Andy AI vs Lime Health AI (2026)
Two home health documentation records built on the same insight, that the artifact is a federally mandated assessment rather than a note. Andy structures everything around that assessment, drafting it end to end with wound and medication documentation, a quality pass over the history and a genuine write back into the record system. Lime goes wider at the instrument level, covering the hospice evaluation as well as the home health assessment, with effectively complete coverage of post acute record systems and an oversight architecture that turns on the default: review is required rather than offered, and the trail is audit logged. For an agency running hospice alongside home health, Lime reaches a document Andy does not. For one focused purely on home health, Andy goes deeper into the assessment itself.
- It is structured around the federally mandated assessment end to end, drafting it alongside wound and medication documentation with a quality pass over the full history.
- The write back is genuine rather than a transfer step, so the completed chart including the assessment lands in the record system.
- A review gate is described at two distinct points, which is more than most of this segment offers for documentation that drives both payment and survey exposure.
- It is specialized at the level of the regulatory instrument, covering both the home health assessment and the hospice evaluation, which almost nothing else reaches.
- Coverage of the segment's record systems is effectively complete, which matters because agencies rarely change post acute platforms.
- Review is required by default rather than offered, with an audit logged trail and a stated signed business associate agreement, so oversight is enforced by the product rather than left to policy.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Andy AI and Lime Health AI are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Andy AI | Lime Health AI |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2023 | Not recorded |
| Headquarters | San Francisco, California | Not recorded |
| Website | with-andy.com | getlimeai.com |
Side by Side
Select any grade to read the note behind it.
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Ambient scribe built for home health field clinicians and structured entirely around the OASIS, the federally mandated assessment instrument that drives both quality reporting and episode payment under PDGM. A nurse or therapist starts recording with one tap and does the visit; Andy drafts the narrative, medications, vitals, wound documentation and OASIS items, and the clinician reviews and confirms rather than writing, which the company describes as saving about an hour per OASIS.
Source: AI Health Index, August 2026
Lime Health AI builds Lime Scribe for home health and hospice. Home health documentation is not a SOAP note: it is the OASIS-E2 assessment, the HOPE hospice evaluation, and ICD-10 coding that drives PDGM payment grouping.
Source: AI Health Index, August 2026
Questions buyers ask
How do Andy AI and Lime Health AI work with the EHR?
The completed chart including the OASIS is generated into the agency's record system, the agency connects that system to Andy's cloud as a deployment step, and the companion app deliberately does not produce an OASIS on the device, so the record of truth stays in the agency's system.
As of mid 2026 Lime integrates bidirectionally with WellSky, MatrixCare, HCHB, Axxess, DSL and Netsmart, which between them account for the overwhelming majority of home health and hospice agencies. More importantly it syncs structured OASIS fields and care plans rather than pushing narrative text, which is the difference between a scribe that saves typing and one that completes the regulatory instrument. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do Andy AI and Lime Health AI handle patient data?
In Andy AI's case, the application captures images as well as audio. In home health those are wound photographs, and they are taken inside a patient's home.
For Lime Health AI, one tension is sharp here, and it is the direct cost of the oversight architecture. Because coder verification is universal rather than optional, a human workforce reads one hundred percent of charts rather than a selected subset. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do Andy AI and Lime Health AI cover?
With Andy AI, the depth shows in the detail: it names the instruments rather than counting specialties, working to the OASIS and PDGM and organizing the product around start of care as the pivotal chart. Wound documentation via photograph and medication list reconciliation are the two field specific capabilities.
In Lime Health AI's case, coverage spans home health and hospice for nurses, therapists and field clinicians, generating OASIS-E2 assessments, HOPE hospice evaluations, daily visit notes, care plans and ICD-10 coding, with PDGM and homebound status documentation handled as first class concerns. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How much do Andy AI and Lime Health AI leave to the clinician?
For Andy AI, the companion app states that it does not generate an OASIS on the device and that the agency must connect its record system for the completed chart to appear, so nothing reaches the record through an unsanctioned path.
With Lime Health AI, a certified home health coder verifies every assessment item, diagnosis code and visit detail before anything syncs to the record system, and the company states explicitly that this review is standard with every engagement rather than an upsell. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.
Home health documentation drives episode payment, which gives these tools a direct coding incentive, and neither vendor publishes an audit result showing that additional diagnoses were justified. Andy reports a case mix increase figure with no accuracy or audit measure beside it, which should be read as a commercial claim rather than a quality one. Neither publishes a full security attestation of the higher type, and neither publishes a subgroup analysis, which matters where assessments determine the level of care a patient receives at home.