A chart that documents the visit and defends it later.
Specialty-aware templates across 30+ specialties, e-prescribing with EPCS and state PDMP lookup, telehealth inside the chart, clinical decision support at order entry, and coding support that captures what was actually done. Structured, attributable and audit-ready.
Note templates configured per specialty — primary care, cardiology, OB/GYN, pediatrics, behavioral health, orthopedics, dermatology and more — with conditional logic, embedded scales and validated fields. Providers document the way they think; the discrete data the payer, the registry and the quality program need is captured underneath. ICD-10-CM and CPT®/HCPCS suggestions surface from the documentation itself, with level-of-service support shown as the note is written, so coding reflects the work performed rather than a guess made a week later. Every edit is attributed and time-stamped in an immutable audit trail, and addenda are preserved rather than overwritten — which is exactly what a payer audit or a malpractice discovery request will ask for.
E-prescribing routes to the patient's pharmacy with formulary and benefit checks at selection, so the therapeutic conversation happens before the pharmacy calls back. Controlled substances go out under EPCS with two-factor authentication, and the state PDMP is queried at the point of prescribing. Drug-drug, drug-allergy and duplicate-therapy checking fires at order entry, not after signature. Labs and imaging are ordered with the diagnosis attached, and results return to the chart with closed-loop acknowledgment — an abnormal result cannot quietly go unreviewed. Telehealth runs inside the encounter: the provider starts video, documents in the same note, and the claim is built with place of service 02 or 10 and the required modifier already applied.
Patient registries by condition — diabetes, hypertension, CHF, COPD, behavioral health, prenatal, oncology — with care-gap logic that shows who is overdue for what, today. Quality measures for MIPS and payer programs are calculated continuously so the number you see in March is the number you will report, and the gap is still closable. For risk-adjusted contracts, suspected and historical HCC conditions surface during the visit with the documentation prompts needed to support them, because a condition that is not documented and coded this year does not exist to the model. Immunizations flow to the state registry, reportable conditions go out via electronic case reporting, and results reach public health without anyone faxing anything.
Built for U.S. ambulatory operations. Configured and ready from day one.
30+ specialties with conditional logic, validated fields and embedded assessment scales. Structured output, not free text with a header.
Routing to the patient's pharmacy, formulary and benefit check, two-factor EPCS for controlled substances, and renewal request handling.
Prescription drug monitoring program queried at the point of prescribing, with the check recorded in the encounter as evidence.
Drug-drug, drug-allergy and duplicate-therapy checking, plus condition-specific prompts and order sets at the point of order.
Video inside the encounter with no external app. Place of service 02/10 and the required modifier applied to the claim automatically.
Labs and imaging ordered with diagnosis attached. Results return to the chart and require acknowledgment — nothing goes unreviewed silently.
Modality worklist, results to the chart, and an integrated DICOM viewer. No separate PACS login to look at the study you ordered.
ICD-10-CM and CPT®/HCPCS suggestions from the documentation, level-of-service support, and HCC suspecting for risk-adjusted contracts.
No interfaces to build. No HL7 feeds to maintain. No per-transaction integration fees. Data flows between pillars from day one.
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A 20-minute walkthrough of the module in an organization like yours.