Scribenote turns patient conversations into structured clinical notes automatically. Record visits on mobile or desktop; AI drafts SOAP notes, ICD-10 codes, and orders with timestamps. Templates adapt to specialty. Clinicians review, edit, and sign in minutes. With EHR export, team sharing, and consent safeguards, practices cut documentation time and focus on care without losing accuracy or audit readiness.
Capture clear audio at the point of care from phone, desktop, or integrated telehealth. Timestamps align symptoms, history, and plan. Speakers are separated to reduce confusion. Background noise handling keeps results readable. By preserving nuance in the patient story, clinicians recover details they would otherwise retype later, which lowers after-hours charting and improves the completeness of clinical narratives.
Draft structured notes automatically with subjective, objective, assessment, and plan blocks. Suggested ICD-10 and CPT codes reflect documented findings. Reusable templates adapt to specialty and visit type. Edits propagate through the note to prevent mismatches. This structure shortens the time from conversation to signed chart while reducing risk of omissions that can slow billing or create audit exposure across encounters. Billing teams gain cleaner claims with fewer corrections.
Convert decisions into orders and tasks, including labs, imaging, referrals, and education. Smart checklists ensure required elements are captured for common workflows. Follow-up reminders log due dates. With next steps captured alongside the narrative, teams hand off confidently between clinicians, nurses, and front desk. Patients benefit from fewer dropped balls and clearer instructions that match the final signed chart.
Export notes, codes, and attachments to common EHRs. Copy-ready formats reduce duplicate entry when direct integration is not available. Permissions control who can view and edit drafts. Audit logs record changes for compliance. By simplifying transfer into the system of record, practices move faster without sacrificing governance, saving minutes per visit that add up across the clinic schedule each day.
Role-based access, encryption, and consent prompts protect PHI. Data retention policies match regulatory expectations. Device checks and session timeouts prevent casual exposure. Administrators manage templates and standard phrases for consistency. This governance keeps legal and privacy teams comfortable while clinicians enjoy smoother documentation that respects patient trust and organizational policy.
Best for primary care, urgent care, behavioral health, and specialists who spend too much time charting. With speech capture, SOAP automation, coding suggestions, and EHR export, Scribenote helps clinicians finish notes during the day, reduce burnout, and improve billing accuracy while maintaining clear, consistent documentation aligned to practice policies and payer requirements across visits.
Scribenote replaces late-night charting, scattered dictations, and copy-paste errors with guided documentation. Conversations become structured notes with codes and orders. Edits are tracked, exports are clean, and tasks stay visible. The outcome is faster charts, fewer denials, and better continuity of care because teams capture the whole story once and hand it off reliably throughout the clinical workflow.
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