Andy AI

What do they actually do

Andy AI makes a mobile and web app that records a home‑health visit and turns the conversation into a completed OASIS assessment and related visit documentation. The finalized chart is delivered into the agency’s EHR, and the product is live with nurses and agencies in multiple states (website; LinkedIn).

A typical workflow is: the nurse taps to start recording, speaks naturally during the visit, Andy transcribes and structures the encounter into OASIS and other fields, then applies QA and PDGM coding suggestions. An expert coder reviews every chart before it is written back into the EHR (website).

The company reports it cuts post‑visit documentation from about 90 minutes to a ~15‑minute review and that agencies see more detailed charts and higher comorbidity capture; it also says it “works with most major home‑health EHRs” and can generate an OASIS directly in the EHR (YC launch; website).

Who are their target customer(s)

• Home‑health nurse (skilled visiting nurse): Spends significant time after visits writing OASIS and notes; worries about remembering details from fast, noisy encounters and making documentation errors that could cause audits or denials (YC launch; website).
• Agency operations manager (scheduling/capacity): Slow charting creates backlogs that limit visit capacity and delay payroll/billing; wants higher chart throughput and fewer overtime hours. Andy markets faster chart completion and reports up to 2x nurse productivity (YC company page; website).
• Billing/coding specialist (coder/biller): Missed comorbidities and incorrect PDGM codes reduce reimbursement and create rework; needs accurate, structured documentation tied to correct codes. Andy combines AI suggestions with 100% human coder review and reports improved capture (website).
• Director of clinical quality/compliance: Must ensure complete, auditable OASIS assessments; inconsistent notes across nurses raise compliance risk and may lower quality scores. Values standardized OASIS generation and a human‑in‑the‑loop QA step (website).
• IT/EHR integration lead (healthcare IT manager): Needs secure, reliable write‑backs into the EHR without disrupting workflows; requires HIPAA controls, BAAs, and support for major home‑health EHRs. Andy advertises direct OASIS generation into most major EHRs (website).

How would they acquire their first 10, 50, and 100 customers

• First 10: Run short, outcome‑based pilots with nearby agencies under a BAA, include day‑one coder/QA support, and measure minutes saved and coding/comorbidity lift to convert quickly; use case studies and nurse testimonials to win the next accounts (website; YC launch).
• First 50: Hire a small regional sales/SDR team to repeat the pilot playbook, leverage early customer referrals, and partner with select EHR integrators/resellers to shorten onboarding while maintaining the coder/QC layer (website; job post).
• First 100: Pursue MSOs/agency networks and national EHR partnerships for distribution, productize onboarding (self‑serve pilots, standard BAAs, EHR write templates), and stand up an implementation/CS team to protect retention and compliance at scale (LinkedIn; website).

What is the rough total addressable market

Top-down context:

U.S. spending on services from freestanding home health care agencies was $169.4B in 2024, indicating a large market in which documentation and coding are core workflows (CMS NHEA 2024 highlights). There were over 12,000 Medicare‑certified home health agencies in 2023, underscoring broad provider supply (MedPAC 2025 report).

Bottom-up calculation:

~12,057 Medicare‑certified HHAs (2023) × 20 skilled nurses per agency × $3,000 per user per year ≈ ~$720M annual U.S. TAM for nurse documentation tooling focused on OASIS and visit notes (MedPAC 2025).

Assumptions:

• 12,057 Medicare‑certified HHAs in 2023 (MedPAC).
• Average 20 skilled home‑health nurses per agency using the tool.
• Annual price of ~$3,000 per nurse seat.

Who are some of their notable competitors

• IOHealth: AI tool focused on speeding and improving OASIS/home‑health documentation; converts visit input into OASIS and EHR‑ready notes (site).
• Roger Healthcare: Home‑health vendor advertising AI charting for OASIS and routine visits with minutes‑not‑hours documentation claims (site).
• Eleos (Care at Home): Mobile ambient capture to convert visit audio into structured, CMS‑compliant notes, including OASIS workflows (site).
• SimiTree (SARA): Clinical AI/coding product emphasizing OASIS review and improving coding/comorbidity capture—competes on QA and reimbursement accuracy (blog).
• WellSky (SkySense / EHR features): Major home‑health EHR adding ambient listening/transcription inside the EHR, creating embedded scribing competition (press release).