AI Scribe for Psychiatry

Last updated: Nov 2025

AI scribe for psychiatrists that’s HIPAA-compliant: capture sessions or upload audio, generate psychiatric intake and follow-up notes, surface MDM-based code guidance (e.g., 99213 vs 99214), and auto-produce psychotherapy 90833 add-on justifications when appropriate.

Who this helps

• Outpatient psychiatrists and PMHNPs

• Integrated BH teams inside primary care

• Medical directors standardizing documentation quality
  
  

What you get

• Psychiatric intake & follow-up notes with meds, side effects, and risk

• Smart Billing (MDM): code recommendations with rationale

• 90833 psychotherapy add-ons: ready-to-review justifications

• Continuity across visits: Dx, plan, and prior response carried forward
  
  

How it works with your EHR

Record live or upload audio in Nudge. Review your draft. Open a new note in your EHR and use the Nudge Chrome extension to map sections into the correct fields (edit-before-save). No API keys or IT projects required.

Quick examples

• Medication change → 99214 flagged: med adjustment + counseling + risk review elevate complexity; justification shown inline.

• Stable on SSRI → 99213 retained: no med change, low risk; plan focuses on adherence and follow-up interval.

• 90833 add-on rationale: psychotherapy time/goal summary with medical necessity language you can review and keep.
  
  

Results (2025)

Average note ready in < 60 seconds.
Psychiatry clinics report ~5 hrs/week saved on documentation.
Improved capture of appropriate 90833 add-ons after standardizing templates.

FAQs

Can I turn off 90833 prompts?
Yes. Admin controls let you enable/disable add-on prompts and edit the justification template.

How are meds and side effects handled?
Med list, changes, and patient-reported side effects are structured and carried forward for continuity.

Can I force a specific note style?
Yes. Save team-wide preferences (bullet vs paragraph, section emphasis, required fields) and apply them automatically.