MedPsych.ai turns your encounter into a structured psychiatric note. You review and sign, AI suggests the diagnosis and CPT codes, and the encounter is ready for billing.
CC: Follow-up for depression and anxiety, medication management.
Modality: In person Telehealth
Interval history: Sertraline increased from 50 mg to 100 mg six weeks ago. Mild nausea in the first week, now resolved.
Affect: Euthymic Depressed Anxious Not assessed
Do not treat an unanswered question as negative.
Suicidal ideation: Positive Negative after assessment Not assessed
Evaluations, medication management and psychotherapy add-ons, with supervision built in.
Per-provider co-sign and supervising physician settings, because scope varies by state.
Individual, family, couples and group notes, safety planning and treatment plans.
Behavioral care managers, nurses, front desk and billing on one shared chart.
A psychiatric note carries more than most specialties: history, a full mental status exam, risk, medication reasoning, scale scores and therapy time. Most of it gets written after the patient has left.
MedPsych.ai drafts it from the conversation while you stay with the patient. You review it.
Follow one visit through MedPsych.ai, screen by screen. Every AI output stays a draft or a suggestion until you sign.
Dictate with AI Voice Entry, or let the Telehealth AI Scribe listen to the video visit. Vitals, history and the HPI fill in as you speak.
Choose which notes to generate from this recording.
Select one state per field. Empty, Not assessed, Unknown and Normal are different.
Appearance: Well groomed Disheveled Not assessed
Thought process: Linear Tangential Circumstantial Not assessed
Insight: Good Fair Poor Not assessed
Do not treat an unanswered question as negative. A risk score alone does not decide disposition.
Suicidal ideation: Positive Negative after assessment Not assessed
Protective factors: Improved mood, sleep and concentration. Engaged in coping strategies.
MedPsych.ai is the psychiatry edition of the MEDOCS.ai platform. Clinicians, care managers, front desk and billing work from the same record.
Administer scales in clinic or send them to the patient portal, then follow each score against its severity bands.
The video call docks beside the chart, so you document while you talk. Patients join from a link, confirm their last name and date of birth, and sign the telehealth consent before the waiting room. You admit them when you're ready.
Patients complete forms, consents and scales in the portal, message the clinic, join telehealth and keep their own safety plan.
Emergent referrals open a crisis script and alert the on-call clinician.
Charge review, claims, payments and copay collection at check-in.
Lab protocols for monitored medications, plus license and DEA expiry alerts.
Prescribing, including controlled substances, with the PDMP check built into the prescribing step.
Every step from the first word to the charge is recorded, with who did it and when.
Notes, scores and codes are drafts and suggestions. A licensed clinician reviews, edits and signs before anything enters the record or reaches billing.
Pre-visit PHQ-9 and GAD-7 arrive from the portal. Intake packet status shows on the schedule.
The patient confirms their identity, signs the telehealth consent and waits. The clinician admits them and starts the Telehealth AI Scribe.
The clinician picks the BH-PSY-002 follow-up template and the AI drafts the structured psychiatric note.
Edits any section, completes the mental status and safety fields, and clicks Save & Sign. Signing is blocked until required sections and risk documentation are complete.
With the note signed, AI suggests ICD-10 and CPT codes with a reason for each. The clinician adds F33.1, F41.1, 99214 and 96127. PMHNP notes route to the supervising psychiatrist for co-signature when required.
Checkout shows every step complete. The clinician closes the encounter, and billing receives the signed note with its codes.
Mental health records need more than standard EHR privacy. These protections are built into MedPsych.ai today.
Process notes are visible only to the clinician who wrote them and never appear in the portal, exports or records releases.
Substance use records are kept separate and released only when the patient's authorization names them. Every disclosure is logged.
Opening restricted content requires a stated reason, expires after a set time and is reported to the practice admin.
Each read of a psychiatry chart records the user, the patient, the time and what was viewed.
Protected health information is encrypted in the database, and staff sign in with a password plus a one-time code.
Front desk and billing see only what their work needs. Billers never see psychotherapy notes.
The AI scribe drafts notes without sending the patient's name or date of birth.
Suicide-risk alerts and required risk documentation are part of the core rules, not optional settings.
See a real psychiatry visit go from conversation to signed, coded encounter in 30 minutes, using your templates and your workflow.
Prefer email? Write to contact@medocs.ai