AdvancedMD runs day-to-day independent-practice operations: specialty-configurable EHR charting, intelligent scheduling, insurance eligibility and claims, patient billing, telehealth, a patient portal, appointment reminders, and practice reporting — with optional revenue-cycle and billing services. Patient check-in and check-out in AdvancedMD track patients through the appointment schedule — flow through the visit, not a dedicated employee time-clock or punch history for payroll attendance. Keito is the layer practices add for the hours: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, with any change reasoned and recorded, before the hours become a paycheck.
Illustrative review queue
Illustrative pay period
Hours reviewed
Entries confirmed
48
Staff reviewed
11
Shifts covered
112
Hours tied to each shift
Staff member, role, and shift on every entry
Reviewed before payroll runs
A separate reviewer confirms hours before the batch closes
Evidence behind payroll
Reviewed hours back the payroll run
AdvancedMD practices schedule patients, document encounters, submit claims, and collect payments through a unified cloud EHR and practice management suite. AdvancedMD’s own materials describe patient check-in and check-out as tools for tracking patients through the appointment day — useful for visit flow, not as a substitute for an independently reviewed time-and-attendance record before payroll. Keito answers the payroll question that leaves open: did each staff member confirm their hours, and did a separate reviewer approve them, before those hours became a paycheck.
Set up clinicians, front-desk staff, and reviewers in Keito in days — AdvancedMD keeps running EHR charting, scheduling, billing, claims, telehealth, and the patient portal exactly as it does today.
Keito drafts a time entry from the shift a staff member worked, so they confirm hours instead of reconstructing attendance from appointment calendars or patient check-in logs at payroll time.
A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.
Patient check-in is not payroll attendance
AdvancedMD is published as a unified cloud suite for independent healthcare practices: electronic health records with specialty-configurable and AI-assisted charting, practice management with scheduling, insurance eligibility verification, claims scrubbing and submission, patient billing, telehealth, a patient portal, appointment reminders, and reporting and analytics — plus optional revenue-cycle management and billing services. Public pricing is presented per provider per month on AdvancedMD’s pricing page (including specialty ranges such as mental health from $130, MedSpa from $278, physical and addiction medicine from $399, and broader medical specialties from $429–$1,070, with bundle savings up to 40%, encounter-based options, and periodic free-trial / free-months offers). AdvancedMD documentation for check-in and check-out describes tracking when patients arrive and leave the appointment schedule — patient flow through the visit, not a documented employee punch clock with In/Out history for payroll attendance. Reviewed AdvancedMD product and pricing materials do not describe a native employee timesheet, staff clock-in/out, or payroll attendance module; practices that need staff timesheets typically use separate workforce or payroll tools (including ADP time products outside the AdvancedMD EHR/PM suite). Keito’s argument is not that practices need a new EHR, scheduler, or claims platform — AdvancedMD already publishes that stack, and Keito makes no claim to clinical documentation, ePrescribing, patient scheduling, claims, or patient billing. It is that the hours behind a paycheck deserve AI-drafted entries a staff member confirms and a separate reviewer approves, rather than reconstructing attendance from calendars or patient check-in. The boundary is deliberate: Keito has no EHR, scheduling, or medical billing tools, and it claims no native AdvancedMD integration, automatic import, or synchronisation. AdvancedMD keeps running the practice; Keito is where staff hours get an independent review before payroll.
Choose AdvancedMD when the practice needs EHR, scheduling, claims, patient billing, telehealth, and a patient portal purpose-built for independent practices
Choose Keito when the problem is independently reviewed payroll hours that AdvancedMD’s appointment and patient check-in tools are not designed to replace
Prove it in one pay period: Keito runs alongside AdvancedMD, reviewing hours without touching charts, claims, or patient billing
Workflow fit
Keito keeps AdvancedMD alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose AdvancedMD when the practice needs EHR, scheduling, claims, patient billing, telehealth, and a patient portal purpose-built for independent practices
Choose Keito when the problem is independently reviewed payroll hours that AdvancedMD’s appointment and patient check-in tools are not designed to replace
Prove it in one pay period: Keito runs alongside AdvancedMD, reviewing hours without touching charts, claims, or patient billing
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of reconstructing attendance from appointment calendars at payroll time.
AdvancedMD’s schedules and dashboards surface when patients are booked and how the practice performed; Keito’s reviewer settles payroll status for every entry before the period closes.
Reviewers approve staff hours and hand the evidence to payroll for labor-cost review, through exports the team designs and tests itself.
The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.
Product shape
A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.
AdvancedMD publishes a unified cloud EHR, practice management, and patient engagement suite — scheduling, charting, claims, patient billing, telehealth, portal, and reporting.
How time is captured
AI drafts a shift-specific entry from the time worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck.
AdvancedMD tracks patient check-in and check-out through the appointment schedule; reviewed product materials do not describe a dedicated employee time clock for payroll punches.
Correction and review
Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.
AdvancedMD’s reporting and schedule tools help practices run appointments and understand clinical and financial performance; they are not documented as a second-approver payroll attendance workflow.
Review before payroll
A reviewer distinct from the staff member settles payroll status per entry before the period closes.
AdvancedMD keeps the clinical and revenue-cycle source of truth; payroll-grade attendance review is outside the documented appointment and patient check-in path.
Pricing and adoption
Published flat team pricing and a setup measured in days, run alongside AdvancedMD.
AdvancedMD presents per-provider monthly specialty pricing online with bundling, encounter options, and optional RCM or billing services.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
AdvancedMD’s own reporting, portals, and integrations belong to its platform; connecting reviewed-hours data to outside payroll tools is not an assumed automatic sync with Keito.
It is software an independent medical practice adopts instead of, or alongside, AdvancedMD, which runs EHR charting, scheduling, claims, patient billing, telehealth, and a patient portal for clinics and providers. Because AdvancedMD already covers that much of running a practice, an alternative rarely replaces all of it at once. Keito is the alternative for independently reviewed staff hours: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck.
AdvancedMD schedules patients and providers and lets practices check patients in and out through the appointment day. Reviewed AdvancedMD product and pricing materials describe those as appointment-oriented tools, not a dedicated employee time-clock or punch history used as the payroll attendance source of truth.
The gap is payroll attendance review, not EHR or practice management. AdvancedMD already owns charting, scheduling, claims, patient billing, telehealth, and the patient portal. Keito adds the hours layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. AdvancedMD still owns the chart and the claim; Keito owns the independently reviewed hours record.
Choose AdvancedMD when the practice needs a unified EHR and practice management suite — scheduling, clinical documentation, ePrescribing, claims, patient billing, telehealth, and a patient portal — on one platform. Keito does not reproduce any of it: no charts, no claims, no patient scheduling, no ePrescribing, no patient billing. It is the wrong choice if the immediate need is an EHR or billing suite rather than an independently reviewed record of staff hours.
Each reviewed record keeps the staff member, role, shift, duration, description, payroll status, reviewer, approval state, and pay period, tied to the specific shift worked rather than an appointment count or patient check-in event. That package backs the payroll run and gives a practice manager a reviewed answer when a staff member’s hours are questioned.
No. Keito claims no native AdvancedMD integration, automatic import, or two-way synchronisation — AdvancedMD’s own EHR, scheduling, billing, portal, and integration workflows belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll evidence. A practice can keep AdvancedMD for clinical and revenue-cycle work and run Keito alongside it as the independent review layer for staff hours, with any transfer between them designed and tested by the team.
Solo includes 1 licensed user, unlimited AI agents, Mac, Windows, and iOS apps, Stripe payments, and standard CSV and Excel exports. Pro adds your team. Business adds integrations, planning, advanced reporting, and stronger controls.
1 licensed user
For independent consultants, freelancers, and small studios running work with AI agents.
Flat workspace price for 1 licensed user
Team collaboration
For teams that need shared workspaces, approvals, and team-level project visibility.
Flat workspace price with no per-user fees
Advanced operations
For organizations that need integrations, planning, advanced reporting, and stronger controls.
Flat workspace price with no per-user fees
Optional Business add-on: Microsoft Entra SSO.
View add-on and pricingAI agents do not require licenses on any plan.
Solo, Pro, and Business can use API keys for agent workflows.
Solo, Pro, and Business include standard CSV and Excel data export.
Start with Solo, add people on Pro when you need reviewers or collaborators, and see how Keito turns tracked effort into clearer reports.