Every visit provable.
Every signature defensible.
CareSign pairs a native iPhone app your nurses will actually use with a web portal that keeps the office survey-ready: signatures, GPS-verified visits, credentials, and mileage. Built to be the chart of record, not another layer on top of one.
SHA-256 sealed
Every completed signature carries a tamper-evident fingerprint.
GPS-verified
Location captured at clock-in, clock-out, and the moment of signing.
Append-only audit trail
Server-side history of every change that nobody can rewrite.
Built to be the chart
Patient charts, visit notes, orders, signatures, and the audit trail live in one record.
Why CareSign exists
In home health, the visit is the product. Proving it is where agencies get hurt.
The disputed signature
A missing consent, an undated form, a signature nobody can place at the bedside. Months of good care undone in one records request.
Survey week
Chart chases, expired licenses, unsigned physician orders. All discovered the week the surveyor calls, when it's too late to fix quietly.
The 9 pm kitchen table
Web portals shrunk onto phones make nurses chart after dinner instead of at the door. Late documentation is weak documentation.
CareSign closes the gap between what happened in the home and what the record can prove.
Signature Evidence Suite
Not just “sign here.” Proof of who signed, where, and when.
Collect signatures at the bedside on the nurse's iPhone, or send a secure single-use link. Either way, every completed signature is sealed with a verification code, a certificate, and a tamper-evident fingerprint. That's evidence built for auditors and attorneys, not just checkboxes.
- In-home signing on the iPhone, including multi-signer forms across disciplines
- Remote signing links with expiry, attempt caps, and one-tap resend or revoke
- A verification code and certificate on every completed signature
- Public verify page: anyone can confirm authenticity in seconds, no login
Audit readiness
Know what a surveyor would flag before they arrive.
The readiness scorecard watches your charts continuously: expiring credentials, recertification windows, unsigned orders, incomplete SOC packets. Underneath it all, an immutable server-side audit trail records every change to every record.
- Audit-readiness scorecard across charts, credentials, and recert windows
- Staff credential tracking with expiry warnings: no more surprise lapses
- Recertification countdowns on every episode
- Append-only, server-side audit log that no user can edit, not even admins
The field app
Charting that happens at the door, not at the kitchen table.
CareSign's field app is a real, native iPhone app, not a website squeezed onto a phone. Nurses clock in, chart, collect signatures, and move on. GPS is captured at clock-in, clock-out, and the moment of signing, so every visit carries EVV-grade proof of service.
- Native iOS app: fast, familiar, built for the field
- GPS at clock-in, clock-out, and at signing
- My Day: the route, the stops, the care tasks to check off, and overnight shifts that cross midnight
- Patient charts, forms, wound photos with traced measurements, orders to acknowledge, and secure messaging, on the phone
Operations
The unglamorous work, running itself.
Mileage, physician orders, morning status checks: the daily grind that eats office hours and leaks money. CareSign handles it and hands you the exports.
- A scheduler board with recurring visit series, self-scheduling within the approved frequency, and staff time off that blocks the calendar
- Mileage from actual driving routes, frozen on submit, with an IRS-rate CSV for payroll
- Physician Order Queue: one secure link for an MD's whole stack of orders
- Morning Ops Digest at 6 am, and late or missed-visit alerts every 10 minutes, not at month-end
How it works
Three steps to a provable chart
Your forms, your workflow, one chart of record, with proof built in from the first visit.
- 1
Bring your own forms
Upload the forms your agency already uses: consents, SOC packets, arbitration agreements. Place the fields once; CareSign auto-fills patient and visit data from then on.
- 2
Nurses visit and sign
The iPhone app guides the visit: clock in, chart, collect signatures at the bedside or send a secure link, with GPS captured at clock-in, clock-out, and the moment of signing.
- 3
The office stays ready
QA review gates every submission. The readiness scorecard watches credentials, recerts, and unsigned documents. Exports feed payroll and mileage. Evidence packets answer anyone who asks.
Security & compliance
Built like the audit is tomorrow.
HIPAA-ready infrastructure
PHI lives on HIPAA-eligible cloud services under Business Associate Agreements. Emails carry links, never PHI.
Encryption everywhere
TLS in transit, encrypted at rest, per-agency tenancy isolation enforced by server-side security rules.
Immutable audit trail
Every record change is logged server-side (who, what, when) in an append-only trail no user can edit.
Public signature verification
Every completed signature gets a verify code. Auditors and attorneys confirm authenticity in seconds, no login required.
See the whole workflow in 30 minutes
Book a walkthrough on a demo agency: fields placed on a form, a visit run on the iPhone, a signature captured at the bedside, and the evidence packet that comes out the other end.