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NovaScribe™
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Your workspace has a new look
Everything you used before is still here. Four places to know:
1Recording bar
2Visits
3Note
4Tools
1Recording bar. Type initials, pick the visit type, press Start. Pause and Save for Later are here too.
2Visits. Today's visits. Click one to open it, or search older ones.
3Note. Edit right on the page, then Copy to your EHR.
4Tools. Codes, Patient, Handout, Transcript, and Literature Search.
™— AI Medical Documentation
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On Mac: System Preferences > Security > Microphone > Allow browser
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Ready for your first note?
Record a visit on your iPhone or on this device. Your finished note appears here to review, edit, and copy into your EHR.
Uses the NovaScribe iPhone app from the App Store.
Your browser will ask for microphone access when you start recording.
Use the NovaScribe iPhone app from the App Store. It is included with your account and needs iOS 26.2 or later.
1Install NovaScribe from the App Store, or open it if it is already on your phone.
2Sign in with the username and the password you use here.
3The first time you open the app it asks you to accept how recordings are used, then asks about notifications and microphone access. Allow the microphone.
4Type at least two patient initials in Patient Initials, then tap the round record button. Tap it again when the visit ends.
5Your note appears on this page on its own, usually within a minute or two. Review it here, make any edits, and copy it into your EHR.
You can close this page and come back later. Your specialty and note preferences saved here also apply to notes recorded on your phone.
1Type the patient's initials in the Patient Initials box.
2Click Start recording in the toolbar above. Your browser asks for microphone access the first time. Choose Allow.
3Click Stop recording when the visit ends. Your note is written automatically and appears in the editor.
No microphone on this device, or access blocked? Use Record on iPhone instead. Nothing here needs to be set up again.
First-note guide
Your first note is ready. Review it, make any edits, then use Copy to paste it into your EHR.
If it did not open on its own, it is in your session list.
Evidence Mode: Hover over any sentence to see transcript source(s)
--- • ---
Parts you did not dictate may show *** or "Not dictated.", may be left out, or may use the template's default or first option (for example DVT prophylaxis). Check before signing.
—
Problems:
Hover over the visit level to see MDM details
Data:
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Risk:
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ℹ️
Prior Note Context (Optional)
from Epic
Paste HPI, interval HPI, test results, or A/P from the patient's previous Epic progress note.
The AI will use this context to understand what changed vs what stayed the same.
Suggested billing codes
?
NovaScribe identifies billable counseling and time-based services mentioned during your visit. Click "Insert" to add supporting documentation to your note. wRVU values show relative work value (higher = higher reimbursement). Yellow-highlighted codes need additional documentation before billing.
CPT code suggestions will appear here after completing your note
Potential Additional Reimbursement:$0.00
Documentation Tips:
Diagnosis Codes (ICD-10)
0?
Diagnosis codes are extracted from your conversation. "Copy All" copies comma-separated codes for pasting. "Copy for Epic" formats for Epic SmartPhrases. Codes marked "Needs Review" may require more specific ICD-10 codes (like laterality) for optimal reimbursement.
!0 codes need specificity review
Primary Diagnoses
Analyzing diagnoses...
Secondary/Chronic Conditions
Problem List
0+0 new▼?
This is the patient's cumulative problem list, carried forward across visits. Problems marked "NEW" were added during this visit. Use "Copy for EMR" to paste the full list into your EHR. You can add or remove problems manually.
No problem list available for this patient.
Orders and Medication Changes
0?
0 New0 Changes0 Stopped
This panel extracts all medication changes, new prescriptions, and orders discussed during the visit. NEW = new prescriptions, CHANGE = dose adjustments, STOP = discontinuations. Use it as a checklist when entering orders in your EHR.
Analyzing transcript for orders and medication changes...
Cardiovascular Risk Scores
Calculating risk scores...
Previous Sessions
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View feedback from your supervisor and track your professional development.
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Updated Terms of Service
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Settings
Select microphone for recording
Use plain language to tell NovaScribe™ how you like your notes written. Write as if instructing a human scribe.
Leave blank for no limit. Most EHRs accept 4,000-10,000 characters.
Epic: no published limit | Cerner: ~8,000 | athena: ~10,000
Share notes with partners, NPs, or colleagues. Both users must add each other for mutual access to prior visit notes.
Session timestamps will display in this timezone.
Check these before you click Save Template:
The rule: a *** value, choice or side you do not dictate stays *** in the note for you to fill in; nothing is guessed. The one exception is alternatives (below). Text you write without *** is kept as written. To mark what varies from case to case, use a choice, a blank, a field or a size (below). A *** at the start of a paragraph does not make it vary or optional; for text that is sometimes left out, use [INCLUDE ONLY IF DICTATED:].
Right***Left, CR***CS: a choice. The one you dictate is used; if you do not say, it stays Right***Left (a side is never guessed).
EBL: *** (a label, a colon, then ***): a field. Stays *** if you do not say it.
*** inside a sentence: a blank. Filled from your dictation; stays *** if you do not say it.
***4.75mm: your usual size, not assumed for the case. Say the size, or it becomes ***mm.
A paragraph that starts with ***: kept (without the ***) unless you dictate something different or say it was not done or not found.
Two or more paragraphs in a row that each start with *** and contradict each other (for example cemented or cementless): alternatives. The one you dictate is used; if you do not say, the FIRST one is used, so check it before signing.
[INCLUDE ONLY IF DICTATED:] ... [/CONDITIONAL]: left out unless you mention it. A wrapped statement about a member of your team appears whenever that person is in the note.
Plain text: kept in every note unless you dictate something different or say it was not done. Want a default? Write it as plain text.
Pasting from Epic? Replace {SmartLists} and Epic-only @SmartLinks@ with *** (Right***Left for sides). Keep @TD@: it fills in the procedure date.
Write your team the way you want it on every note: your name, your usual assistants, or nobody. To change it for one case, just say so: 'no assistant today', 'assisted by Sam Lee, PA-C', 'Dr. Smith co-surgeon'. Anyone you say was not there is removed, along with any statement about their role. A *** name stays *** until you dictate it.
(Global template - Click "Duplicate" to create your own editable copy)
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Customizes note templates and CPT code suggestions for your specialty.
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Permanently delete your account and all associated data.
Select Your Specialty
Choose your medical specialty to customize NovaScribe for your practice.
This customizes note templates and CPT code suggestions.
You can change this anytime in Settings.
Delete Your Account
Warning: This action is permanent
Deleting your account will permanently remove:
All your clinical notes and recordings
Your custom instructions and settings
Your subscription (will be cancelled)
All account data
Welcome to NovaScribe™!
NovaScribe helps you create clinical notes faster by transcribing your patient visits in real-time.
Let's get you set up in about 60 seconds.
Recording Your First Visit
Enter patient initials (e.g., JSM for John Smith) - you can also search for prior visits to give the AI context
Click the purple Record button
Speak naturally - NovaScribe transcribes in real-time
Click Stop when done
Your clinical note generates automatically in about 20 seconds.
Make Notes Your Way
Open Settings to customize how your notes are generated:
Custom Instructions - Tell the AI how to format your notes
Microphone - Select and test your mic before recording
Character Limit - Set max note length for your EHR
Tip: Click "Test Mic" before your first recording to make sure audio is working!
Record Anywhere
Record on your phone with the NovaScribe iPhone app from the App Store. It is included with your account and needs iOS 26.2 or later.
Install NovaScribe from the App Store
Sign in with the same username and password you use here
Record your patient visit
Your note appears in your desktop browser at novascribe.us
Copy from desktop and paste into your EHR
This is great for clinic rooms where you can't bring your laptop!
Help & Tips
QUICK START
Click Record to start, Stop when done
Notes generate automatically (~20 seconds)
Use Settings to customize your notes
FREQUENTLY ASKED QUESTIONS
Recording & Setup
How do I change how my notes are formatted?
Go to Settings and write instructions in plain language, as you would to a human scribe. You can save multiple instruction sets for different scenarios, and two defaults are included to get you started.
What microphone should I use?
Any USB-powered omnidirectional microphone works well on a computer. If you would rather not use a computer microphone, record with the NovaScribe iPhone app (App Store) or Android app (Google Play). Your note appears here either way.
Can I record on my phone?
Yes. Use the NovaScribe iPhone app (App Store) or Android app (Google Play), and sign in with the same account. Your note appears in the web app at novascribe.us, where you can review it and copy it into your EHR.
What is Character Limit for?
It controls max note length. Set it to match your EHR's text field limit (Cerner ~8000). Epic publishes no limit, so leave it blank unless your Epic team gives you one.
Working with Notes
How do I use the Regenerate button?
Click Regenerate to create a new version of your note using the same transcript. Useful if you want a different style or if you changed your instruction set in Settings.
What is Evidence Mode?
Evidence Mode shows transcript quotes related to each sentence in your note. Click "Show Evidence" after a note is generated, then hover over a sentence to see the quotes. A quote may support only part of a sentence, so use it to speed your review, not replace it.
What if I work at multiple locations with different EHRs?
That's exactly where NovaScribe shines. Whether you're at the hospital (Epic), outpatient clinic (Cerner), urgent care (athenahealth), or telemedicine platform—NovaScribe works identically in all of them. One tool, any destination.
Billing Features
What are CPT codes and how do I use them?
CPT codes identify billable services. NovaScribe analyzes your conversation to suggest codes for counseling, time-based services, and procedures discussed. Click "Insert" next to any code to add supporting documentation to your note. Yellow-highlighted codes need additional documentation before billing.
What does wRVU mean?
wRVU (work Relative Value Units) measures the physician work for each CPT code. Higher wRVU = higher reimbursement. NovaScribe shows wRVU for each suggested code so you can prioritize documentation for high-value services.
Why are some CPT codes highlighted yellow?
Yellow highlighting means the documentation in your note may not fully support billing that code. The status column shows a warning icon with details. Review your transcript to confirm the service was discussed and add supporting documentation before submitting for billing.
What are ICD-10 codes?
ICD-10 codes identify patient diagnoses. NovaScribe extracts diagnosis codes from your conversation and shows them with supporting evidence. Click "Copy All" to copy codes for your EHR, or "Copy for Epic" for Epic-specific format.
What does "needs review" mean on diagnosis codes?
Yellow-highlighted codes with "needs review" may lack specificity required for billing. Common issues include missing laterality (left/right) or insufficient documentation. Click an alternative code if a more specific option applies.
Workflow Tools
What is the Orders and Medication Changes panel?
This panel extracts all medication changes, new prescriptions, and orders discussed during the visit. The badges show counts (NEW = new prescriptions, CHANGE = dose adjustments, STOP = discontinuations). Use it as a checklist when entering orders in your EHR.
What are Patient Instructions?
Patient Instructions generates a plain-language handout summarizing follow-up appointments, medication changes, lifestyle recommendations, and warning signs discussed during the visit. Click "Copy Instructions" to print or give to the patient at checkout.
Can I edit the Patient Instructions?
The Patient Instructions are read-only in the panel, but you can copy them to a text editor and modify before printing.
Collaboration & EHR
How do I see my colleagues' notes in the initials dropdown?
Go to Settings > Collaborating Providers and add their username. They must also add you in their settings. Once both users have added each other, you'll see their notes in the initials dropdown list.
Do you integrate directly with my EHR?
NovaScribe takes a deliberately EHR-agnostic approach. This means it works instantly with any EHR—Epic, Cerner, athenahealth, MEDITECH, or any other system—with no IT approval or 8-12 month implementation required.
Isn't copy/paste slower than auto-insertion?
The copy/paste action takes about 3 seconds. Auto-insertion could save most of that 3 seconds, but increases cost and adds a potential point of failure with each EHR update. More importantly, copy/paste gives you a checkpoint to review the note before it becomes part of the legal record.