The month · one synthetic person
Follow one month, from the first call to a month that explains itself.
A check-in call. A ride to cardiology. A food referral that has to close. Scroll through one person’s October and watch each moment become part of one record: what the community team runs, what the health center reviews, and how the two connect when you want them to.
One synthetic month · Angela Reyes, 67 · Harlem · Medicare
Follow one month.
October 1
A month begins.
Angela missed two heart appointments this summer. Not because she doesn't care: she has no ride, and money for groceries runs out mid-month. None of that shows up in a chart.
October 3 · The call
Maya calls. The guide keeps her steady.
A step-by-step call guide walks her through consent, what's in the way, and what Angela wants. Eighteen minutes, recorded once, tied to Angela.
Oct 03Call guide · check-in+18 minMaya T.
October 6 · The ride
A ride, confirmed.
Maya books transportation for the cardiology follow-up and confirms it with Angela. The work that usually disappears into a phone log now has a time, an owner, and a result.
Oct 06Ride confirmed · Oct 9, 10:40 AM+12 minMaya T.
October 8 · The referral
Food help, sent through findhelp.
A referral goes to a neighborhood pantry through the tool Maya's team already uses. Kept Count keeps the thread, so it can't quietly go cold.
Oct 08Food referral · findhelp+9 minMaya T.
October 14 · The loop closes
Sent becomes Connected.
Maya follows up. Angela picked up groceries on Saturday. The referral is marked Connected, the loop closed, and the whole team can see it.
Oct 14Pantry pickup confirmed+11 minMaya T.
What Maya's organization sees
The team's day, every referral from sent to connected, supervision, and impact it can show funders, with or without a clinic partner.
October 21 · Sixty minutes
Four weeks of help, counted to the minute.
A home visit to review her goals pushes the month past 60 minutes of Community Health Integration, the Medicare service built for exactly this work.
Oct 21Home visit · goals reviewed+14 minMaya T.
64 minutes this month · G0019 first 60 minutes met · G0022 4 of the next 30
October 27 · Review
A practitioner reviews the month, not a pile of notes.
Dr. Osei sees the time, the activities and the care plan together. Accept it, or send back one specific correction.
Oct 27Practitioner review · acceptedDr. N. Osei
October 31 · The close
Every hold, in plain English. Then: ready.
Anything missing is named in a sentence, not a code, and cleared by the person who owns it. The month lands as clean evidence for the health center's biller.
- Consent for October isn't on file yet. Cleared: Recorded on the Oct 3 call by Maya T.
- This month isn't linked to the visit that started it. Cleared: Linked to the Sep 26 visit with Dr. Osei.
- Ready for billing
What the health center sees
Community Health Integration: 64 minutes. G0019 (first 60 minutes) supported; G0022 (each added 30) not yet. Practitioner review on Oct 27, two holds cleared. Kept Count never submits claims; your biller keeps that job.
One month, two organizations
Community work, clinic review. One shared month.
Maya's team did the work. The health center reviewed it and bills for it. Each kept its own role, and nobody retyped a thing.
Together
The community organization does the work and closes the loop. The health center reviews and bills. One shared month; each keeps its own role.
What the month runs on
The parts you don’t see in one person’s story.
Angela’s month starts after someone decided to reach her, and it holds up because of what happens around every call. Each piece keeps a decision with the person who owns it.
Before the month
Find who to reach first, not a list to bill.
Eligibility signals, care gaps, program conflicts and missing facts, organized for review. Your team confirms each person’s facts and program fit before anyone calls.
- Ready for review
- Fact missing
- Conflict flagged
Before the work
Consent is visible before the work begins.
Each enrollment carries the outreach result, how consent was given, the start date and the assigned owner. Your approved scripts and consent policy stay yours.
- Agreed · by phone
- Owner assigned
After every contact
A note drafted for you. Saved by a person.
Recount, Kept Count's drafting assistant, prepares the person from the chart before a call and can draft Goal, Barrier, Action and Result afterward. A person reviews and saves every note; Recount never writes the record.
- Draft
- Saved by Maya T.
Whenever it comes up
Exceptions reach a named person, with context.
Clinical needs, missing evidence, conflicting records and out-of-scope requests are routed with urgency to someone who owns them. Licensed staff keep clinical judgment.
- Clinical
- Consent
- Documentation
Beside your EHR, which stays the clinical record. Kept Count never picks a code or submits a claim; your billing team or designated reviewer makes the final decision.
Three ways in
Each one stands on its own. Together, they connect.
Angela’s month used a community organization and a health center. Yours might need only one. Start where you are.
Angela Reyes, Maya T., Dr. N. Osei, the team and every figure in the month above are synthetic. Codes and the G0019 rate are from the CY2026 Medicare Physician Fee Schedule, national non-facility.