Built in Direct Collaboration with Practicing Orthopedics Physicians

Orthopedic Clinical Notes in Seconds

Dictate. Generate. Go home.

Built in direct collaboration with practicing orthopedic surgeons, ExamScribe is the first AI scribe purpose-built for musculoskeletal medicine. Accurate joint exam documentation, proper surgical terminology, pre-op and post-op notes, and documentation that actually holds up to payer scrutiny.

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ExamScribe — Orthopedics Encounter
🎤 Your Voice Recording

"52-year-old male, right knee OA, here for follow-up. He's had two cortisone injections this year, last one 3 months ago, only got about 6 weeks of relief. He's having significant difficulty with stairs and prolonged walking, more than 2 blocks. X-rays today show severe tricompartmental OA, bone on bone medially. ROM is 5 to 110 degrees. Moderate effusion. Varus alignment. I think he's a good candidate for total knee replacement. We discussed risks, benefits, alternatives. He wants to proceed. Referring to pre-op workup."

📄 Generated Clinical Note
CHIEF COMPLAINT: Right knee osteoarthritis, surgical candidacy evaluation HISTORY OF PRESENT ILLNESS: 52-year-old male with known right knee osteoarthritis presenting for follow-up. Patient has undergone two intra-articular corticosteroid injections this year; most recent injection 3 months ago provided only 6 weeks of symptomatic relief. Reports significant functional limitation — difficulty with stair climbing and ambulation limited to less than 2 blocks. Conservative management has been exhausted. PHYSICAL EXAMINATION: Right Knee: ROM 5–110° (limited). Moderate joint effusion. Varus alignment noted. Medial joint line tenderness. No ligamentous instability. Neurovascularly intact distally. IMAGING: Weight-bearing AP, lateral, and sunrise views right knee — severe tricompartmental osteoarthritis with medial compartment bone-on-bone changes. Varus deformity. ASSESSMENT & PLAN: 1. Severe right knee OA, tricompartmental, refractory to conservative management 2. Patient is a surgical candidate for right total knee arthroplasty 3. Risks, benefits, and alternatives discussed at length — patient elects to proceed 4. Pre-operative workup ordered: CBC, BMP, coagulation studies, EKG, medical clearance 5. Surgical scheduling to follow

Built for How Orthopedics Physicians Actually Work

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

Orthopedic-Specific Joint Examination

Generates complete musculoskeletal assessments including ROM measurements, special tests (Lachman, McMurray, Hawkins, Neer), neurovascular status, and alignment documentation — the way an orthopedic surgeon and an auditor expect to see them.

Pre-Op and Post-Op Documentation

Dedicated template builders for pre-operative evaluations, operative reports, and post-operative follow-up. Captures implant details, surgical approach, intraoperative findings, and recovery milestones with the specificity payers require.

Medical Necessity Built In

Prior authorization for orthopedic surgery requires documented failure of conservative management, functional limitation, and imaging correlation. ExamScribe captures all required elements automatically — reducing PA denials.

Orthopedics-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.

Knee OA / Total Knee Arthroplasty

ROM, effusion, alignment, conservative treatment history, surgical candidacy, PA documentation

Hip OA / Total Hip Arthroplasty

Hip ROM, gait assessment, Harris Hip Score, conservative treatment failure, surgical planning

ACL Tear / Reconstruction

Lachman, pivot shift, MRI correlation, surgical vs conservative decision, graft selection

Rotator Cuff / Shoulder Impingement

Hawkins, Neer, empty can, strength testing, MRI findings, surgical candidacy

Fracture Management

Fracture type, displacement, neurovascular status, reduction technique, immobilization, follow-up imaging

Lumbar Disc / Radiculopathy

Dermatomal distribution, SLR, motor/sensory testing, MRI correlation, conservative vs surgical

Meniscus Tear

McMurray, Thessaly, MRI findings, tear pattern, repair vs meniscectomy decision

Carpal Tunnel Syndrome

Phalen, Tinel, grip strength, EMG/NCS correlation, splinting vs surgical release

Pre-Operative Evaluation

Surgical indication, informed consent documentation, risk stratification, clearance requirements

Post-Operative Follow-up

Wound status, ROM progress, weight-bearing status, PT compliance, implant documentation

Integrated Compliance Engine

Prior Authorization Denials Are Costing You Cases. Fix the Documentation.

Orthopedic surgery faces some of the highest prior authorization denial rates in medicine. Most denials are documentation failures — not clinical failures. ExamScribe's compliance engine ensures your notes contain every element payers require before you submit.

Conservative Treatment Failure Documentation

Most payers require documented failure of physical therapy, injections, and/or NSAIDs before approving surgical procedures. The engine verifies your note explicitly documents what was tried, for how long, and why it failed.

Functional Limitation Quantification

Vague statements like "patient has pain" are insufficient. The engine checks that your note quantifies functional limitation — ambulation distance, ADL impairment, work restrictions — the specific language payers require.

Imaging Correlation

Surgical authorization requires imaging findings that correlate with clinical symptoms. The engine verifies your note connects the imaging findings to the patient's presentation — not just lists them separately.

Same-Day E/M with Injection Procedures

Billing an E/M on the same day as a joint injection requires modifier 25 and a separately identifiable service. The engine audits this automatically and flags missing justification.

Post-Op Global Period Compliance

Services within the global surgical period have specific billing rules. The engine flags documentation that may inadvertently trigger global period violations or unbundling issues.

Two-Pass AI Compliance Audit

Every note is analyzed for coding accuracy, documentation sufficiency, and payer-specific requirements. You receive a detailed 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 orthopedics 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 Orthopedics 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 orthopedic surgical terminology?

Yes. ExamScribe was built with practicing orthopedic surgeons and understands the full vocabulary of musculoskeletal medicine — implant terminology, surgical approaches, special examination tests, fracture classifications, and more.

Can ExamScribe help with prior authorization documentation?

Yes. The compliance engine specifically checks for the elements most commonly required for orthopedic PA — conservative treatment failure, functional limitation, imaging correlation, and medical necessity language. This directly reduces denial rates.

Does ExamScribe work for both surgical and non-surgical orthopedic practices?

Yes. The template builders cover the full spectrum — from initial evaluation and conservative management through surgical planning, operative documentation, and post-operative follow-up.

How does ExamScribe handle fracture documentation?

The fracture template builder captures fracture type, classification, displacement, neurovascular status, reduction technique, and immobilization details. It produces notes with the specificity required for accurate CPT code selection and payer documentation.

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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