AI documentation built for otolaryngology
Stop charting after hours between clinic sessions and OR days. Eluve listens to your patient encounters and generates everything — from SOAP notes to operative reports to referral letters — in real time.
75%
less time charting
2 min
average note turnaround
99%
documentation accuracy
Built for your workflow
Ambient Clinical Notes
Eluve listens to your patient encounter and generates structured notes — history of present illness, head and neck examination, nasal endoscopy findings, audiometric results, assessment, and plan — without you typing a word.
Auto Billing & Coding
CPT codes for nasal endoscopy, septoplasty, tympanoplasty, and office procedures are suggested automatically alongside matching ICD-10 codes. Modifier -25 is flagged when you perform a same-day E&M and in-office procedure.
Procedure & Operative Notes
Operative reports for FESS, tonsillectomy, myringotomy with tube placement, and other ENT procedures are generated from the encounter — including findings, technique, specimens, and estimated blood loss.
Referral Letter Generation
Referral letters to audiology, speech pathology, oncology, or other specialists are drafted automatically from the consultation — with relevant imaging, endoscopy findings, and clinical rationale included.
Pre-Visit Summarization
Prior imaging, audiograms, allergy test results, and previous surgical history are pulled into a concise pre-visit brief. Walk into every appointment with the full clinical picture.
Treatment Plans & Orders
Post-procedure care instructions, medication regimens, nasal irrigation protocols, and follow-up timelines are generated from the encounter — ready to review and hand to your patient.
Every visit type, one AI scribe
Otolaryngology spans ears, nose, throat, and head and neck surgery. Eluve handles all of them with specialty-tuned documentation templates.
Chronic Sinusitis
Evaluation, nasal endoscopy, CT review, and medical or surgical management of recurrent and chronic sinus disease
Hearing Loss Evaluation
Audiometric interpretation, otoscopy, tympanometry, and treatment planning for conductive, sensorineural, and mixed hearing loss
Tonsillectomy & Adenoidectomy
Pre-operative evaluation, operative reports, and post-op follow-up for pediatric and adult tonsil and adenoid surgery
Myringotomy & Tubes
PE tube placement for recurrent otitis media or chronic effusion, including operative notes and post-op care
Voice & Swallowing Disorders
Flexible laryngoscopy, vocal fold assessment, stroboscopy findings, and speech pathology referrals
Nasal Obstruction & Septoplasty
Evaluation of deviated septum, turbinate hypertrophy, and nasal valve collapse with surgical planning
Head & Neck Masses
Workup of cervical lymphadenopathy, thyroid nodules, salivary gland tumors, and suspicious lesions with biopsy coordination
Allergic Rhinitis & Allergy
Allergy testing, immunotherapy management, and medical treatment of allergic rhinitis and related sinus disease
Sleep Apnea
OSA evaluation, CPAP follow-up, surgical options including UPPP and tongue base procedures
Vertigo & Dizziness
BPPV evaluation, Dix-Hallpike testing, vestibular assessment, and Epley maneuver documentation
Pediatric ENT
Ear infections, adenoid hypertrophy, tongue-tie, airway evaluation, and congenital anomalies in children
Post-Surgical Follow-Up
Post-op endoscopic debridement, wound checks, tube assessments, and recovery milestone documentation
“Eluve has made such a significant change in our practice and has improved documentation time significantly, decreasing that burden at the end of the day!”
Dr. Romin Ghassemi
Doctor of Physical Therapy, MovementX
How an ENT visit works with Eluve
Full clinical context at a glance
Eluve compiles the patient's prior imaging (CT sinus, MRI temporal bone), audiograms, allergy panels, previous endoscopy findings, surgical history, and active medications into a concise pre-visit summary. No more clicking through tabs — you're oriented before the patient is seated.
You examine, Eluve documents
Focus on your head and neck examination, nasal endoscopy, or otoscopy. Eluve captures the conversation and generates structured notes in real time — including exam findings, endoscopic descriptions, audiometric interpretations, and assessment with plan. Whether it's a 10-minute post-op check or a complex new patient workup for chronic sinusitis, the documentation matches the encounter.
Notes, op reports, referrals — done
Review your finished clinical note, generate operative reports for procedures performed, draft referral letters to audiology or oncology, produce patient-friendly visit summaries, and confirm billing codes — all from the same encounter. Sign off in under a minute and move to your next patient.
Better notes mean fewer denied claims and less unpaid work
ENT practices lose revenue to modifier errors, bundled procedures, and ICD-10 specificity gaps. The fix is documentation that supports what you actually did.
More
complete documentation per visit
When the ambient scribe captures the full encounter — every condition addressed, every clinical decision, every procedure — your documentation supports the true complexity of each visit without extra work.
Fewer
denied claims
Documentation that captures the clinical reasoning, medical necessity, and payer-specific detail from the start means fewer gaps for payers to deny on — and less time spent on appeals.
3x
More procedures properly unbundled
When documentation captures distinct surgical steps — septoplasty, turbinate reduction, endoscopic sinus surgery — each procedure is supported for separate billing rather than being bundled.
3 hrs
Saved per clinician per day
Less time on notes, operative reports, referral letters, and pre-authorization paperwork means you leave the clinic on time — or fit in the extra procedures that were backing up your schedule.
If you ever get audited, your notes are ready
ENT practices face scrutiny on endoscopy coding, modifier use, and surgical documentation. Eluve structures every note so it holds up under review.
Endoscopy Documentation Standards
Every nasal endoscopy and laryngoscopy is documented with the specific findings, anatomy visualized, and laterality — supporting the correct CPT code selection and medical necessity for each scope performed.
Modifier Accuracy
Modifier -25 for same-day E&M, modifier -59 for distinct procedural services, and modifier -50 for bilateral procedures are flagged automatically based on the documented encounter — reducing audit risk from modifier misuse.
Surgical Documentation Completeness
Operative reports include all required elements — preoperative diagnosis, postoperative diagnosis, procedure description, findings, technique, specimens, EBL, and complications — meeting facility and payer standards.
Medical Necessity for Procedures
Notes document the clinical rationale for procedures — failed medical therapy for sinus surgery, recurrence criteria for tube placement, airway obstruction for tonsillectomy — so claims aren't denied for insufficient justification.
HIPAA-Compliant by Default
All data is encrypted in transit and at rest. Eluve is SOC 2 Type II certified and operates under a BAA with every practice. Your patient data is never used to train AI models.
See what Eluve generates
Every clinic is different. Switch between note styles to see how Eluve adapts to your preferred level of detail.
Operative Report — Bilateral Myringotomy with Tubes
Preoperative Diagnosis
Bilateral chronic serous otitis media (H65.23)
Postoperative Diagnosis
Bilateral chronic serous otitis media (H65.23)
Procedure Performed
Bilateral myringotomy with insertion of pressure-equalizing ventilation tubes (CPT 69436)
Anesthesia
General mask anesthesia
Findings
Right ear: tympanic membrane intact, dull and retracted. Thick mucoid effusion aspirated from the middle ear space. Left ear: tympanic membrane intact with amber-colored fluid visible behind the drum. Serous effusion aspirated.
Technique
Patient placed in supine position. After adequate general anesthesia was achieved, the operative ear microscope was positioned. The right ear was addressed first. The external auditory canal was cleared of cerumen. A radial myringotomy incision was made in the anteroinferior quadrant of the tympanic membrane using a myringotomy blade. Thick mucoid effusion was aspirated using a 5-French suction. A Paparella-type ventilation tube was inserted into the myringotomy site and confirmed to be in good position. Cortisporin otic drops were instilled. The same procedure was repeated on the left ear, where serous effusion was aspirated. A ventilation tube was placed and confirmed in position. Bilateral cotton balls placed in the external canals.
Disposition
Estimated blood loss: minimal. No complications. Patient tolerated the procedure well and was transferred to recovery in stable condition. Discharge instructions provided including ototopical drops, water precautions, and 2-week follow-up.
Generated from an in-facility procedure
Frequently asked questions
Yes. Eluve is specifically tuned for otolaryngology workflows, including head and neck examination terminology, endoscopic findings, audiometric interpretations, and the combined clinic-plus-OR documentation demands of ENT practice. It captures the surgical anatomy detail that general-purpose scribes miss.
Eluve captures audiometric findings as you discuss them — pure-tone thresholds, speech discrimination scores, tympanometry results, and type of hearing loss (conductive, sensorineural, mixed) with laterality. It structures these into the clinical narrative alongside your interpretation and treatment recommendations, supporting accurate coding and referral documentation.
Yes. Eluve understands the anatomic detail required in ENT operative reports — from sinus ostia and turbinate anatomy in FESS cases to middle ear structures in tympanoplasty and vocal fold findings in laryngoscopy. It generates structured operative reports with the specificity that facilities and payers require for accurate reimbursement.
Yes. Eluve is trained on ENT-specific encounters and recognizes specialty workflows including head and neck examinations, nasal endoscopy findings, audiometric interpretations, voice assessments, and post-surgical follow-ups.
Yes. Operative reports for common procedures — including FESS, septoplasty, tonsillectomy and adenoidectomy, myringotomy with tube placement, and laryngoscopy with biopsy — are generated with findings, technique, specimens, and disposition. Just review and sign.
Yes. Eluve suggests CPT codes specific to ENT — from diagnostic nasal endoscopy (31231) and flexible laryngoscopy (31575) to septoplasty (30520) and tympanostomy tube insertion (69436) — paired with accurate ICD-10 codes and appropriate modifiers.
ENT visits frequently involve an E&M service and an in-office procedure on the same day. Eluve detects when a separately identifiable evaluation led to the procedure decision and flags the need for modifier -25 on the E&M, reducing bundling denials.
Yes. Eluve captures endoscopic findings as you describe them during the procedure — mucosal edema, polyps, septal deviations, vocal fold lesions, and more — and structures them into the note with the corresponding anatomy and laterality.
Eluve is HIPAA compliant and SOC 2 Type II certified. All data is encrypted in transit and at rest. We offer a Business Associate Agreement (BAA) for every practice. Your data is never used to train AI models.
Most ENT practices are up and running within a day. Eluve integrates with your existing EHR — including major ENT and general EHR systems — and pre-loads specialty templates so you can start documenting immediately.
Yes. Eluve is built for practices seeing 30+ patients per day across clinic and procedure rooms. Notes, operative reports, and referral letters are generated in real time so documentation never backs up, even on heavy procedure days.
Ready to leave the clinic on time?
Join hundreds of otolaryngologists who've eliminated documentation backlogs, after-hours charting, and manual operative reports with Eluve.
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