PMHScribe

The scribe is the product. PMHScribe converts the session to text as it happens and drafts the clinician's note from it, with templates for initial psychiatric evaluations, medication management, psychotherapy add ons and counseling formats such as DAP and BIRP, plus ICD-10 and CPT codes and the justification for psychotherapy codes.

The extras, letters, statements, orders, prior authorization drafts and medication education handouts, are further drafts from the same session. Remove the speech and language models and nothing remains, which is why PMHScribe competes directly with other AI scribes for psychiatric prescribers and therapists.

Every output is a working draft. The clinician reviews and edits it, can dictate into the transcript to add information, and copies the final note into the EHR, so nothing reaches the record without the clinician placing it there. Accounts are limited to verified licensed providers, and audit logs record who accesses documentation.

The gap is in the clinical extras. Orders, medication management notes, prior authorization drafts and medication education handouts carry more risk than a narrative note, and none of them links back to the passage of the session it came from, so checking them depends on the clinician rereading the transcript. No limit is described on what the scribe may add that the clinician did not say.

The architecture is described in outline: real time speech to text, with no audio kept, followed by AI drafting of structured psychiatric notes from the transcript into the clinician's chosen template. Custom templates let clinicians match their own visit note format, and clinicians can dictate directly into the transcript before a note is generated.

No speech recognition engine, language model, provider or version is identified, and changes to the model go unrecorded in any release notes. A practice cannot tell what produces its notes, how the psychiatry specific templates shape the model's output, or when the model underneath has changed, which matters for clinicians who rely on consistent wording to meet insurance documentation requirements.

Amazon Web Services is named as the host, and no speech recognition or language model provider is named. The privacy policy confirms the chain exists, listing hosting, live transcription, note generation and content transcription and analysis among the outside services that power PMHScribe, and stops short of naming any of them.

Because no audio is stored and speech is converted to text in real time, session audio still passes through a speech service, and the transcript through a model, whose operators are not identified. The business associate agreement available to every practice is where those parties would be bound, and it is not posted, so a clinician cannot see which companies process session content or on what retention and training terms.

Clinician testimonials carry the case, many signed with full names and credentials. Kristina Timmons, owner of New Day Psychiatry, says notes became more concise while meeting insurance requirements; Megan Arbogast, a PMHNP, says she canceled two other scribe subscriptions after one patient; a practice owner says all four of its nurse practitioners and its psychologist now use it; and one practitioner credits it with growing her practice 30 percent.

No figure is measured. Time saved, note accuracy, coding accuracy and the share of drafts edited are not reported, and the claim of thousands of practices comes without a count or source.

No audio recording is saved or stored: speech is converted to text in real time, so there is no session recording that could be breached or subpoenaed. Transcripts and finished notes stay in PMHScribe until the clinician deletes them, and psychotherapy content does not enter the chart note unless the clinician puts it there.

The privacy policy reserves data for internal business purposes including product improvement in aggregated, anonymized or de identified form, and says protected health information is accessed only as needed for the service. Whether de identified transcripts and notes feed model improvement, at PMHScribe or at the transcription and note generation providers it uses, is left open. Safety engineering amounts to clinician review of a working draft; how invented or misattributed content gets caught is not explained.

A business associate agreement is available to every practice, which settles that it does not depend on the plan. PMHScribe describes documented HIPAA policies and procedures, regular risk assessments, an incident response plan, a dedicated security officer and healthcare legal counsel overseeing compliance and workforce training, and it explains the minimum necessary standard and why psychotherapy notes carry extra protection.

Its text is not public, so how it binds the speech and language model services that process sessions, and what happens to transcripts at the end of a subscription, stays unknown until a practice signs up. The founder describes herself as a HIPAA officer as well as a practice owner.

No independent attestation of PMHScribe's own security is named. The company points to Amazon Web Services' audited data centers for physical safeguards, which are the host's credentials rather than its own, and describes its own controls as documented HIPAA policies, regular risk assessments, an incident response plan, a dedicated security officer, 256 bit encryption at rest, two factor sign in, audit logs and accounts restricted to verified licensed providers.

No SOC 2 report, HITRUST certification, ISO 27001 certificate or third party penetration test is mentioned, and there is no trust center or security documentation a practice can request. The controls are described clearly, with no outside party yet checking that they run as described.

Clinical documentation is the stated purpose, and no regulatory position goes with it. Its drafts reach into prescribing territory, with medication management notes, orders and medication education materials, but each is drawn from what the clinician said in the session and is reviewed and sent by that clinician.

Nothing markets PMHScribe as recommending a diagnosis, medication or dose on its own, and the founder's background as a practicing psychiatric nurse practitioner shapes the templates rather than any automated clinical judgment. No intended purpose statement sets those limits in writing.

Nothing describes how the scribe's output is evaluated or governed. The compliance program covers HIPAA policies, risk assessments and incident response, and none of it addresses model behavior, accuracy testing or review of changes before they reach clinicians.

Psychiatric sessions are where speech recognition and summarization are most likely to struggle, with emotional content, overlapping speech, family members in the room and patients whose speech is affected by their condition or medication. No results by session type, patient group, accent or language are given, so a clinician cannot tell where drafts are least reliable or whether the tool performs as well with some patients as with others.

Clinician review and the retained transcript are the checks. Because the transcript stays until the clinician deletes it, a note can be compared with what was said, and audit logs show who accessed it.

The drafts, including orders, prior authorization requests and patient education materials that leave the practice, come with no error rate, warranty or remedy. Responsibility for each finished note rests with the clinician who signs it, and PMHScribe sets out nothing it owes if a draft was wrong; its terms describe the service as AI transcription and note generation for licensed clinicians and leave the outcome with them.

There is no integration with any record system. The finished note is copied and pasted into the EHR or practice management system, which PMHScribe presents as the way it fits any practice, and its terms describe the notes as ones that can be integrated with EHRs without naming a system or a connection.

That keeps setup trivial for a solo clinician on any platform, and it means nothing is read from the chart, such as the medication list or prior notes, and nothing is filed back automatically. For a scribe that drafts medication management notes, the missing medication list is the gap that matters most, since the draft can only reflect what was said aloud. Group practices and substance use facilities on the same plan work the same way.

PMHScribe is hosted on Amazon Web Services, with data encrypted at rest using 256 bit AES, and runs as a single hosted service in the browser on the clinician's device. No AWS region or data location is committed, though the service is built for US clinicians and US privacy law.

Session text also travels to outside services: the privacy policy lists live transcription, note generation and content analysis among the third party functions that power the product. None of them is named or located, and tenancy is not described, so whether any processing happens outside AWS or outside the United States is left open.

Both plans are priced and can be started without a sales call. Counseling costs $79 a month for therapists, social workers, counselors and psychologists, with psychotherapy, DAP and BIRP notes, letters and unlimited session time. Psychiatry costs $99 a month for psychiatrists, psychiatric nurse practitioners and physician associates, adding initial evaluations, medication management, psychotherapy add ons, orders and ICD codes.

A free trial needs no credit card and can be canceled at any time. Group practices receive coupon codes rather than a published group rate, and practices with more than 50 clinicians go to sales for enterprise terms.

Psychiatric and behavioral health care is the whole scope, with use case pages for counselors, psychiatric nurse practitioners, psychiatrists, physician assistants, group practices and substance use facilities, and support for in person and telehealth sessions. Templates follow the visit types those clinicians bill, such as initial evaluations, medication management with psychotherapy add on codes, and counseling notes in DAP and BIRP formats.

Named users back the outpatient psychiatry part: New Day Psychiatry, psychiatric nurse practitioners in private practice, and a psychiatry and counseling practice that moved its whole clinical team onto it. No substance use facility or larger group is named, so the residential and program settings rest on the use case page alone.