Anesthesia Documentation and Charge Capture
Anesthesia Documentation, From OR to Invoice
AIMS replaces legacy anesthesia documentation vendors with faster point-of-care charting, stricter billing completeness, and clear ownership of your data. The wedge is not AI — it is speed, accuracy, and auditability.
2 Taps
Any Critical Action
9 Hard Blockers
Required Field Enforcement
100%
Field Enforcement
Why Practices Switch
Four Problems With How Anesthesia Documentation Works Today
Speed at Point-of-Care
3–5 taps
Legacy systems require per medication log
AIMS enforces a Two-Tap Rule. Every critical intraoperative action completes in two taps or fewer. Three taps is a product defect.
Billing Leakage
$0
Manual re-entry between charting and billing
The billing engine is embedded in the case lifecycle. ASA units calculate automatically. Modifiers derive from clinical context. No manual re-entry.
Audit Defensibility
0
Untraced record modifications allowed
Clinical events are never deleted or mutated. The audit log uses HMAC-SHA256 hash chaining, creating a tamper-evident chain that can be independently verified.
Connectivity Reliability
100%
Intraop features work without WiFi
All intraoperative features work offline. Events queue in an AES-256 encrypted local store and sync automatically when connection restores.
Three Platforms Built for One Workflow
Intraoperative Capture
iPhone
Anesthesiologists and CRNAs
Primary intraoperative charting surface. Dark display for OR safety. 72px touch targets for gloved hands. Two-Tap Rule enforced on every critical action. Offline-first with AES-256 local encryption.
- Two-Tap Rule — every critical action in 2 taps or fewer
- 72px touch targets — usable with surgical gloves
- ASTM D4774 drug color coding on every medication button
Pre-Op, Post-Op, Supervision
iPad
Supervising Anesthesiologists
Three-column supervision dashboard. Real-time multi-case monitoring. Pre-op intake and post-op chart completion.
- Real-time multi-case supervision dashboard
- 30-second auto-refresh keeps the board current
- Pre-op: demographics, allergies (bold red), anesthesia plan, preset templates
Billing and Administration
Web Dashboard
Billing Teams and Practice Leaders
15-screen administrative workspace. Claim generation, rejection management, parity comparison, provider analytics, and payer rule configuration.
- Billing queue with KPI cards and batch claim generation
- Remediation workspace — field-level rejection correction
- Parity dashboard — AIMS vs. legacy system unit comparison
Point-of-Care Speed
Two Taps. Not Twenty.
The Two-Tap Rule is a hard design law in AIMS. Every critical intraoperative action — medication administration, airway event, position change — completes in two taps or fewer. Three taps is a product defect, not a configuration.
Medication Administration
Tap 1: Select drug from ASTM-color-coded grid. Tap 2: Confirm dose. Timestamp captures at Tap 1. No keyboard. No menus.
Revenue Integrity
Every Chart Arrives Billing Ready
The Revenue Integrity Engine is embedded in the case lifecycle. 9 hard-blocker fields gate every claim. ASA units calculate automatically with payer-specific rounding. Claim readiness scored 0 to 100 — billing staff see the queue sorted by risk, not by date.
No Manual Re-Entry
The same record that documents the case generates the claim. Modifiers derive from clinical context. No parallel spreadsheets, no copy-paste between systems.
Tamper-Evident Audit Log
Every event appended, never overwritten. HMAC-SHA256 hash-chained per facility.
Algorithm
HMAC-SHA256
Hash-chained append-only
Retention
7 Years
Full event history retained for legal and regulatory review
Event Classes
5 Types
Access, Mutation, Privileged, Integration, Submission
FaceID on Corrections
Every correction requires FaceID authentication and a reason code
Source Tags
Legal Export
Audit log exportable for legal review. Your organization owns the export.
“Corrections create new events with correction_of references to the original. The original is never altered. Every correction records the provider identity, timestamp, and FaceID confirmation.”
Fixed Monthly Pricing. You Own the Data.
Transparent, fixed monthly pricing with no per-case fees, no migration costs, and no lock-in. Commercial terms discussed during evaluation.
Every clinical record, billing output, and quality report belongs to your organization. No export fees. No format restrictions. No lock-in.
Currently accepting evaluation partners for workflow validation.
90 day minimum tandem validation period. Both systems run in parallel with a documented rollback plan before any cutover.