Provider-Scribe Collaboration
The healthcare provider joins up with the scribe through a secure Google Meet or Teams session, whether the encounter is conducted in-person or virtually. They assess symptoms, discuss treatment plans, and deliver care while linking to InteliDoc-AI. During these interactions, InteliDoc-AI's AI algorithms passively capture the dialogue in real-time.
Real-Time Transcription
As the provider conducts the patient encounter, InteliDoc-AI's AI instantly transcribes the conversation into detailed clinical notes. This real-time transcription process ensures that all pertinent information is accurately captured without disrupting the flow of the encounter.
Provider-Scribe Collaboration
Simultaneously, a trained scribe collaborates with the provider, ensuring the accuracy and completeness of the AI-generated notes. The scribe not only proofreads the notes but also assists in administrative tasks such as placing orders for tests, referrals, or other actions that the provider would typically handle or delegate to another team member. This collaborative approach streamlines the documentation process and allows the provider to focus more on patient care.
Importing into EHR Systems
Upon completion of the encounter, the scribe seamlessly imports the finalized notes into the provider's Electronic Health Record (EHR) system. This process ensures that all documentation is securely stored and readily accessible for future reference within the EHR platform.
Provider Review and Approval
After the finalized notes are imported into the EHR system and any necessary orders are entered by the scribe, the healthcare provider reviews the note within the EHR. Typically, this review process takes around 5 minutes following the conclusion of the encounter. By the time the provider is ready to see their next patient, the previous patient's note should be available for review and sign-off.
During the review, the provider carefully assesses the accuracy and completeness of the documentation, ensuring that it aligns with the patient encounter and meets regulatory standards. The provider then has the opportunity to sign off on the note once they deem it acceptable. Additionally, the scribe may assist in selecting an appropriate Evaluation and Management (E/M) level and other relevant Current Procedural Terminology (CPT) codes based on the services provided during the visit. This collaborative review process ensures that the documentation accurately reflects the care delivered and supports optimal coding and billing practices.