AI Medical Scribe · Internal Medicine
AI Documentation Built for Internal Medicine Complexity
Multi-system patients, extensive medication lists, layered problem panels — Notiro captures every clinical detail and turns it into a structured, coding-ready note before your next patient walks in.
The Problem
Internal medicine has the
highest documentation burden.
The Structural Problem
Five active problems. One visit. One hour of documentation.
Internal medicine patients often have multiple active problems. Each requires documentation and a diagnosis code. The complexity of visits, medication interactions, referrals, and histories, increases the charting burden. Studies show internists spend about 19.5 minutes per encounter in the EHR, more than any other specialty. Most AI scribes struggle with this complexity.
The Revenue Gap
Undercoded visits are costing you more than you think.
A properly documented five-problem internal medicine visit supports a level-four or level-five E/M code. Miss that documentation and the same visit often gets billed at level-two or level-three instead—a gap of roughly $30 to $50 per patient. Across 20 patients a day, that's $600 to $1,000 in revenue slipping away daily, or $12,000 to $20,000 a month, quietly, one undercoded chart at a time.
Notiro captures it all
Every active diagnosis coded. Every E/M level correctly documented. Every visit, automatically.
Complex Visit. Complete Note.
Before the Next Patient.
Notiro's clinical AI tracks every problem through the consultation and structures a complete, coding-ready note in the time it takes to walk to your next room.
Ambient Capture
Notiro listens passively through the entire multi-system consultation. No screen interaction required while you examine the patient.
Problem-by-Problem Note
The AI organises documentation by active problem, assessment and plan for each condition, in SOAP, POMR, or H&P format.
Full Coding Output
ICD-10 codes generated for every problem documented — including E/M complexity coding that reflects actual clinical decision-making.
Push to EHR
Review in seconds, Magic Edit any changes, then push the complete note directly to Athena or your EHR. No copy-paste.
Features
Built for Every Layer of Internal Medicine Complexity
Notiro's contextual AI understands internal medicine, multi-system patients, complex medication panels, and the clinical reasoning that makes every encounter unique.
ICD-10 + CPT for Every Active Problem
Full ICD-10 and CPT auto-coding from every encounter. E/M complexity captured and coded, not guessed. Every active diagnosis from the visit documented and billed correctly.
Multi-System Contextual Awareness
Tracks each distinct problem distinctly through the visit. Doesn't conflate a 5-problem consultation into a single generic note. Recognises clinical shorthand, medication names, and medical reasoning.
POMR, SOAP, H&P Templates
Problem-Oriented Medical Record, SOAP, and History & Physical formats all supported. Configure once, Notiro applies your structure to every consultation.
Complex Medication Panel Documentation
Every medication change, new prescriptions, discontinuations, dose adjustments, drug discussions — captured accurately and included in the note without additional input.
AI Patient Intake
Pre-visit intake collects patient history, symptoms, and medication list before the appointment. Walk into complex consultations already briefed on the patient's current status.
AI Diagnosis Support
Differential diagnosis suggestions and clinical inconsistency flags from documented visit content. In a high-volume IM practice, an extra clinical intelligence layer that catches the missed finding matters.
Certified Athenahealth Integration
Direct EHR push as a certified Athena partner. Browser-based note push for all other web EHRs, no IT setup, no special hardware, no copy-paste.
Magic Edit + Smart Phrases
Voice or text edits in seconds. Smart Phrases embed your recurring internal medicine language, chronic disease management phrasing, referral boilerplate, medication documentation.
The Coding Advantage
Every missed E/M level is revenue that never comes back.
You already know the stakes. What changes with Notiro is the outcome: every active problem gets captured, every diagnosis gets coded, and every visit gets billed at the level your clinical work actually earned—automatically, with no second pass from billing.
Full Problem-Level Coding
ICD-10 codes generated for every active diagnosis discussed — not just the primary complaint.
E/M Complexity Captured
Documentation reflects actual medical decision-making complexity — supporting accurate level-4 and level-5 E/M coding.
60% Billing Admin Reduction
Billing teams receive structured, coding-ready output — no manual chart review required to assign codes.
Auto-Generated · Complex
IM Consultation
Hypertension, uncontrolled
I10
CKD Stage 3a
N18.31
Type 2 Diabetes w/ CKD
E11.65
Hyperlipidaemia
E78.5
New LE oedema — ordered Doppler
R60.0
High Complexity E/M Visit
CPT 99215
✓ 5 problems coded · Correct E/M level captured · No manual lookup
Who It's Built For
Built for Independent Internists Who
See the Whole Patient
Designed for the internal medicine physician, NP, or PA who manages chronic disease complexity in independent and small-group practice settings.
Notiro works best for internists who:
Manage 1–3 hours every evening on after-hours documentation
Are spending 19+ minutes per visit in the EHR — the highest of any specialty
Are losing revenue to undercoded E/M visits without dedicated billing review
Need complete problem-level documentation — not a single-complaint note
Want medication changes and polypharmacy documented accurately without extra effort
Practice in an independent or small-group setting without IT support
On E/M revenue recovery:
The difference between correctly documenting a level-4 versus level-3 E/M visit is approximately $30–50 per patient. At 20 patients per day, accurate coding with Notiro adds up to $600–$1,000 per day in correctly captured revenue.
Before vs after Notiro
EHR time per encounter
19.5 min → review only
After-hours charting
Eliminated
E/M coding accuracy
Every visit, automatic
Starting price
$29/month
Frequently asked questions
Find quick answers to the most common questions about Notiro — how it works, what it documents, and how it fits into your clinical workflow.
Yes. Every practice signs a Business Associate Agreement, and audio and note data are encrypted in transit and at rest. Compliance is built into the workflow, not layered on after the fact.
Internists are seeing complex, multi-comorbid patients with Notiro on day one. There is no IT department required, no EHR migration, and no lengthy onboarding before the first documented visit.
Notiro has a certified Athenahealth integration with direct one-click push to the chart. For other web-based EHRs, notes push through the browser with no separate setup or hardware required.
The recording is processed to generate the note and coding output, then discarded. Patient conversations are not retained on Notiro's servers, and audio is never used to train AI models.
Yes. Notiro captures every medication change, new prescription, discontinuation, and dose adjustment discussed during the visit, including the clinical reasoning behind each change. This is documented directly in the note without additional manual entry.
