Meeting CPT 90837 Documentation Requirements
Ensure your psychotherapy notes capture the necessary clinical detail for CPT 90837 billing. Our AI medical scribe drafts structured, EHR-ready documentation from your sessions.
HIPAA
Compliant
Precision Documentation for Psychotherapy
Support your clinical narrative with tools designed for high-fidelity encounter capture.
Structured Psychotherapy Notes
Automatically generate structured notes that capture session duration, clinical interventions, and patient progress, aligning with standard documentation needs.
Transcript-Backed Citations
Verify every note segment against the original encounter transcript to ensure clinical accuracy and fidelity before finalizing your documentation.
EHR-Ready Integration
Easily copy and paste your finalized, clinician-reviewed notes directly into your EHR system to maintain a seamless clinical workflow.
Drafting Compliant Notes in Seconds
Transition from session to documentation with a workflow built for clinician review.
Record the Encounter
Use the web app to record your psychotherapy session, ensuring all relevant clinical discussion is captured for your documentation.
Review AI-Drafted Notes
Examine the AI-generated draft, using transcript-backed citations to confirm that all CPT 90837-specific requirements are accurately represented.
Finalize and Export
Edit the draft as needed to reflect your clinical judgment, then copy your finalized note directly into your EHR.
Clinical Documentation for Psychotherapy Services
CPT 90837 is defined by the duration of psychotherapy services, typically 60 minutes, and requires documentation that reflects the clinical necessity and the nature of the interventions provided. Effective documentation must clearly detail the patient's status, the specific therapeutic techniques utilized, and the patient's response to these interventions during the session. Maintaining this level of detail is essential for clinical continuity and demonstrating the medical necessity of the 60-minute session.
Our AI scribe assists clinicians by transforming the session dialogue into a structured draft that captures these critical elements. By providing a clear, transcript-backed framework, clinicians can efficiently review and refine their documentation to ensure it meets the rigorous standards required for psychotherapy billing. This approach allows providers to focus on the patient encounter while ensuring their clinical notes remain comprehensive and accurate.
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Frequently Asked Questions
Transcript-backed documentation, clinician review, and EHR-ready note output are built into every workflow.
How does the AI ensure CPT 90837 documentation requirements are met?
The AI generates a structured note that highlights the session duration and key clinical interventions. Clinicians then review the draft against the transcript to ensure all specific requirements are addressed before finalizing.
Can I edit the notes generated by the AI?
Yes, the platform is designed for clinician review. You retain full control to edit, refine, and verify the note content to ensure it accurately reflects your clinical assessment.
Is the documentation process HIPAA compliant?
Yes, our AI medical scribe is HIPAA compliant, ensuring that all encounter data and generated notes are handled with the necessary security standards.
Does this tool work for other note types besides psychotherapy?
While highly effective for psychotherapy, the tool also supports various clinical note styles, including SOAP and H&P, to assist with diverse documentation needs.
Reclaim your evenings from chart notes
Let Aduvera turn visit conversations into a cleaner first draft so you can review faster and finish documentation with less after-hours work.