For medical billing & revenue cycle teams

Know your billing team is working the queue — without screenshots of patient data.

Computer Activity Monitor shows active time, idle time, and hours spent in the systems your team lives in — with no screen capture, no keystroke content, and no document access. Priced per computer, not per user. Set up in under an hour.

Start Free 60-Day Trial Request a 15-minute Demo

No credit card $3.88 per computer per month after the trial Works with any Windows billing software

Kareo / TebraAdvancedMDAvailityathenaOneeClinicalWorksWaystarNextGenAny Windows or browser app

computeractivitymonitor.com/reports/overview

Company Overview report for a billing team: AI summary, active users, active and idle time, time in target apps

The Company Overview report. Sample data — company and people are fictional.

Built around the questions billing managers actually ask

Four questions, four reports.

Every screen below is the real product with sample data.

"Is the remote team working claims, or just online?"

Active vs. idle time per person and per computer, plus the share of active time spent in the billing systems you designate as target apps. Sort by any column, filter by date, export to CSV.

User Activity report with time in target apps per user

"Can I show a client the hours we put in?"

Set a daily-hours threshold for each target app and generate a signed, shareable compliance report: which computers met it, which didn't, and by how much. Hand it to a practice, an auditor, or your own file.

Compliance report showing hours-in-app against a daily threshold

"Is anyone gaming the clock?"

Mouse jigglers, auto-clickers, and macro typing are flagged automatically, with a plain-English explanation of what was seen. Thresholds are conservative on purpose — you'll get fewer flags and trust every one.

Flagged interval explanation for a mouse-jiggler pattern

"Did Thursday slip, and why?"

Daily active and idle hours against the prior period, threshold alerts by email when a day falls short, and a weekly digest with an AI-written summary so you don't have to open the dashboard to know.

HIPAA-conscious by design

Built to stay out of the PHI path.

Your team looks at charts, claims, EOBs, and member IDs all day. Monitoring that captures screens or keystrokes turns the monitoring vendor into another place PHI lives. We designed around that problem instead of into it.

No screenshots — a chart or claim on screen is never captured.
No keystroke content — SSNs, member IDs, and passwords never leave the workstation.
For desktop applications we record only the application name (e.g. "AdvancedMD"), never the window contents.
For browser tabs, the page title is scrubbed on the workstation — emails, phone numbers, SSNs, record and chart numbers, dates, and dollar amounts are stripped and the title truncated before anything is sent.
The whole payload is activity counts and app names, sent every 10 minutes.

We don't call CAM "HIPAA compliant" — compliance is a property of your program, not a product badge. Many billing offices conclude that no BAA is needed because CAM does not receive PHI in normal operation. Review it with your compliance officer; we'll answer their questions directly.

what the agent sends, every 10 minutes

            computer_name: PRB-WS07

            username: hwalsh

            active_seconds: 548   idle_seconds: 52

            mouse_moves: 1,412   mouse_clicks: 96   keyboard_presses: 603

            active_window: AdvancedMD

            apps: [ AdvancedMD 391s, Availity Essentials 122s, Outlook 35s ]

            suspicious_pattern: false

            // no screenshots · no keystrokes · no document or chart content

Illustrative report payload. Field names simplified.

Pricing

$3.88 per computer per month. That's the whole price list.

Per monitored computer, not per user — shared front-desk and coding stations count once. Billed by invoice, monthly by PayPal autopay or annually with net terms. No credit card, ever.

Hosted

Everything included

$3.88 / computer / month

Dashboard ready the moment you sign up. We run the servers, backups, and updates.

Activity, application, computer, and trend reports
Target-app tracking and shareable compliance reports
Suspicious-pattern detection with AI explanations
Threshold alerts, weekly digest, AI weekly summary
CSV export, email support, 60-day free trial

Start Your Free 60-Day Trial

No card. Nothing is charged automatically — we invoice only if you decide to continue.

A 15-person billing office: $58.20 a month. One recovered hour of idle time a week pays for it.

Prefer to keep it on your own server?

Free / self-hosted

Run the agent API and database on your own Linux server. Add the reporting suite and email support for $4 per computer per month.

Data never leaves your infrastructure
Unlimited computers on the free tier
Support plan: full reports + 4 hours setup help

Talk to us about self-hosting

Or read the self-hosting guide.

Questions from billing managers

The things people ask before they sign up.

Do we need a BAA with you?

A business associate agreement is required when a vendor creates, receives, maintains, or transmits PHI on your behalf. CAM is designed not to: no screenshots, no keystroke content, no document or message content, application names only for desktop software, and scrubbed, truncated page titles for browser tabs. Most billing offices conclude that no BAA is needed. We're glad to walk your compliance officer through exactly what the agent sends.

Our coders share workstations. How is that billed?

Per computer. A shared station with three Windows profiles is one computer on your invoice, and reports still break activity out by user.

How do I tell my staff?

Plainly, and before you install it — our terms require that employees are notified. Use the free employee notice template: it explains what is and isn't collected in one page. Teams take it well when they learn there are no screenshots and no keystroke capture.

Can I prove hours to the practices we bill for?

Yes. Designate the apps your team should be in (say, the practice's PM system and the clearinghouse), set a daily-hours threshold, and generate a compliance report for any date range. The report is signed and shareable by link, so a practice manager can open it without an account.

What about remote billers on home internet?

The agent works on any Windows PC with an internet connection and reports every 10 minutes. If the connection drops, it buffers locally and catches up when it's back, so home-office outages don't leave gaps.

What happens when the 60-day trial ends?

Nothing is charged automatically. You'll get a reminder in the dashboard and by email with a one-click "request an invoice" step. Continue and we invoice you; don't, and you can export everything to CSV. Cancelling is one email.