Compass AI Transforms POCUS Workflow Management for Healthcare Systems

Health systems have long struggled with point-of-care ultrasound (POCUS) programs operating in silos—generating exams that either go undocumented, unreviewed, or completely unbilled. Butterfly Network’s latest enterprise software platform addresses this widespread challenge head-on with Compass AI, an AI-powered operating system designed to unlock hidden revenue while ensuring compliance and scalability across whole-body ultrasound imaging programs.

The Documentation and Revenue Problem

Traditional POCUS workflows still rely on radiology-style, order-based processes that create bottlenecks in documentation. The result: while clinicians capture only about 15% of compliant studies, as much as 85% of exams slip through without billing—representing significant lost revenue for health systems managing the same clinical volume. Compass AI replaces this fragmented approach with an encounter-based workflow engineered specifically for POCUS, achieving documentation compliance rates reaching up to 94% without adding extra burden to clinical staff.

This shift translates directly to financial impact. By converting undocumented and unbilled exams into properly tracked, compliant studies, health systems can realize as much as five times greater revenue from their existing ultrasound volume—capturing value that was already being generated but systematically missed.

Core Capabilities of Compass AI

Ambient Documentation Agent — The platform’s AI-powered voice dictation completes clinical notes automatically during exams, reducing charting time by up to 25% and freeing clinicians to focus on patient care rather than administrative tasks.

Quality Assurance Automation — An intelligent QA agent streamlines the review process through AI-powered image analysis and feedback, cutting manual quality control work and accelerating turnaround times across departments.

Program Intelligence Dashboard — Administrators gain enterprise-wide visibility into ultrasound usage, compliance metrics, provider credentialing, and unbilled scan identification. The dashboard surfaces potential ROI in real time, enabling data-driven scaling decisions.

Integrated Care Ecosystem — Compass AI connects seamlessly with electronic health records (EHRs), PACS systems, and single sign-on (SSO) infrastructure, routing studies directly into the medical record and preventing lost or misplaced images across the organization.

System-Wide Governance — The platform supports fleet visibility across multiple users and ultrasound devices, transforming isolated POCUS tools into a coordinated imaging service with standardized workflows and consistent compliance.

Transforming POCUS from Tool to Service

“Health systems want to expand POCUS programs and capture more value, but they’ve been held back by undocumented exams, compliance risk and the administrative burden that pulls clinicians away from patients,” explained Butterfly Network’s leadership. “Compass AI changes the economics. It provides the workflows and interoperability to manage POCUS at enterprise scale—eliminating blind spots, preventing fragmented care, and reducing risk exposure. It’s essentially capturing revenue that was already being generated, just being left on the table.”

Butterfly Network’s approach extends beyond software. The company combines proprietary Ultrasound-on-Chip semiconductor technology with enterprise workflow solutions, complemented by clinical services and provider education. Its handheld ultrasound systems—including the iQ3, recognized with the 2024 Prix Galien USA Award for Best Medical Technology—have demonstrated clinical impact in reducing healthcare costs while enhancing provider economics across hospital systems.

Availability and Next Steps

Compass AI is now available to health systems ready to optimize their POCUS programs. Organizations interested in exploring how the platform can improve their imaging workflows and financial outcomes can schedule demonstrations and learn more through Butterfly Network’s product portal.

By addressing the critical gap between clinical activity and documented, billable services, Compass AI represents a significant shift in how health systems can scale point-of-care ultrasound—turning administrative complexity into operational efficiency and capturing revenue visibility that has long remained hidden within traditional workflows.