The record of the care between visits
The carebetween visits.Counted.
The check-in call, the ride to dialysis, the referral that closes. Kept Count keeps that work on one record, so health centers can run care management in-house and hand billing a month that explains itself, and community teams can show what their work changed.
Live demo · synthetic data · no sign-up
Between visits · uncounted
Between visits, the work scatters. Notebooks, texts, and memory.
Illustration. Each light is one moment of care.
What changes Monday morning
What changes Monday morning
Monday, the navigator opens one list and knows who to call first. The supervisor sees the whole team without asking for a spreadsheet. The health center’s care manager sees who still needs consent or a visit. And at month’s end, the biller receives a record that already explains itself.
Navigators & CHWs
One list, a call guide, and nothing lost in a notebook.
Supervisors
The whole team at a glance, with what is late and why.
Health center care managers
Which patients still need consent, a visit, or minutes this month.
Billers & funders
A month that explains itself: who did what, and who reviewed it.
One record, three ways in
Start where you are. Connect when you’re ready.
A health center can run it alone. A community organization can run it alone. Together, the work flows to the clinic that bills, and each organization keeps its own role.
Run between-visit programs in-house. Hand your biller a month that explains itself.
- Community health integration (CHI), principal illness navigation (PIN), advanced primary care management (APCM), and chronic care management (CCM), run by your own team.
- Consent, initiating visits, and minutes tracked per patient, so nothing is discovered at month’s end.
- Anything held comes with a reason in plain English, like “consent not on file yet.”
Care manager · this month's panel
Sep 22 · 8 days left
- R.M.Community health integration64 of 60 min · reviewed Ready
- D.O.Principal illness navigation38 of 60 min · 22 to goIn progress
- A.K.Advanced primary care managementConsent not on file yet. Ask at the next call.Held
- J.S.Community health integrationNeeds an initiating visit with Dr. P. first.Held
The September billing packet
A month your biller can stand behind.
At month’s end, each patient’s minutes, consent, and initiating visit arrive together, with the code and the name of the person who reviewed them. What’s ready is ready. What’s held says why, and what fixes it.
Beside your EHR, never instead of it. Your chart stays the record; Kept Count keeps the work around it.
September · billing packet
Reviewed by the care manager, Sep 30
4 ready · 2 held
- R.M.Community health integration64 min · consent on file · initiating visit Aug 4G0019 Ready
- D.O.Principal illness navigation71 min · consent on file · initiating visit Jul 21G0023 Ready
- J.W.Advanced primary care management, level 2Consent on file · 3 chronic conditions documentedG0557 Ready
- L.T.Chronic care management24 min · no APCM this month99490 Ready
- A.K.Advanced primary care managementConsent not on file yet. Ask at the next call.G0557Held
- S.P.Community health integrationNo initiating visit with the billing practitioner on record.G0019Held
G0019, CHI first 60 min: $86.17 · G0557, APCM level 2: $53.78 per month
CY2026 Medicare national non-facility rates. Confirm against your MAC locality.
Synthetic data
Integrations & security
Fits the systems you have. Answers the questions your security team will ask.
Works beside your EHR
Start with a panel file from any EHR. Connect through the standard FHIR R4 interface that Epic, eClinicalWorks, athenahealth, and NextGen publish, set up with your IT team.
How integrations workSecurity, in writing
A business associate agreement with every customer before any patient data. Multi-factor sign-in, role-based access, tenant isolation, and an append-only audit trail. Your security questionnaire answered item by item; documentation shared in the security review.
Security detailsHow you start
First team live in 30 days.
Small, deliberate, and in writing. You see your own workflow working before anything real moves.
- 1
Week 1: readiness and setup.
One team or program, not a system-wide rollout. The business associate agreement is signed here, before any patient data.
- 2
Weeks 2–3: walk it on synthetic data.
Your real workflow, while your team trains on the roles they’ll use.
- 3
Week 4: your first team is live.
Real patients, one team, with us beside you through the first month-end.
A fixed monthly fee, set in a written proposal and never a share of what you collect. How pricing works
Questions from billing
What a billing director asks first.
How does consent work, and what does Kept Count do with it?
Each program has its own rule. Community health integration (CHI): advance consent once, and new consent if the billing practitioner changes; the patient is told about cost-sharing and that only one practitioner can bill it in a month. Principal illness navigation (PIN and PIN peer support): consent at the start and again each year. Advanced primary care management (APCM): consent once, and again if the practitioner changes.
Kept Count tracks each patient’s consent and when it’s due, and holds the month from billing when consent is missing or due.
Is an initiating visit required?
For CHI and PIN, yes: an initiating visit by the billing practitioner comes first. For APCM, only for patients new to the practice.
When one is missing, the month is held, with the reason in plain English and the next step to fix it.
Can these run alongside other care management?
APCM can’t be billed in the same month as chronic, principal, or transitional care management (CCM, PCM, TCM) for the same patient. CHI and PIN can run alongside other care management as long as the same time and effort aren’t counted twice.
Kept Count blocks overlapping minutes before they’re recorded, so the same time can’t land in two programs.
Is there a minimum time?
Yes. G0019 (CHI) and G0023 (PIN) each cover the first 60 minutes in a calendar month, so a month under 60 minutes doesn’t qualify for them.
Kept Count shows the minutes still to go while there’s time to act, and a month under the minimum stays out of the packet.
Does Kept Count submit claims?
No. Kept Count prepares the reviewed evidence. Your biller decides what goes out, through the billing system you already use.
Does it work with our EHR?
It works beside it. Start with a panel file from any EHR, then connect through the standard FHIR R4 interface your EHR vendor publishes, set up with your IT team. Your EHR stays the clinical record.
The work was always there. Now it counts.
See it as a care manager, a biller, a community health worker, or a supervisor.