Medical scribing services
Structured, billing-ready notes from each encounter, with the provider reviewing and signing before anything is billed.
Charting is where many providers lose their evenings. Notes get finished late, details get thin, and the visit that was a moderate-complexity E/M ends up documented like a low one. Thin documentation also causes denials: a modifier 25 with no separate assessment, a diagnosis without the specificity a payer's coverage policy expects, or a time-based visit with no total time recorded.
SFA Solutions turns the encounter into structured documentation inside your EHR: history, exam, assessment and plan, laid out the way your template expects. Drafts are prepared with AI-assisted documentation, and the provider reviews, edits and signs each note before anything is billed. Because our scribing connects to our coding team, each note comes with suggested CPT, ICD-10-CM and modifier codes based on what was documented. Providers can spend less time charting, and claims start from documentation written with billing requirements in mind.
Who this is for
Scribing suits providers who chart after hours, high-volume primary care, internal medicine and nurse practitioner practices, and specialties with detailed documentation needs such as cardiology, dermatology, orthopedics, psychiatry and urgent care. It also helps practices whose audits show E/M levels lower than the care being delivered.
Related services
What our medical scribing service covers
Structured visit notes
Encounters turned into organized notes that follow your EHR templates and your providers' preferred style.
Coding suggestions
Suggested E/M level, CPT, ICD-10-CM and modifiers based on the documented MDM or total time, ready for provider review.
Documentation prompts
Flags when a note is missing something billing needs, such as total time, laterality or a separate assessment for modifier 25.
Provider review and sign-off
Each note goes to the provider for edits and signature before it is finalized or billed.
Works in your EHR
Notes placed in the chart in your existing EHR, with little change to how your providers see patients.
Coding team handoff
Signed notes move to our billing team, where clean claims follow our 24-hour submission target after final review.
How we deliver it
Setup
We review your templates, visit types and specialty documentation needs, and configure note structure for each provider.
Pilot
One provider starts with a small set of visit types while we tune note style and coding suggestions.
Rollout
Other providers are added once the pilot provider is satisfied with note quality and turnaround.
Ongoing
We review a sample of notes against coding rules each month and share documentation tips with providers.
What billing-ready documentation needs to show
| Element | Why it matters for billing | Example |
|---|---|---|
| Medical decision making | Office E/M levels 99202 to 99215 can be chosen by MDM: problems, data and risk | Two stable chronic illnesses plus prescription drug management supports moderate MDM |
| Total time | E/M can be chosen by total provider time on the date of the encounter | 99214 requires at least 30 minutes of total time |
| Separate E/M for modifier 25 | A same-day procedure includes its own evaluation | A distinct assessment and plan for a separate problem |
| Diagnosis specificity | Coverage policies often list specific ICD-10-CM codes | Laterality, type and complications documented |
| Procedure details | Units, size, site and method drive CPT selection | Lesion size and location for an excision |
Medical Scribing for your specialty
We bill for 28+ specialties. These are the ones we work with most.
Nurse Practitioner billing
Billing for NP-led and physician-NP practices, from the 85% Medicare rate and incident-to rules to split/shared visits and getting each NP credentialed under the right NPI.
Learn moreInternal Medicine billing
Billing for internists who manage complex, chronic patients, with E/M levels, wellness visits and care management codes captured when the documentation supports them.
Learn moreOphthalmology billing
Eye exam codes, refraction, diagnostic testing, cataract globals and high-cost injectable drugs all follow their own rules. Ophthalmology is one of the specialties we bill most often.
Learn moreQuestions about medical scribing
Does the provider still review the note?
Yes. The provider reviews, edits and signs each note. The scribe drafts documentation; the provider remains responsible for its accuracy, and nothing is billed until it is signed.
Does scribing work in our EHR?
We place notes in your existing EHR, including systems such as Epic, eClinicalWorks, athenahealth, NextGen, DrChrono, Practice Fusion, TherapyNotes and Osmind. We confirm the setup for your system during onboarding.
Is the scribing service HIPAA compliant?
Scribing follows the same HIPAA-compliant processes as our billing work and runs under a signed business associate agreement with your practice.
Will the scribe choose our E/M level?
It suggests a level based on what was documented, using MDM or total time. The provider confirms the final code, and our coding team reviews it before the claim is created.
How much time does it save?
It depends on visit volume, specialty and how much charting a provider currently does after hours. The pilot gives you a direct comparison for your own providers before you roll it out further.
Start with a free review
Tell us a little about your practice. We will look at where medical scribing is costing you money today and walk you through what we find.
- No commitment
- Reply from an RCM specialist, typically within one business day
- No patient records needed to start
Get a free review
An RCM specialist typically replies within one business day.