, real charts. Ships as soon as the BAA chain is signed at every vendor.
- —Everything in Free
- —Real-patient mode under BAA
- —Recording ingestion (Plaud + audio upload)
- —Family updates by SMS or share
- —Outbound fax to physicians
- —Longitudinal decline tracking
Agency
Custom
Early-design partners
White-label NotePush as your own product. Shape the roadmap.
- —Your colors, your name, your logo
- —Admin oversight of nurse documentation
- —Per-seat billing, one invoice
- —Dedicated support
- —BAA included
- —SSO on request
Nothing is charged today. Pro starts billing the day BAAs land at every vendor in the stack.
Will this actually get me home by dinner?+
Yes — by removing the 9pm “what did I see at Mrs. Davis's house this morning?” recall problem. The visit is documented when you're standing in the home, not when you're trying to remember it twelve hours later from the couch. Internal testing on a full admission: ~50 minutes of post-visit charting collapses to under 8.
Why not a regular AI scribe like Heidi, Freed, or Suki?+
Those are primary-care products with hospice as an afterthought. They don't know LCD L34538, FAST staging, NYHA classes, F2F windows, NOE deadlines, or “negative charting.” NotePush only does hospice. The phrase chips, the worksheet, the recert narrative, and the eligibility math are all built around the exact coverage rules your MAC reads from.
How is this different from Dahn?+
Dahn is a phrase picker — it gives you blocks to tap and assemble. NotePush walks the visit step by step, holds the longitudinal data (so your recert narrative writes itself across months of visits), and the eligibility worksheet is live, not a check-the-box at the end. We both target hospice nurses; we work very differently.
Can I use NotePush with real patients today?+
Free tier is for sandbox use on synthetic patients only. Pro tier with real PHI is in active build, waiting on BAAs from hosting, model, and ASR vendors. The shape of the workflow is final; the legal stack isn't yet.
Is NotePush HIPAA-compliant?+
The free tier doesn't process PHI, so HIPAA doesn't apply to it. The Pro tier ships with BAAs at every vendor in the stack (Vercel Enterprise, Neon HIPAA, Anthropic zero-retention, Deepgram for ASR). We'll publish the BAA chain when it's signed.
Will it work with my EMR?+
Yes — that's the point. NotePush is built to be the layer between the visit and whatever your agency uses. Homecare Homebase, Axxess Hospice, and WellSky / MatrixCare have named paste presets; any EMR's narrative field will accept the output.
What's LCD L34538?+
The CMS Local Coverage Determination that defines hospice eligibility in the 16 states CGS Administrators reviews. The other three HHH MAC LCDs (NGS L33393 and Palmetto's disease-specific suite) are on the roadmap — agencies in those jurisdictions can request priority.
Who built this?+
One developer in Texas, working hands-on with a hospice nurse who was tired of charting at 10pm. The opinions are intentional. The codebase is small enough to read.
Join the waitlist