Built in Direct Collaboration with Practicing Dermatology Physicians

Dermatology-Specific Clinical Notes in Seconds

Dictate. Generate. Go home.

Built in direct collaboration with practicing dermatologists, ExamScribe is the first AI scribe purpose-built for dermatologic medicine. Accurate lesion descriptions, proper morphology terminology, procedure documentation, and notes that actually sound like a dermatologist wrote them.

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ExamScribe — Dermatology Encounter
🎤 Your Voice Recording

"45-year-old female presenting for full body skin exam and follow-up on psoriasis. She's been on adalimumab for 8 months, doing well, PASI score down significantly. Today I'm seeing a new 8mm asymmetric pigmented lesion on the left posterior shoulder, irregular border, variegated color, brown to black. Dermoscopy shows atypical pigment network and regression structures. I'm going to do a shave biopsy today. Also noted seborrheic keratosis on the back, no treatment needed."

📄 Generated Clinical Note
CHIEF COMPLAINT: Full body skin exam, psoriasis follow-up, new pigmented lesion HISTORY OF PRESENT ILLNESS: 45-year-old female presenting for annual full body skin examination and psoriasis management follow-up. Patient has been on adalimumab for 8 months with significant clinical improvement. PASI score markedly reduced from baseline. SKIN EXAMINATION: New finding: 8mm asymmetric pigmented lesion, left posterior shoulder. Irregular border. Variegated coloration (brown to black). Dermoscopy: atypical pigment network with regression structures present. ABCDE criteria: A+ B+ C+ D+ (>6mm) — high suspicion for melanoma. Additional findings: Multiple seborrheic keratoses, posterior trunk. Stuck-on appearance, no concerning features. No treatment indicated. Psoriasis: Significant improvement on adalimumab. Minimal residual plaques noted. PROCEDURE: Shave biopsy, left posterior shoulder (11305) — specimen sent to dermatopathology. ASSESSMENT & PLAN: 1. Atypical pigmented lesion, left posterior shoulder — biopsy performed, pathology pending 2. Psoriasis, well-controlled on adalimumab — continue current regimen 3. Seborrheic keratoses — observation, patient reassured 4. Return for biopsy results in 7-10 days

Built for How Dermatology Physicians Actually Work

Not a generic scribe with "Dermatology" added. Every template, every prompt, and every output was purpose-built for dermatology workflows.

Dermatology-Specific Lesion Documentation

Generates complete lesion descriptions using proper dermatologic morphology — primary lesions (macule, papule, plaque, vesicle), secondary changes, distribution, configuration, and dermoscopic findings. Not "rash on arm."

Procedure Documentation Built In

Shave biopsies, punch biopsies, cryotherapy, excisions, and destruction procedures are documented with the specificity payers require — lesion size, location, technique, specimen disposition, and CPT codes with appropriate modifiers.

ABCDE Criteria and Dermoscopy

Template builders capture ABCDE melanoma criteria, dermoscopy findings, and PASI/BSA scores in structured form — pushing real exam data to the AI so the note reflects your actual clinical assessment.

Dermatology-Specific Context Template Builders

AI can hear your words but cannot see your exam. These structured builders push real clinical findings to the AI in one click — eliminating hallucination and ensuring every note reflects what you actually did.

Total Body Skin Exam (TBSE)

Systematic head-to-toe documentation, lesion inventory, melanoma screening findings

Acne Management

Lesion type/grade, distribution, prior treatments, isotretinoin iPLEDGE documentation

Psoriasis Follow-up

PASI score, BSA involvement, biologic therapy response, side effect monitoring

Melanoma / Pigmented Lesion

ABCDE criteria, dermoscopy findings, biopsy decision, staging documentation

Skin Biopsy

Lesion description, biopsy type, site, technique, specimen handling, CPT codes

Eczema / Atopic Dermatitis

IGA score, trigger identification, topical/systemic therapy, wet wrap instructions

Cryotherapy / Destruction

Lesion count, location, size, freeze time, CPT 17000/17003/17004 documentation

Contact Dermatitis

Exposure history, patch test results, allergen identification, avoidance counseling

Rosacea

Subtype classification, trigger documentation, treatment ladder, laser candidacy

Alopecia

Pattern, pull test, trichoscopy findings, differential diagnosis, treatment plan

Integrated Compliance Engine

Dermatology Coding Is Complex. Your Documentation Needs to Match.

Destruction codes, biopsy counts, and E/M levels are among the most frequently audited in dermatology. CMS and commercial payers scrutinize lesion counts, medical necessity for biopsies, and same-day E/M with procedure billing. ExamScribe's compliance engine catches gaps before they become denials.

Destruction Code Documentation (17000–17004)

Cryotherapy and destruction codes require documented lesion count, type, and medical necessity. The engine verifies your note supports the number of units billed and flags missing lesion-specific documentation.

Biopsy Medical Necessity

Payers increasingly require documented clinical indication for biopsies. The engine checks that your note articulates why the lesion warranted biopsy — not just that a biopsy was performed.

Same-Day E/M with Procedures

Billing an E/M on the same day as a biopsy or destruction requires modifier 25 and a separately identifiable medical decision. The engine audits this automatically.

Excision Margin Documentation

Excision codes (11600–11646) require documented lesion size, excised diameter including margins, and anatomic location. Missing any element risks denial or downcoding.

Biologic Therapy Prior Authorization Support

Biologics for psoriasis, atopic dermatitis, and hidradenitis require documented disease severity, prior treatment failure, and contraindications. The engine ensures your note contains the elements payers require for PA approval.

Two-Pass AI Compliance Audit

Every note is analyzed for coding accuracy, documentation sufficiency, and LCD compliance. You receive a specific gap report with suggested language — reviewed and attested by you before any changes are made.

Three Steps. That's It.

Start generating notes in under a minute.

1

Record

Click record and speak naturally about the encounter — during the visit, after the visit, or just key findings. No special commands.

2

Generate

ExamScribe transcribes your recording and generates a complete, properly structured dermatology note with accurate specialty terminology in seconds.

3

Review & Export

Review the note, make any quick edits, and copy it into your EHR or export as PDF. Done.

Simple, Transparent Pricing

One plan. Everything included. No per-note fees.

Individual Physician
MonthlyAnnual Save $120/yr
$89/mo

billed annually ($1,068/yr)

  • 400 AI credits per month
  • All Dermatology template builders
  • Compliance audit engine
  • Document analysis & appeal letters
  • Voice-to-note in seconds
  • PDF & Excel export
  • HIPAA compliant — signed BAA included
  • 30-day free trial
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Your Patients' Data Is Sacred

Built with the same standard of care you bring to your patients.

HIPAA Compliant

  • Signed Business Associate Agreement
  • AES-256 encryption at rest
  • TLS 1.2+ in transit
  • SOC 2 Type II Azure data centers (US only)

Zero Data Sharing

  • Transcripts never used to train AI
  • No third-party data sharing — ever
  • Data never leaves US servers
  • You own your data — delete anytime

Automatic Protection

  • No audio recordings stored
  • Auto-delete on your schedule
  • Complete audit logging
  • Session timeouts enforced

Frequently Asked Questions

Does ExamScribe know dermatology morphology terminology?

Yes. ExamScribe produces notes using proper dermatologic language — primary and secondary lesion morphology, distribution descriptors, dermoscopy terminology, and procedure-specific documentation. Notes read like a dermatologist wrote them.

Can ExamScribe handle high-volume derm practices?

Yes. Notes generate in the background while you move to your next patient. In a high-volume practice seeing 40+ patients per day, ExamScribe can save 2-3 hours of documentation time daily.

How does the compliance engine handle destruction code counts?

The engine cross-references the number of lesions documented in your note against the units billed. If you bill 17003 for 3 additional lesions but only document 2, it flags the discrepancy before the claim goes out.

Can I use ExamScribe for cosmetic dermatology encounters?

Yes. The template builders include injectables (Botox, fillers), laser procedures, and cosmetic consultations. Note that cosmetic encounters are not covered by insurance, so compliance auditing focuses on documentation quality rather than billing.

Is my patient data used to train the AI?

Never. Your transcripts and patient data are never used to train AI models. All data is processed on HIPAA-compliant Azure servers in the US and auto-deleted on your schedule.

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