PMHScribe writes psychotherapy notes in the format your practice uses. DAP, BIRP, and SOAP for counselors and therapists billing 90832, 90834, and 90837. Standalone psychotherapy notes and add-on documentation for psychiatrists and PMHNPs. Built for how psychotherapy is actually practiced and billed.
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For counselors and therapists, every session is a psychotherapy session. The note needs to document what happened clinically, support the billing code used (90832, 90834, 90837), and hold up to insurance review. Most general AI scribes generate a clinical summary, not a structured therapy note in DAP, BIRP, or SOAP format.
For psychiatrists and PMHNPs, psychotherapy documentation depends on the visit type. A standalone psychotherapy session bills the same codes as any therapist. A combined medication management and psychotherapy visit requires separate, clearly distinct documentation for each component. The psychotherapy add-on (90833, 90836, or 90838) cannot be buried inside the E/M note. PMHScribe handles both correctly.
For counselors and therapists, every session is a psychotherapy session. PMHScribe writes the structured note that supports your billing code in DAP, BIRP, or SOAP format, from the session, in your clinical voice.
DAP notes capture what was observed and reported in the session (Data), your clinical interpretation (Assessment), and the treatment direction going forward (Plan). PMHScribe writes the full DAP structure from the session without you dictating each field separately.
BIRP notes document client behavior and presentation, the interventions used during the session, how the client responded, and the plan for next steps. Each section is populated from what actually happened in the session, not from a template you fill in afterward.
SOAP notes are used across clinical settings and require a structured format that holds up to insurance review. PMHScribe writes the Subjective and Objective sections from session content and the Assessment and Plan from your clinical direction.
Initial evaluations billed under 90791 require comprehensive documentation of presenting concerns, history, diagnosis, and treatment planning. PMHScribe supports intake documentation in addition to ongoing session notes, adapting to the visit type without requiring a separate template.
When a client presents in acute distress or crisis, documentation must reflect the nature of the crisis, the interventions used, and the safety plan developed. PMHScribe captures crisis session content to support 90839 (first 60 minutes) and the add-on 90840 (each additional 30 minutes).
Payers expect psychotherapy notes to reflect the session time and clinical content that justify the code billed. PMHScribe generates notes with the structure and clinical detail that support 90832 (30 min), 90834 (45 min), and 90837 (60 min) without requiring you to add documentation after the fact.
Psychiatrists and PMHNPs provide psychotherapy in two ways: as the only service in a session (90832, 90834, 90837), or alongside an E/M visit as a separately billed add-on (90833, 90836, 90838). PMHScribe documents both correctly from the same session.
When a psychiatrist or PMHNP provides only psychotherapy in a session, it bills the same as any therapist's visit: 90832 (30 min), 90834 (45 min), or 90837 (60 min). PMHScribe writes the psychotherapy note from session content and documents the time and techniques used to support the code billed.
When psychotherapy is provided alongside a medication management visit, the add-on requires its own documentation separate from the E/M note. PMHScribe generates both from the same session. The E/M note and the psychotherapy add-on are clearly distinct from the start, not something you have to manually separate afterward.
PMHScribe identifies therapeutic techniques used during the session and documents them in the note. Cognitive behavioral work, supportive psychotherapy, motivational interviewing, and other approaches are captured from what was said in the session and placed in the psychotherapy documentation.
Both standalone and add-on psychotherapy codes are time-based. PMHScribe includes time documentation in the note so your records support the specific code billed: 90833 (16-37 min), 90836 (38-52 min), 90838 (53+ min), and the add-on equivalents 90833, 90836, and 90838.
When billing an add-on, the E/M documentation and the psychotherapy documentation must be clearly distinct documentation. Commingled documentation is an audit risk. PMHScribe separates them from the point of generation, not as something you have to manage after the fact.
Psychiatric documentation has different conventions than general medicine charting. Mental status exam, risk assessment, medication rationale, and psychotherapy documentation all require formatting that reflects psychiatric practice standards. PMHScribe is built around those standards, not adapted from a general medicine tool.
Patients Served
Psychiatric Visits Documented
Saved Per Provider Per Day
HIPAA defines psychotherapy notes as a distinct record type with stronger privacy protections than the standard medical record. They require separate patient authorization to disclose. A surgeon requesting records, an insurance company reviewing a claim, or another provider coordinating care does not automatically have access to what was discussed in a therapy session. Those protections only hold if the documentation is actually kept separate.
PMHScribe keeps psychotherapy content separate by default. What you document in the psychotherapy note stays there. It does not bleed into the E/M note, the chart summary, or any other record unless you move it. That is not a setting you configure. It is how PMHScribe generates the documentation.
Same workflow whether you are writing a standalone BIRP note or a psychiatric add-on. The session ends and the note is ready.
PMHScribe listens through your device during the session using speech-to-text without interrupting the visit. For prescribers, select the psychotherapy add-on before or during the session so the documentation generates separately from the E/M note.
PMHScribe generates the note in the format you use. DAP, BIRP, or SOAP for counselors. E/M plus separate add-on documentation for prescribers. Review, edit, and finalize before it goes anywhere.
The completed note pastes clean into any EHR. Psychotherapy content stays in the psychotherapy note. The E/M and add-on documentation go where they belong. The separation is built into how PMHScribe generates the note.
“I’m a fan! The psychotherapy notes are second to none. Two 90833s pays for it.”
Psychiatric Mental Health Nurse Practitioner
“I really like that I don’t really have to worry about tweaking the wording. I also really like the add-on psychotherapy notes!”
Psychiatric Mental Health Nurse Practitioner, Practice Owner
“It’s so expansive. Just when you think you’ve seen all that there is to see, you notice another button or feature. It’s marvelous.”
PMHNP Practice Owner, Social Media Post
“I’ve been able to grow my practice 30% since using this program because it’s freed up that much of my time.”
Jennifer L., Practice Owner, PMHNP
“Even the psychotherapy portion meets insurance benchmark requirements, while keeping my note concise and professional.”
Kristina Timmons, DNP, PMHNP, FNP, Owner New Day Psychiatry
“This platform is clearly psych focused, which is the biggest issue using any of the medical scribes because they just don’t adjust well to our space.”
MA, PMHNP, Psychiatric Mental Health Nurse Practitioner
Under HIPAA, psychotherapy notes are defined as notes recorded by a mental health professional documenting or analyzing the contents of a therapy session. They are kept separate from the rest of the medical record and require specific patient authorization to disclose. Progress notes, by contrast, are part of the standard medical record and document clinical observations, diagnoses, treatment plans, and medication information. PMHScribe keeps these two types of documentation distinct.
Counselors and therapists bill standalone psychotherapy using time-based codes: 90832 (16-37 minutes), 90834 (38-52 minutes), and 90837 (53 minutes or longer). Initial diagnostic evaluations are billed under 90791. Crisis psychotherapy uses 90839 for the first 60 minutes and 90840 for each additional 30 minutes.
Specialty psychotherapy codes also apply to specific modalities: 90845 (psychoanalysis), 90846 (family psychotherapy without the patient present), 90847 (family psychotherapy with the patient present), and 90880 (hypnotherapy). PMHScribe generates structured therapy notes in DAP, BIRP, and SOAP formats that support the clinical documentation requirements for these codes.
A psychotherapy add-on is billed when a prescriber provides psychotherapy during the same visit as a medication management evaluation. The add-on codes (90833, 90836, 90838) require separate documentation from the E/M visit, including the time spent in psychotherapy, the therapeutic techniques used, and the patient's response. PMHScribe generates the add-on documentation separately from the E/M note so both are complete and distinct.
No. Psychotherapy add-on codes 90833, 90836, and 90838 are billed alongside an evaluation and management (E/M) visit and require that the provider performed and documented both services in the same encounter. Counselors and therapists do not perform E/M visits, so they bill standalone psychotherapy codes (90832, 90834, 90837) instead. PMHScribe's Psychiatry plan includes add-on documentation for prescribers. The Counseling plan supports standalone session documentation in DAP, BIRP, and SOAP formats.
Yes. HIPAA requires that psychotherapy notes be stored separately from the rest of the patient's medical record. PMHScribe maintains that separation. Session content from the therapy portion of a visit does not automatically appear in the E/M note or any other documentation that would become part of the general medical record. You control what goes into the finalized note.
PMHScribe is used by licensed clinical social workers (LCSW), licensed professional counselors (LPC), licensed professional clinical counselors (LPCC), licensed marriage and family therapists (LMFT), psychologists, licensed alcohol and drug counselors (LADC), substance use counselors, psychiatrists (MD and DO), psychiatric mental health nurse practitioners (PMHNP), and physician assistants or physician associates (PA). It supports individual, couples, family, and group sessions in DAP, BIRP, and SOAP formats.
No. PMHScribe uses speech-to-text conversion during the session. Your microphone converts speech to text in real time and no audio recording is created or stored. There is no recording of the session that could be accessed later. What you get is a working draft note that you review, edit, and finalize.
The Counseling plan includes DAP, BIRP, SOAP, and custom templates. The Psychiatry plan includes all of that plus medication management documentation and psychotherapy add-ons.
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or $799/Year
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or $999/Year
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PMHScribe writes psychotherapy notes in the format the visit requires. Standalone sessions get a structured note that supports your billing code. Combined E/M and psychotherapy visits produce clearly distinct documentation.
