FOR HOSPICE NURSES · FREE

Done charting. Home by nine.

You went into hospice for the patients — not to spend your evenings documenting. notepush walks you through each visit in real time, builds the eligibility case from what you actually charted, and hands you a note that holds up at audit. Done before you leave the driveway.

Free to start. Built around the CMS LCDs auditors actually use.

HIPAA-readyMedicare LCD-alignedBuilt by a hospice DONNo EMR to replace
notepush home screen — caseload, recerts due, eligibility gaps
// app.notepush.com · real screen
HIPAA-ready architecture
CMS LCD L34538 criteria encoded
No PHI until you choose it
EMR-agnostic · paste into anything
Free forever for clinicians
EMR-agnostic · Axxess · Homecare Homebase · WellSky · and the one you already use
THE PART NOBODY WARNED YOU ABOUT

One word — "stable" — and a year of honest care gets denied.

The hours you don't get back

The visit ends and the charting begins. Parking lots, the kitchen table, the couch at 11pm. Every night. Not because you're slow — because nothing was ever built for this.

The doubt that follows you home

"Did I document the decline right?" That question follows you to the next house, to the stoplight, into your sleep. You go back and add a line before bed. You still wonder if it'll be enough.

The audit letter

Months after a patient passes, a records request arrives. Six months of your notes go under a microscope — for the decline you saw but maybe didn't spell out the way a reviewer reads it.

The clawback

"Stable, tolerating well." Notes that look cloned. Exactly what reviewers flag — and exactly what gets recouped, months later, on notes you wrote in the parking lot at 10pm.

You're not charting wrong. Nothing was ever built to chart the way hospice actually works.

A hospice Director of Nursing and a developer sat together for a month — parking lots, bedrooms, the quiet after a hard visit — and built the tool she actually needed. Not what a committee thought nurses needed.

That tool is notepush.

01 / WHAT IT DOES
Built around the CMS LCDs auditors actually read — and designed by someone who was charting until midnight.

Guided visit

A 12-step wizard mirroring a real hospice RN visit. PPS, FAST, NYHA when they apply. LCD-mapped phrase chips you tap to assemble a defensible note in minutes — not a templated one.

Eligibility you can read

Every patient gets a live worksheet against the CMS LCDs. Auto-evaluated from charted measurements, attested where it has to be. Recertification narratives that walk the criteria for you.

Push to any EMR

One-tap copy formatted for Axxess, Homecare Homebase, or WellSky. Outbound fax to physicians. Family updates you can text. Built EMR-agnostic on purpose.

02 / THE PLAN

Three steps. That's the whole thing.

The same flow every visit, done on the phone in your scrubs pocket.

STEP 01

Tap the visit

Walk the 12-step wizard at the bedside, or paste a recorded conversation and let it prefill. Tap LCD-mapped phrase chips instead of typing paragraphs — your hands stay on the patient, not the keyboard.

notepush Quick Note — pick diagnosis category and tap the findings that apply
// step 01 · quick note
STEP 02

Generate the note

notepush assembles a note that traces every sentence back to a charted fact. Nothing in the narrative that isn't in your worksheet. No invented decline, no hallucinated vitals — the kind of note a reviewer can't argue with.

notepush generated visit note — measurable-decline narrative, every line traced to a charted fact
// step 02 · evidence-traced note
STEP 03

Push to your EMR

One-tap copy formatted for Axxess, Homecare Homebase, or WellSky. Paste it where it goes. Fax the physician. Text the family. Done before you leave the driveway — not at 11pm on your couch.

notepush — Copy for EMR, formatted for Axxess, Homecare Homebase, or WellSky
// step 03 · one tap → your EMR
Try it free on a synthetic patient →No card · no PHI · real workflow

I kept watching our nurses retype the same visit in the parking lot at 10pm. I finally sat with them for a month and built what they actually needed.

Dana Davenport · Hospice Director of Nursing & Builder, notepush

12Steps in the guided visit wizard — mirrors a real RN hospice visit
34CMS LCD criteria encoded across major hospice diagnoses
$0Cost to try the entire product on synthetic patients — no card, ever
03 / WHO IT'S FOR
For nurses

Free forever for your own learning.

Quick Note for any patient on synthetic data. Note Auditor for any chart you're worried about. Real-patient mode is paid and waiting on BAAs. No EMR replacement — it works with the one you already have.

notepush Note Auditor — score any note the way a MAC reviewer would
// note auditor · scores any note for audit-readiness
For agencies

White-label the whole thing.

Run the entire product under your own name and colors. Admin oversight of your nurses' documentation patterns. Per-seat billing, one invoice. BAA included.

Talk to us about agency pricing →

Free
$0 forever
Live today

Try every feature on synthetic patients. No card. No PHI.

Start free →
Pro
$29 / nurse · mo
Available now

Real patients, real charts. Unlocks once your BAA is signed.

Start free →
Agency
Custom
Early-design partners

White-label as your own product. Shape the roadmap with us.

Request a call
05 / FAQ
Do I need a credit card to start?+
No. Create a free account right now — no card, no commitment. The free tier uses synthetic patients so you can learn the full workflow with zero PHI risk. You pay only when you start charting real patients on Pro.
Can I use notepush with real patients today?+
Not yet through the app. Today everything runs on synthetic data so you can learn the workflow with zero PHI risk. Real-patient mode ships once the BAA chain is signed — join the waitlist and you'll be first in.
Is notepush HIPAA-compliant?+
The architecture is built for it — data isolation, encrypted sessions, audit logging. A BAA is included for agencies. Until that chain is fully signed, the free tier deliberately holds no PHI — it only touches synthetic patients.
Will my EMR work?+
notepush is EMR-agnostic on purpose. It doesn't replace your system — it produces a clean note formatted for Axxess, Homecare Homebase, or WellSky that you paste in one tap. If you can copy and paste, it works.
What's a CMS LCD?+
A local coverage determination — the Medicare documents that define hospice eligibility for each diagnosis. They're what a reviewer reads your charts against, so they're what notepush is built around, criterion by criterion.
Who built this?+
Dana Davenport — a hospice Director of Nursing who was charting visits at 10pm — and a developer who sat with her for a month and built exactly what she described. Dana still uses it on her own caseload. Every screen exists because she needed it, not because a product team thought nurses would want it.
My agency uses Axxess — does this replace it?+
No. notepush slots in alongside Axxess, Homecare Homebase, or WellSky — it doesn't replace any of them. It's the documentation layer those platforms were never designed to be. You chart in notepush, then paste the finished note with one tap. Your EMR handles billing and orders; notepush handles the defensible narrative.
GET STARTED

Home before nine. Charts that hold up. Start tonight.

Try the full workflow on synthetic patients — free, no card, no PHI. Join the waitlist and we'll email you the day real-patient mode opens.

Start free →

Want to know when real-patient mode ships? Join below.