Medical Scribe

At Apple Billing and Credentialing (ABC), our Medical Scribe Services are designed to deliver more than just documentation; we ensure clinical narratives are transformed into structured, code-ready medical records. By blending real-time scribing with deep medical coding expertise, we support providers in achieving clinical accuracy, billing efficiency, and full regulatory compliance.

ABC offer two robust documentation solutions:

Prescription to Electronic record:

We collect comprehensive clinical data from the provider’s prescription and correlate it with relevant reports and diagnostics available in the EMR. Our team ensures that all interpretations and clinical intent are accurately captured and transformed into enhanced, structured documentation—fully aligned with the provider’s perspective and clinical objectives.

Voice to text transcription or EMR proofing:

We support providers who use dictation tools like Dragon Medical by offering meticulous transcription review and proofreading services. Our team ensures that voice-to-text-generated notes are clear, clinically accurate, and properly formatted within the EMR. We correct errors, fill in clinical gaps, and align the documentation with coding standards to ensure it’s ready for billing and audit compliance

Capturing Every Clinical Detail

Our experienced medical scribes document provider-patient interactions from live conversations or recorded audio, capturing key components such as:

Chief complaint, history of present illness (HPI)

Past medical/surgical history, medications, allergies

Physical examination findings and test results

Assessments, differential diagnoses, and treatment plans

Patient education and follow-up instructions

Structured, Code-Ready Documentation

We don’t just write notes—we prepare them for seamless billing and coding integration.

Scribes enter structured information into your EMR system using standard clinical formats:

  1. SOAP Notes(Subjective, Objective, Assessment, Plan)
  2. H&P Reports(History and Physical Examination)
  3. Discharge Summaries
  4. Emergency Department notes
  5. Surgery reports

Every note is optimized for

ICD-10 and CPT coding accuracy

HCC capture for risk adjustment

Medical necessity documentation to support claims

Our Value: Accuracy, Compliance & Billing Optimization

Our scribes are extensively trained in medical coding principles, enabling a high level of clinical precision and backend efficiency:

  1. Thorough documentation of services supports code-level specificity
  2. Enhanced claim acceptance ratesand reduced denials
  3. Supports accurate level-of-service coding (E/M)based on time, complexity, and documentation
  4. Ensures coding compliancewith payer and CMS guidelines

We also partner closely with billing and credentialing teams to close documentation gaps and reduce reimbursement delays.

HIPAA-Compliant & Secure

Fully HIPAA-compliant scribing workflows

Encrypted data handling across all platforms

Secure EMR integration and transcription channel

What Sets Apple Billing and Credentialing Apart?

  • Medical Coders Behind Every Note: Real-time feedback and backend audits by certified coders (CCS, CPC)
  • Specialty Expertise: From primary care and cardiology to urgent care and behavioral health
  • Workflow Customization: Tailored templates, macros, and smart phrases to fit your EMR and provider style
  • Scalable Solutions: Single-practice, multi-specialty, and enterprise-ready scribing teams.

HIPAA Compliance: Your data is secure with us, as we adhere to strict HIPAA guidelines to protect confidentiality.

By partnering with Apple Billing and Credentialing, you’ll not only simplify your documentation process but also unlock the potential for greater efficiency and revenue growth. Contact us today to learn how our medical scribe services can transform your practice!