Medical scribe
The visit documented as it happens, in your EHR, so the note is finished when the patient leaves instead of at nine that night.
What it covers
- Real-time documentation during the encounter
- History, exam, assessment, and plan captured as the provider works
- Orders, referrals, and follow-up entered as directed
- Templates and phrasing matched to each provider's preference
- Charts closed the same day rather than carried over
- Notes handed to the coder ready to work from
How it works
Match and train
A scribe is matched to the provider and ramped on the specialty, the templates, and the way that provider dictates.
In the room
The note is written live during the visit, so the provider talks to the patient instead of the keyboard.
Oversight
A supervisor reviews note quality and turnaround, and the same scribe stays with the same provider.
Who it is for
Providers finishing charts after hours, and practices where documentation debt is holding up billing.
Questions we get
Does the scribe join the visit live?
Yes. The note is written during the encounter in your EHR, so it is finished when the patient leaves instead of being carried home.
Will they learn our templates and our specialty?
A scribe is matched to the provider and ramped on the specialty, the templates, and the way that provider dictates. The same scribe stays with the same provider.
Does the scribe code the visit?
No. The scribe documents; coding is a separate service with certified coders and a second-coder audit. Keeping the two apart is deliberate.