About Bosshh
We build documentation tooling for home health agencies. The goal is narrow and unglamorous: the chart should be finished before the clinician gets back to the car.
Why this problem
Home health has a documentation burden unlike most of healthcare. A clinician drives to a house, spends an hour with a patient, and then owes a structured assessment with dozens of scored items — many of which determine how the episode is paid. The assessment is almost never finished in the home. It gets finished at night, from memory, days later.
That gap is where the damage happens. Detail decays. Items get scored on recollection rather than observation. Case-mix items get left blank because nobody asked the question while the patient was in front of them. And the clinician who came into this work to care for people spends their evenings typing.
What we think is different about doing this well
A model that produces a confident, complete-looking assessment from a thin transcript is worse than useless in a clinical record — it manufactures a document that reads as authoritative and is partly invented. So the product is built around the opposite instinct: cite the evidence, name the gap, and refuse to fill a hole with something plausible.
Every scored item carries the phrase that supports it. Every gap is listed with its consequence. Blocking issues prevent signature. A licensed clinician reviews and attests to every record before it goes anywhere, and the whole chain — which transcript, which model, which reviewer — is reconstructable afterwards.
Where we are careful
We handle protected health information, so the boring parts matter: access is role-appropriate, every record access is written to an audit log, transcription can run entirely on an agency's own hardware, and charts leave the system as a structured payload to a connector the agency controls rather than through anything opaque.
We are also clear about the boundaries. Bosshh drafts; clinicians sign. Bosshh suggests codes; certified coders decide. Bosshh extracts referrals; coordinators admit. Those are not disclaimers bolted on afterwards — they are how the software is structured, and the review steps are not skippable.
Working here
We are a small team that would rather ship one workflow that genuinely holds up than five that demo well. If that appeals, our open roles are here.