AI documentation built for psychiatry
Stop choosing between being present with your patient and keeping up with documentation. Eluve listens to your sessions and generates psychiatric evaluations, progress notes, medication management records, and treatment plans — in real time.
75%
less time charting
2 min
average note turnaround
99%
documentation accuracy
Built for your workflow
Ambient Session Notes
Eluve captures your psychiatric encounter and generates structured notes — mental status examination, clinical assessment, risk evaluation, and treatment plan — without you typing a word.
Auto Billing & Coding
E/M codes, psychotherapy add-on codes (90833, 90836, 90838), and diagnostic evaluation codes are suggested automatically based on session time, complexity, and services provided. Each suggestion includes supporting documentation for audit readiness.
Medication Management Documentation
Medication changes, dosage adjustments, side effect assessments, and treatment response are captured automatically from your session. Generates clear medication summaries with rationale for every prescribing decision.
Customizable Note Templates
Initial psychiatric evaluations, medication management follow-ups, psychotherapy progress notes, and crisis assessments each use specialty-tuned templates that match the documentation standards psychiatrists expect.
Treatment Plans & Safety Assessments
Structured treatment plans with diagnoses, goals, interventions, and timelines are generated from the encounter. Suicide risk assessments and safety plans are documented with the specificity payers and auditors require.
Referral & Prior Authorization Letters
Referral letters to therapists, neuropsychologists, or inpatient programs are drafted automatically. Prior authorization letters for medications like Spravato or long-acting injectables include the clinical rationale payers need.
Every visit type, one AI scribe
Psychiatry spans diagnostic evaluations, medication management, psychotherapy, and crisis intervention. Eluve handles all of them with specialty-tuned documentation templates.
Initial Psychiatric Evaluation
Comprehensive diagnostic assessment with psychiatric history, MSE, diagnosis formulation, and treatment planning
Medication Management
Focused E/M visits for medication review, dosage adjustments, side effect monitoring, and lab follow-up
Psychotherapy Session
Individual therapy (CBT, DBT, psychodynamic, motivational interviewing) with progress documentation
Combined E/M + Psychotherapy
Medication management plus psychotherapy in a single session with separately documented components
Crisis Intervention
Acute psychiatric crisis assessment, safety planning, and stabilization with 90839/90840 documentation
ADHD Evaluation
Structured ADHD assessment with symptom rating scales, collateral history, and differential diagnosis
Telepsychiatry
Remote psychiatric visits via video with telehealth-compliant documentation and modifier coding
Substance Use Assessment
AUDIT/DAST screening, motivational interviewing, MAT initiation, and relapse prevention planning
Collaborative Care
Psychiatric consultation within the CoCM model with 99492/99493/99494 billing and care manager coordination
Psychological Testing Review
Interpretation of neuropsychological testing, personality assessments, and cognitive evaluations
How a session works with Eluve
Patient history at a glance
Eluve compiles the patient's medication list, recent PHQ-9 and GAD-7 scores, previous session notes, treatment plan progress, and any lab results (lithium levels, metabolic panels, thyroid function) into a concise pre-visit summary. You walk in prepared without flipping through charts.
Stay present, Eluve documents
Give your patient your full attention — the clinical interview, mental status examination, and therapeutic conversation. Eluve captures the encounter in the background, structures it into a psychiatric progress note, documents medication decisions with rationale, and identifies the correct billing codes. Whether it's a 15-minute medication check or a 60-minute combined E/M and psychotherapy session, the documentation matches the encounter.
Notes, prescriptions, letters — done
Review your finished progress note, confirm medication changes and prescribing rationale, update the treatment plan, and generate any referral or prior authorization letters — all from the same encounter. Billing codes including E/M level and psychotherapy add-ons are pre-filled. Sign off in under a minute and move to your next patient.
Better documentation means fewer denied claims and less unpaid work
Psychiatry's unique billing structure — E/M codes, psychotherapy add-ons, time-based rules, and modifier requirements — means documentation gaps cost you more than most specialties.
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 add-on codes captured per week
When every combined session is documented with clearly separated E/M and psychotherapy sections, practices capture significantly more psychotherapy add-on codes that were previously lost to bundled billing.
2.5 hrs
Saved per clinician per day
Less time on progress notes, medication documentation, and prior auth letters means you leave the office on time — or see the extra patients who were waiting for an appointment.
If you ever get audited, your notes are ready
Psychiatric documentation faces unique scrutiny — time-based code requirements, psychotherapy separation rules, and heightened privacy protections. Eluve structures every note so it holds up under review.
Time Documentation for Every Session
Psychotherapy codes are time-based, and auditors verify that documented time supports the code billed. Eluve tracks session duration and documents exact psychotherapy time, total face-to-face time, and E/M time — so your billing always matches your documentation.
Separated E/M and Psychotherapy
Payers require that combined sessions clearly document E/M services and psychotherapy as distinct components. Eluve structures your note with separate sections for medical management and therapeutic interventions — eliminating the most common cause of add-on code denials.
Risk Assessment Documentation
Suicide risk assessment must be documented at every visit for high-risk patients. Eluve captures risk factors, protective factors, screening results, and your clinical disposition — creating an auditable safety assessment trail.
Medical Necessity for Ongoing Treatment
Payers audit whether continued psychiatric treatment is medically necessary. Eluve documents symptom severity, functional impairment, treatment response, and progress toward goals — the four elements auditors look for to justify ongoing care.
HIPAA and 42 CFR Part 2 Compliant
Psychiatric records require heightened privacy protections. Eluve is SOC 2 Type II certified, operates under a BAA with every practice, and maintains the data segregation standards required for behavioral health records. 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.
Comprehensive Psychiatric Evaluation
Identifying Information
27-year-old male, self-referred, employed as a software engineer. First psychiatric evaluation. Accompanied by partner.
Chief Complaint
"I've been having panic attacks for the past 3 months and I can't function at work anymore."
History of Present Illness
Patient describes onset of recurrent panic attacks approximately 3 months ago, initially occurring 1-2x/week, now 4-5x/week. Episodes characterized by sudden onset tachycardia, chest tightness, diaphoresis, derealization, and intense fear of dying — peaking within 10 minutes and resolving over 20-30 minutes. Several attacks have occurred at work, leading to increased avoidance of meetings and open office spaces. Now working from home 3-4 days/week to avoid triggers. Denies agoraphobia but endorses anticipatory anxiety about having attacks in public. Reports persistent worry about health ("something is wrong with my heart"), work performance, and relationship strain. Sleep onset insomnia — takes 60-90 minutes to fall asleep, racing thoughts. Appetite slightly decreased. Denies substance use as a coping mechanism. No prior psychiatric treatment. PCP ordered cardiac workup (ECG, echocardiogram, Holter monitor) — all within normal limits.
Past Psychiatric History
No prior psychiatric diagnoses, hospitalizations, or medication trials. Reports "always being a worrier" since adolescence but never sought treatment. Denies history of trauma, self-harm, or suicide attempts.
Substance Use History
Alcohol: 2-3 drinks socially on weekends, denies increase. Cannabis: occasional use, last 2 months ago. Caffeine: 3-4 cups coffee daily. Denies tobacco, illicit drugs, or supplement use.
Medical History
No significant medical history. No known drug allergies. No current medications or supplements.
Family Psychiatric History
Mother: generalized anxiety disorder, treated with an SSRI. Maternal grandmother: "nervous breakdown" (details unknown). Father: no psychiatric history. No family history of bipolar disorder, psychosis, or completed suicide.
Social History
Lives with partner of 3 years. Employed full-time as software engineer. College-educated. No legal history. Supportive relationship, though partner reports concern about patient's increasing withdrawal. Hobbies include running and gaming — has stopped running due to fear of elevated heart rate triggering a panic attack.
Mental Status Examination
Appearance: Age-appropriate, casually dressed, good hygiene. Behavior: Cooperative but mildly restless, fidgeting with hands. Speech: Normal rate and rhythm, slightly pressured when describing panic episodes. Mood: "Anxious and frustrated." Affect: Anxious, mildly constricted, appropriate to content. Thought process: Linear, goal-directed, occasionally tangential when describing symptoms. Thought content: Preoccupation with somatic symptoms and health anxiety. No suicidal or homicidal ideation. No obsessions, compulsions, or phobias beyond panic-related avoidance. Perception: No hallucinations. Cognition: Alert, oriented x4, memory and concentration grossly intact. Insight: Fair — recognizes anxiety as the cause but seeks reassurance about cardiac health. Judgment: Intact.
Standardized Measures
PHQ-9: 8 (mild depression) GAD-7: 18 (severe anxiety) Panic Disorder Severity Scale (PDSS): 16 (moderately severe)
Assessment
1. Panic disorder (F41.0) — recurrent unexpected panic attacks with anticipatory anxiety and behavioral avoidance. Moderately severe per PDSS. 2. Generalized anxiety disorder (F41.1) — chronic, predating panic onset, contributing to baseline hyperarousal. 3. Rule out social anxiety disorder — avoidance behaviors emerging but currently panic-driven rather than social evaluation-driven. 4. Insomnia disorder, secondary to anxiety (G47.00)
Plan
1. Start escitalopram 5mg daily x 1 week, then increase to 10mg daily — discussed expected 2-4 week onset, potential initial anxiety increase, and common side effects (GI, headache, sexual) 2. Prescribe hydroxyzine 25mg PRN for acute panic episodes (max 3x daily) — bridging strategy until SSRI takes effect 3. Reduce caffeine to 1 cup daily — discussed caffeine's role in panic symptomology 4. Refer for CBT with panic-focused protocol (interoceptive exposure) 5. Psychoeducation provided: panic cycle, fight-or-flight response, benign nature of cardiac symptoms. Handout given. 6. Discussed benzodiazepine risks — patient agrees with non-benzodiazepine approach 7. Safety plan: call office or 988 Lifeline if in crisis. Go to nearest ED for acute safety concerns. 8. Baseline labs ordered: CBC, CMP, TSH, lipid panel 9. Follow-up in 2 weeks to assess tolerability and early response 10. CPT: 90792 (psychiatric diagnostic evaluation with medical services)
Generated from a 60-minute initial psychiatric evaluation
Frequently asked questions
Yes. Eluve is purpose-built for psychiatric workflows, trained on the terminology, note formats, and clinical patterns unique to mental health practice. It understands mental status examination structure, psychotherapy documentation requirements, medication management rationale, and the separation between E/M and psychotherapy components that payers require.
Eluve captures the mental status examination in real time from your clinical observations and conversation — appearance, behavior, speech, mood, affect, thought process, thought content, cognition, insight, and judgment. When you administer screening tools like the PHQ-9, GAD-7, or Columbia Suicide Severity Rating Scale, Eluve documents the numeric scores, your severity interpretation, and the clinical actions taken based on the results.
Yes. Eluve captures suicide risk assessments with the specificity that payers and auditors require, including risk factors identified, protective factors, screening tool results, your clinical risk determination, and the safety plan or disposition. This documentation is structured consistently across every encounter, creating a defensible audit trail for high-risk patients.
Yes. Eluve is trained on psychiatric encounters and recognizes specialty-specific workflows including initial diagnostic evaluations, medication management visits, psychotherapy sessions, crisis assessments, and combined E/M with psychotherapy add-ons. It captures mental status examinations, risk assessments, and treatment plans using the clinical language psychiatrists expect.
Absolutely. When you provide both medication management (E/M) and psychotherapy in the same session, Eluve documents each component separately — medical decision-making in one section, psychotherapy interventions in another — and suggests the correct E/M code plus the appropriate psychotherapy add-on code (90833, 90836, or 90838) based on session time.
Eluve captures every medication discussed — current medications with dosages, changes made, rationale for adjustments, side effects assessed, and patient response. It generates a clear medication reconciliation section so your prescribing decisions are documented with the specificity payers and auditors require.
Yes. Eluve suggests CPT codes specific to psychiatry including 90791/90792 for diagnostic evaluations, 90834/90837 for standalone psychotherapy, E/M codes (99212-99215) for medication management, and psychotherapy add-on codes (90833, 90836, 90838) for combined sessions. ICD-10 codes are mapped to the diagnoses documented in your note.
Yes. When you administer screening tools like the PHQ-9, GAD-7, PCL-5, Columbia Suicide Severity Rating Scale, or AUDIT, Eluve captures the scores, documents your clinical interpretation, and incorporates them into the progress note — meeting the documentation standard payers require for medical necessity.
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. Psychotherapy notes receive the heightened privacy protections required under 42 CFR Part 2 and HIPAA.
Most psychiatry practices are fully operational within a day. Eluve integrates with your existing EHR and adapts to your preferred note structure — whether you use SOAP format, problem-oriented notes, or a custom template. No workflow changes required.
Yes. Whether you see 15 patients a day with 30-minute medication checks or run a mixed practice with hour-long evaluations and therapy sessions, Eluve scales to your schedule. Notes are generated in real time so you never carry a documentation backlog into the evening.
Ready to be present with your patients again?
Join hundreds of psychiatrists who've eliminated after-hours charting, documentation backlogs, and billing headaches with Eluve.
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