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PainFlow
Protocol enforcement for pain clinics
PHI-free by design
No BAA for the core product
Runs on your existing iPads

Your best MA just gave notice. Your documentation quality shouldn't leave with her.

PainFlow encodes your providers' controlled-substance and procedure protocols into a structured rooming workflow any medical assistant can run on day one, then generates a deterministic, paste-ready HPI note. It enforces the rules; it never makes the clinical call. Built inside a working pain practice and used in real rooming every day.

The two pains

Turnover
When a seasoned MA leaves, the rooming knowledge leaves with her, and notes get thinner while the next hire relearns it. PainFlow holds the protocol, so the person can change without the quality dropping.
Replacing a departed MA runs roughly $14,200; MAs are the #1 turnover role in ambulatory practices.
DEA-audit defense
The count, the refill math, and the screen become part of rooming, so the chart is complete before the provider opens it.
DEA audits most commonly cite incomplete charts and refill documentation.

How it works

  1. Room the patient. The MA runs a structured flow on the clinic iPad: pill counts with expected-range math, patch tracking, refill-date math, health-change screens, UDT workflow, and injection-eligibility gates.
  2. The gates enforce protocol. An active infection halts the injection; an out-of-range A1c flags a steroid injection for review. The rules are your providers'; PainFlow defers the clinical call back to them.
  3. Paste the note. A complete, deterministic HPI is generated from the fields and copied for a paste into athenaOne. No EHR integration, no IT project, no BAA.
Why not built-in screeners plus a free ambient scribe?

Those capture data; PainFlow enforces protocol. A scribe documents what is said in the exam room. It never sees the pill count, never blocks an injection at an out-of-range A1c, and never computes a refill date. PainFlow produces deterministic output from structured fields, so nothing in the note is generated by a language model. For controlled-substance documentation, a made-up number is a liability.

The model: a service, not software

Protocol encoding
one-time, fixed fee
$5,000–$15,000
Maintenance retainer
flat, per month
$2,000–$4,000
Never revenue share · never per-seat · never licensed standalone.
Typical engagement ranges. Final pricing is scoped per practice.

See it & talk to us

See the live demo (synthetic data) Request a walkthrough bmayo7@gmail.com
PHI-free by design Deterministic HPI, no LLM Provider-authored rules Works with athenaOne today No backend / no database

PainFlow assists documentation; it does not make clinical decisions. Every output is a draft for clinician review. Screening results use suggest-and-defer language, and red-flag escalation remains the judgment of licensed staff. HIPAA exposure is engineered out; compliance itself remains a property of your practice. © 2026 PainFlow. · getpainflow.pages.dev