19 Evidence-Based Frameworks • 3 Clinical Domains

Evidence-Based Clinical Documentation, Powered by AI

Record your clinical encounter. OmniScribe transcribes, structures, and generates compliant documentation using frameworks built on CMS guidelines, APTA standards, DSM-5-TR criteria, and more.

Three Domains. Complete Coverage.

Every framework is built from regulatory sources, professional guidelines, and clinical best practices — not generic templates.

Medical Frameworks

7 frameworks

SOAP notes, H&P, procedure notes, and annual wellness visits with CMS/AMA compliance built in.

Rehabilitation

6 frameworks

PT, OT, and SLP evaluations with ROM, MMT, outcome measures, and Medicare-compliant skilled need justification.

Behavioral Health

6 frameworks

Biopsychosocial intakes, therapy notes, psychiatric evaluations, group notes, and crisis assessments with DSM-5-TR alignment.

How It Works

From encounter to signed note in minutes.

1

Record

Capture your clinical encounter with one click. Our ambient AI listens so you can focus on the patient.

2

Generate

AI transcribes and maps your conversation to the selected evidence-based framework — every section, every required element.

3

Review & Sign

Edit inline, provide feedback, and export. Your note is complete in minutes, not hours.

19
Clinical Frameworks
708
Documentation Items
30+
Regulatory Sources
10
Provider Types

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