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Desha.ai, for clinicians
The copilot for the
gap between visits.
DocNote pulls adherence, history and a cross-doctor view into one brief. It ranks your panel so the patient who needs you shows up first, and it logs every minute of care toward CMS Remote Therapeutic Monitoring on its own.
3 doses not taken in last 24h. most recent Amoxicillin. Possible non-adherence
The clinician's reality
You're accountable for outcomes
you can't see.
Care plans succeed or fail at home. But the data lives in silos, on paper, and in languages your patients don't read.
a week the average clinician spends on documentation and admin instead of patients.
of patients don't take medicines as prescribed, and you rarely know which ones.
signal on what happens between appointments, until something goes wrong.
Documentation-burden figure from widely-cited US clinician time-use research. Adherence data from Pharmacy Times and NEHI.
The shift
Monitoring between visits
is now paid for.
CMS Remote Therapeutic Monitoring (RTM) reimburses clinicians for collecting and acting on non-physiologic data outside the clinic, medication adherence included. DocNote captures that data automatically and logs your time toward it.
RTM, in plain numbers
US national averages, 2025. Actual amounts vary by region. Confirm eligibility and amounts with your billing team.
Meet DocNote
One console for your whole panel.
Your panel, ranked
Every monitored patient carries an adherence and risk signal, sorted so the patient who needs you sits at the top.
The full chart
Brief, recovery journey, medications, notes, AI-call transcripts, labs and family, all in ten focused tabs.
Made to act
Keyboard-driven and fast. It works around your visit, not another data-entry chore.
Before you walk in
The whole patient, synthesized before you knock.
- What changed since the last visit, across adherence, HRS trajectory and new prescriptions.
- Every prescriber across the system, surfaced instead of buried in another chart.
- Possible interactions flagged by AI, each with a clear "verify independently" prompt.
- Grounded in deterministic facts; it shows you when a data source failed to load.
Outcomes, not memory
See expected against observed, side by side.
Recovery timeline
Every prescription across every doctor in one swimlane, from start through dose changes, adherence, refills, reviews.
Recovery plan
A staged, forward-looking plan. Each stage reads on-track, behind or needs-attention against the goal.
Recovery journey
Milestones and setbacks you can pin, plus AI-suggested entries you review one by one.
Restore consistent medication adherence, especially for Amoxicillin, to support infection control.
Assess for improvement in symptoms and monitor for side effects.
Maintain adherence and monitor for relapse or complications.
A measured loop. ≥80% adherence reads on-track. Divergence gets flagged early, while you can still change the plan.
The signal you've never had
What happens between visits, finally visible.
DocNote isn't a standalone scribe. It's wired to the same platform that reminds and calls your patient, so the adherence you see is real behaviour, not a self-report at the desk.
Photographed scripts scheduled doses adherence.
AI voice calls confirm each dose, in 21 languages.
Missed-dose & distress rules raise red / yellow flags.
It all lands in your chart, ranked and actionable.
Close the loop
Act without leaving the chart.
Each action is a keystroke, and each one logs billable RTM minutes automatically.
Illustrative, 100 monitored patients / month
The economics
You're already doing the work.
You review adherence, adjust plans, message patients. RTM reimburses all of it, and DocNote captures the data and the time automatically.
Figures use 2025 US national averages and round numbers for illustration; eligibility and amounts vary. Confirm with your billing team.
You stay in control
AI that assists, and knows its limits.
It never diagnoses
A hard, in-prompt guardrail. The AI companion won't state a diagnosis or change a medication. It defers to you.
Always "verify independently"
Every AI-surfaced interaction or suggestion is labelled for your independent clinical judgement.
Grounded, not guessing
Briefs rest on deterministic facts and clearly show when a data source was unavailable. No silent gaps.
Your sign-off is the action
AI drafts replies and journey entries; nothing reaches a patient or the record until you approve it.
Enterprise-grade
Built for regulated healthcare.
Doctor 2FA
TOTP + WebAuthn passkeys; elevated, time-boxed clinical sessions.
Consent enforced
Three-layer access, with doctor-mode, connection and patient permission.
HIPAA-ready audit
Every data access logged; BAA available.
Encrypted throughout
AES-256 at rest, TLS in transit, zero-PII analytics.
HL7 FHIR R4
Standards-based interoperability & data portability.
8 frameworks
GDPR, HIPAA, ISO 27001, SOC 2 (in progress), NHS DSPT, FHIR.
Full evidence available to qualified reviewers under NDA via the Desha Trust Center.
Getting started
Minutes to connect. No rip-and-replace.
Show the QR
The patient scans your QR card and a secure, consented connection is created right away.
See the panel
Their adherence, history and brief populate as the platform fills in.
Work as normal
Triage, review and act, while RTM time logs itself in the background.
Is DocNote an AI scribe? ▾
DocNote is a clinician console for the gap between visits, not a standalone dictation scribe. It synthesizes adherence, history and a cross-doctor view into a pre-consult brief, ranks your panel by urgency, and lets you act in a keystroke, with a note, med change, labs, referral or message. AI assists, and you sign off.
How does RTM billing work? ▾
DocNote captures non-physiologic data (medication adherence) automatically and logs your management time toward CMS RTM codes 98975 / 98977 / 98980 / 98981. The chart shows monitoring days, management minutes, eligibility and an estimated amount per cycle. Confirm eligibility and amounts with your billing team.
Where does the adherence signal come from? ▾
From the same platform that reminds and calls your patient. MedNote schedules doses from photographed scripts, HeartBeat confirms each dose with AI voice calls in 21 languages, and missed-dose / distress rules raise flags. So adherence in DocNote is real behaviour, not a self-report at the desk.
Is it HIPAA compliant, and does it integrate via FHIR? ▾
DocNote supports HIPAA-ready workflows with full audit logging and a BAA on request. Access is gated by doctor 2FA (TOTP + passkeys), an explicit patient connection, and patient permission. Interoperability is HL7 FHIR R4. See the Trust Center for documented evidence across 8 frameworks.
How do my patients connect to me? ▾
Show your QR card; the patient scans it to create a secure, consented, revocable connection. Their adherence, history and brief populate as the platform fills in. No heavy onboarding, no rip-and-replace of your existing systems.
Partner with us
Run a pilot
in your clinic.
We'll onboard a cohort of your patients, connect their real adherence, and show the brief, the safety guardrails and the RTM workflow on your own cases.