Every other EHR is an expense. Open_C is a revenue engine.
Built by a clinician at the bedside. The first platform designed to make your practice more money, not cost you more money.
Documentation and charting now rank as the number one driver of physician burnout. For every hour of direct patient care, physicians spend nearly two additional hours on EHR and desk work.
86 minutes of after-hours EHR work per day. A third of residents chart 3+ hours every night.
33-45% of visits undercoded. $564M in 99214 coding errors alone. Your chart doesn't prove what you did.
138,000 nurses left since 2022. Replacing one physician costs $500K-$1M. Burnout turnover costs $4.6B/year.
Your vendor is adding AI that writes notes. Ask what data it used or why. Nobody can tell you.
Your EHR should work for you.
Not the other way around.
Every recommendation shows exactly what data the AI used, which model version processed it, what rules it followed, and what it recommended. Zero black boxes.
CMS launched a 10-year outcome-based payment program on July 5, 2026. 150+ organizations already accepted. Pays for managing chronic diseases based on results, not activities. Open_C automates the outcome tracking, patient engagement, and FHIR reporting it requires. No legacy EHR can safely offer this. Open_C has over 150 patents pending that protect the governed AI infrastructure ACCESS demands.
A practice managing 500 qualifying Medicare patients across ACCESS tracks could generate $90,000 to $210,000 per year in new revenue on top of normal E&M billing. CMS set the Outcome Attainment Threshold at 50% for the first performance period. The platform handles all outcome tracking, patient engagement, and quarterly FHIR reporting.
For practices that do not want to participate directly: You can refer chronic disease patients to an ACCESS organization and bill a co-management code (~$30 per documented review).
14 major private insurance companies covering 165 million lives have pledged to adopt ACCESS-style outcome-based payment by 2028. This is not just Medicare. This is where the entire industry is heading.
Open_C is the only clinical AI platform designed by a board-certified family nurse practitioner (FNP-BC, FNP-C) with psychiatric mental health training (PMHNP-BE, board eligible).
Nearly 60% of patients who receive mental health treatment get it from their PCP, because over 150 million Americans live in mental health shortage areas. Open_C makes it clinically safe to manage behavioral health in-house.
CEE knows when to tell you to refer: severe psychiatric illness, active suicidal ideation, treatment-resistant depression, bipolar disorder, psychosis. The governance layer flags these cases rather than letting a PCP manage beyond their comfort zone.
Built by a clinician. Governed by design. Safe by architecture.
Intelligent clinical instruments that capture, classify, and document findings automatically into the Living EHR. Governed and receipted.
Captures heart, lung, and abdominal sounds, classifies them using on-device AI, and documents findings directly into the chart with a full audio trail.
Look through the scope. The device captures what you see, classifies the finding, and writes it into the chart.
Vital signs that flow directly into the Living EHR with continuous trending, not just a single number at triage.
Next-generation optical microphone technology will enable clinical-grade audio capture from the device you already carry.
Conventional MEMS microphones max out at 73 dBA SNR and roll off below 50-100 Hz, missing low-frequency clinical sounds like S3 and S4 heart gallops. Optical MEMS microphones use laser interferometry to achieve 80 dBA SNR, a 10 Hz floor, and 132 dB dynamic range in a package smaller than a pencil eraser. When these arrive in consumer smartphones, every Open_C user will have a clinical-grade acoustic sensor in their pocket.
No finding enters the chart without provenance. Every AI classification includes confidence scoring. If the AI is not confident enough, it tells you instead of guessing.
Interactive walkthroughs showing how Open_C works in the scenarios you deal with every day. Split-screen view: clinical encounter on the left, Open_C governance on the right.
Watch CEE work alongside a provider in real time. The copilot cues questions, builds the differential, and suggests a plan as the conversation unfolds.
A 67-year-old male with dyspnea and altered mental status arrives by ambulance. Follow the handoff with real-time agentic updates at every transition.
What changed, what is pending, what needs follow-up, and what cannot be closed until specific conditions are met.
Your patient was admitted, had surgery, and is coming home with new medications. See exactly what changed and what you need to do next.
Additional demos coming soon: Autonomy Levels 1-10, Agentic ER for Low-Acuity Visits, Cost Savings Calculator, Neuromorphic Device Integration
This does not include RPM, BHI, APCM, or ACCESS Model revenue, which can layer on top of CCM. Actual reimbursement varies by geographic location.
Ambient documentation eliminates pajama time. Automatic coding captures full visit complexity. The Living EHR tracks every billable activity so you capture every dollar you earn.
Open_C is currently in development. Join the waitlist to be among the first independent practices to access the platform when it launches.
Join the Waitlist Schedule a Demo1. Holmgren AJ, Sinsky CA, Rotenstein L, Apathy NC. "National Comparison of Ambulatory Physician Electronic Health Record Use Across Specialties." Journal of General Internal Medicine, 2024;39:2868-2870. Sample: 200,081 physicians, 396 organizations using Epic Systems EHR. Published via the AMA Electronic Health Record Use Research Grant Program.
2. Sinsky C, Colligan L, Li L, et al. "Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties." Annals of Internal Medicine, 2016;165:753-760. Funded by the American Medical Association.
3. American Medical Association. National Physician Comparison Report (Organizational Biopsy), 2024. Nearly 18,000 responses from physicians across 43 states and more than 100 health systems.
4. 2026 CMS Medicare Physician Fee Schedule. CPT 99213 national average: ~$91.85. CPT 99214 national average: ~$135.60. Conversion factor: $33.40.
5. 2026 CMS Medicare Physician Fee Schedule. CPT 99490 (base CCM, 20 minutes): ~$66.30/month national average. 10% increase finalized in 2026 Final Rule (CircleLink Health analysis, November 2025).
6. CMS Innovation Center. ACCESS Model Request for Applications, December 2025. Payment amounts: eCKM $360/year, CKM $420/year, MSK $180/year, BH $180/year. Outcome Attainment Threshold: 50% for first performance period.
7. CMS Innovation Center. "ACCESS Model Accepted Applicants," April 13, 2026. 150+ organizations accepted. Application deadline extended to May 15, 2026.
8. CMS Innovation Center. ACCESS Payer Pledge, February 12, 2026. 14 health plans representing 165 million members committed to adopting outcome-aligned payment by 2028.
9. Allzone Medical Solutions. "Navigating the Complexities of Chronic Care Management Codes," April 2025. Analysis of Medicare CCM claims data showing smaller practices less likely to adopt CCM billing.
10. Nsight Health. "Chronic Care Management CPT Codes 2026: Billing and Reimbursement Guide," April 2026. Layered billing analysis: CCM + RPM + BHI = approximately $200-$300+ per patient per month.
11. sensiBel AS. "SBM100B Series Product Brief," 2025. 80 dBA SNR, 14 dBA equivalent input noise, 146 dB SPL acoustic overload point, 132 dB dynamic range, 10 Hz low-frequency roll-off. www.sensibel.com
12. sensiBel AS. "How optical technology enables a generational shift in MEMS microphone performance," White Paper, 2023. State-of-the-art capacitive MEMS microphones reaching 73 dBA SNR and 101 dB dynamic range. SBM100 optical MEMS achieves 80 dBA SNR and 132 dB dynamic range. Technology originated at SINTEF (Norwegian independent research organization), 2003.
13. Arndt BG, Beasley JW, et al. "Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations." Annals of Family Medicine, 2017;15(5):419-426. Family physicians spent 86 minutes per day (1.4 hours) on EHR work after clinic hours.
14. American Board of Family Medicine. National Resident Survey, 2023. Published in Annals of Family Medicine, 2024. One-third of upper-year US family medicine residents report spending 3+ hours per night on after-hours EHR documentation.
15. Tebra Research. "How Documentation Became the Top Cause of Physician Burnout," 2025. Documentation and charting rank as the number one driver of physician burnout, tying with difficult patients and surpassing bureaucratic red tape.
16. Association of American Medical Colleges (AAMC). "A Growing Psychiatrist Shortage and an Enormous Demand for Mental Health Services," 2022. Nearly 60% of patients who receive mental health treatment do so from their PCP. Over 150 million Americans live in federally designated mental health professional shortage areas.
17. American Academy of Family Physicians (AAFP). "Mental and Behavioral Health Care Services by Family Physicians," Position Paper, 2021. 40% of office visits for mental health concerns occur in primary care offices. 47% of prescriptions for any mental illness are written by PCPs.
18. HRSA Bureau of Health Workforce. "Behavioral Health Workforce Brief," 2023. Projected shortages across psychiatrists, psychologists, counselors, and marriage and family therapists. 45% of rural counties had no practicing psychologists in 2021.
19. Steinberg Institute. "Fact Sheet: How Primary Care Providers Can Help Solve Our Psychiatrist Shortage," 2017. 55% of US counties had zero psychiatrists. 77% of counties reported a severe shortage.
20. Sinsky CA, Shanafelt TD, Ristow AM, et al. "Health Care Expenditures Attributable to Primary Care Physician Overall and Burnout-Related Turnover: A Cross-sectional Analysis." Mayo Clinic Proceedings, 2022. Burnout-related PCP turnover costs $260 million per year in excess health care expenditures, and combined with the $4.6 billion in organizational turnover costs, totals nearly $5 billion annually.
21. American Medical Association. Medical billing error analysis, 2018. Billing errors result in an average loss of approximately 7% of a physician's total annual revenue due to inaccurate coding, undercoding, duplicate billing, and unbundling of services.
22. NCSBN. 2024 National Nursing Workforce Study, 800,000 nurses surveyed. 138,000+ nurses left the workforce since 2022. 41.5% cited stress and burnout as the root cause. 39.9% of RNs reported intent to leave or retire within five years.
23. Brinkman JE, Roehl TD, et al. "The Fermi Problem: Estimation of Potential Billing Losses Due to Undercoding of Florida Medicare Data." Exploratory Research in Clinical and Social Pharmacy, PMC, 2023. 33-45% of outpatient visits estimated to be undercoded. 8.9% undercoding rate consistent with CMS CERT findings.
24. AMA STEPS Forward. Cost of Physician Burnout Calculator. Replacing a physician costs $500,000 to over $1 million depending on specialty. At Mayo Clinic, payroll analysis of 2,500 physicians found 30-50% greater likelihood of reduced professional output in the two years following increased burnout.
25. Cross Country Healthcare / Florida Atlantic University. "Beyond the Bedside: The State of Nursing in 2025," 2,600 respondents. 65% of nurses report stress and burnout as the top workplace challenge.
26. AMN Healthcare. 2025 Survey of Registered Nurses, 12,171 respondents. 58% of nurses report feeling burned out most days. Only 39% plan to remain in their current position in 12 months.
27. Li LZ, et al. "Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Review and Meta-Analysis." JAMA Network Open, 2024. 85 studies, 288,581 nurses. Nurse burnout associated with more nosocomial infections, medication errors, patient falls, adverse events, and lower patient satisfaction.
28. CMS Comprehensive Error Rate Testing (CERT) Program. 63.4% of improper payments associated with E/M code 99214 were due to incorrect coding, totaling $564 million in errors.