Built in Direct Collaboration with Practicing Neurology Physicians

Neurology Clinical Notes in Seconds

Dictate. Generate. Go home.

Built in direct collaboration with practicing neurologists, ExamScribe is the first AI scribe purpose-built for neurological medicine. Complete cranial nerve examinations, proper neurological scoring, and notes that capture the complexity of neurological assessment without hours of documentation.

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ExamScribe — Neurology Encounter
🎤 Your Voice Recording

"58-year-old male with known epilepsy, on levetiracetam 1500mg BID and lamotrigine 200mg BID. He had a breakthrough seizure 3 weeks ago, first one in 14 months. Witnessed tonic-clonic, lasted about 90 seconds, post-ictal confusion for 20 minutes. He admits he missed 2 doses that week. Levetiracetam level came back at 18, which is low. Neuro exam today is normal. No focal deficits. I'm going to increase levetiracetam to 2000mg BID and repeat level in 4 weeks. Driving restriction discussed."

📄 Generated Clinical Note
CHIEF COMPLAINT: Epilepsy follow-up, breakthrough seizure HISTORY OF PRESENT ILLNESS: 58-year-old male with known epilepsy, previously well-controlled on levetiracetam 1500mg BID and lamotrigine 200mg BID, presenting following a breakthrough seizure 3 weeks ago — first seizure in 14 months. Witnessed generalized tonic-clonic seizure, duration approximately 90 seconds, followed by post-ictal confusion lasting 20 minutes. Patient reports medication non-adherence — missed 2 doses in the week prior to the event. CURRENT MEDICATIONS: Levetiracetam 1500mg BID, Lamotrigine 200mg BID NEUROLOGICAL EXAMINATION: Mental Status: Alert and oriented x4. Language fluent. Memory intact. Cranial Nerves: II-XII intact bilaterally. Motor: 5/5 strength all extremities. Normal tone. No drift. Sensory: Intact to light touch and proprioception. Coordination: Finger-nose-finger intact. Gait normal. Reflexes: 2+ symmetric throughout. Plantar responses flexor bilaterally. DIAGNOSTICS: Levetiracetam level 18 mcg/mL (subtherapeutic; therapeutic range 20-40) ASSESSMENT & PLAN: 1. Breakthrough seizure — attributed to medication non-adherence with subtherapeutic drug level 2. Levetiracetam increased to 2000mg BID 3. Repeat levetiracetam level in 4 weeks 4. Driving restriction counseling provided per state law — documented in chart 5. Medication adherence counseling provided

Built for How Neurology Physicians Actually Work

Not a generic scribe with "Neurology" added. Every template, every prompt, and every output was purpose-built for neurology workflows.

Complete Neurological Examination Documentation

Generates structured neurological exams covering mental status, all 12 cranial nerves, motor (with grading), sensory modalities, coordination, reflexes, and gait — the comprehensive documentation neurological billing requires.

Neurological Scoring and Classification

NIHSS for stroke, EDSS for MS, UPDRS for Parkinson's, MMSE/MoCA for dementia, seizure classification (ILAE 2017) — ExamScribe captures and documents validated scoring tools in the proper clinical context.

Complex Medical Decision-Making Support

Neurology visits frequently qualify for high-complexity E/M coding. ExamScribe documents the clinical reasoning, differential diagnosis, and management complexity that supports your billed level — reducing downcoding risk.

Neurology-Specific Context Template Builders

AI can hear your words but cannot see your exam. These structured builders push real clinical findings to the AI in one click — eliminating hallucination and ensuring every note reflects what you actually did.

Epilepsy / Seizure Management

Seizure type/frequency, AED levels, breakthrough events, driving counseling, ILAE classification

Migraine / Headache

ICHD-3 classification, frequency, disability (MIDAS), acute and preventive therapy, red flag screening

Stroke / TIA Evaluation

NIHSS, ABCD2 score, imaging findings, etiology workup, secondary prevention

Multiple Sclerosis

EDSS score, relapse history, MRI burden, DMT selection, side effect monitoring

Parkinson's Disease

UPDRS, Hoehn & Yahr stage, motor fluctuations, medication timing, fall risk

Dementia / Cognitive Impairment

MMSE/MoCA scores, functional status, caregiver burden, medication management, safety assessment

Peripheral Neuropathy

Distribution, modalities affected, EMG/NCS correlation, etiology workup, pain management

Bell's Palsy / Facial Nerve

House-Brackmann grade, onset timeline, steroid candidacy, eye protection, prognosis counseling

Radiculopathy / Myelopathy

Dermatomal distribution, motor/sensory deficits, MRI correlation, surgical vs conservative

Tremor Evaluation

Tremor classification (rest/action/intention), DaTscan correlation, medication trial, DBS candidacy

Integrated Compliance Engine

Neurology E/M Coding Is Under Scrutiny. Your Documentation Needs to Reflect the Complexity.

High-complexity neurology visits are among the most frequently audited E/M codes. CMS and commercial payers scrutinize whether the documented medical decision-making actually supports the billed level. ExamScribe's compliance engine ensures your notes capture the complexity you're delivering.

Medical Decision-Making Complexity

Level 4 and 5 E/M codes require documented complexity across three elements: number/complexity of problems, amount/complexity of data reviewed, and risk of complications. The engine verifies all three are present and sufficient.

Neurological Exam Completeness

Payers increasingly audit whether the documented neurological exam is consistent with the billed complexity. The engine checks that your exam documentation is complete and internally consistent.

Driving Restriction Documentation

Neurologists have a legal and ethical obligation to counsel seizure patients on driving restrictions. The engine flags encounters where this counseling is not documented — protecting you from liability.

AED Level and Monitoring Documentation

Antiepileptic drug monitoring requires documented clinical correlation between drug levels and patient status. The engine verifies your note connects lab values to clinical decision-making.

Diagnostic Test Medical Necessity

EEGs, EMG/NCS, MRI brain/spine, and neuropsychological testing all require documented clinical indication. The engine flags notes where the "why" is missing before the claim goes out.

Two-Pass AI Compliance Audit

Every note is analyzed for coding accuracy, documentation sufficiency, and LCD compliance. You receive a specific gap report — reviewed and attested by you before any changes are made.

Three Steps. That's It.

Start generating notes in under a minute.

1

Record

Click record and speak naturally about the encounter — during the visit, after the visit, or just key findings. No special commands.

2

Generate

ExamScribe transcribes your recording and generates a complete, properly structured neurology note with accurate specialty terminology in seconds.

3

Review & Export

Review the note, make any quick edits, and copy it into your EHR or export as PDF. Done.

Simple, Transparent Pricing

One plan. Everything included. No per-note fees.

Individual Physician
MonthlyAnnual Save $120/yr
$89/mo

billed annually ($1,068/yr)

  • 400 AI credits per month
  • All Neurology template builders
  • Compliance audit engine
  • Document analysis & appeal letters
  • Voice-to-note in seconds
  • PDF & Excel export
  • HIPAA compliant — signed BAA included
  • 30-day free trial
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Your Patients' Data Is Sacred

Built with the same standard of care you bring to your patients.

HIPAA Compliant

  • Signed Business Associate Agreement
  • AES-256 encryption at rest
  • TLS 1.2+ in transit
  • SOC 2 Type II Azure data centers (US only)

Zero Data Sharing

  • Transcripts never used to train AI
  • No third-party data sharing — ever
  • Data never leaves US servers
  • You own your data — delete anytime

Automatic Protection

  • No audio recordings stored
  • Auto-delete on your schedule
  • Complete audit logging
  • Session timeouts enforced

Frequently Asked Questions

Does ExamScribe understand neurological examination terminology?

Yes. ExamScribe produces complete neurological examinations using proper clinical language — cranial nerve testing, motor grading (MRC scale), sensory modalities, coordination tests, and reflex documentation. Notes read like a neurologist wrote them.

Can ExamScribe handle the complexity of neurology visits for E/M coding?

Yes. ExamScribe is specifically designed to capture the elements of medical decision-making complexity that support high-level E/M coding — number of diagnoses, data reviewed, and risk of management. This directly reduces downcoding.

How does ExamScribe handle neurological scoring tools like NIHSS or UPDRS?

The template builders include structured input for validated neurological scoring tools. You enter the scores and ExamScribe incorporates them into the note with proper clinical context and interpretation.

Can I use ExamScribe for both outpatient and inpatient neurology?

Yes. The template builders and AI prompts cover outpatient follow-up, inpatient consults, stroke alerts, and discharge summaries. You can customize the note type for each encounter.

Is my patient data used to train the AI?

Never. Your transcripts and patient data are never used to train AI models. All data is processed on HIPAA-compliant Azure servers in the US and auto-deleted on your schedule.

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