Behavioral health only

Just behavioral health.

Templates, vocabulary, and risk structure built for psychiatrists, PMHNPs, and therapists. Not adapted from medicine.

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General scribe
  • CC
  • HPI
  • ROS
  • Exam
  • A&P
BH follow-up
  • Target sx
  • MSE
  • S/E + adherence
  • Risk
  • Med + plan

A general AI scribe writes SOAP shaped for primary care. A psychiatric follow-up is not shaped like that. Neither is a therapy session. Every note becomes a reshape job.

Note Audit 3 Bill Files
Med-mgmt follow-up Today · 2:14 PM
99214 + 90833
Target sx PHQ-9 14 → 9 · GAD-7 10 → 7
MSE Euthymic affect, no SI/HI
S/E Dry mouth resolved
Adherence Daily, no gaps
Med ↑ Sertraline 100mg
Risk Low · protective factors intact
Plan RTC 4 wk · lab in 2 wk
✓
Audit-checked
90833 time documented · MDM moderate · risk language present
18 min · MDM moderate
Every BH visit type

One scribe, every visit you actually run.

Med management, psychiatric intake, psychotherapy, Spravato, TMS, ASAM, crisis, group, screener. Each visit type has its own template, its own CPT codes, and its own audit rules. Click any row.

Template sections
Target sx + measures MSE S/E Adherence Med change Risk Plan Interactive complexity
JotAudit checks
90833 time distinct from E/M MDM elements support 99214 Risk language present ICD-10 specificity (F33.1 not F33)
Template sections
CC + HPI Psychiatric history Substance history Medical + family history Developmental + social MSE DSM-5 formulation Risk stratification Treatment plan
JotAudit checks
DSM-5 specifier present Risk stratification documented 90792 vs 90791 supports E/M medical decision-making Treatment plan with measurable goals
Template sections
Pre-dose vitals Dose + device verification 2-hr monitoring Dissociation scale BP timepoints Discharge criteria REMS attestation
JotAudit checks
REMS-compliant monitoring captured BP timepoints documented Discharge criteria met before sign-off
Template sections
Motor threshold Coil placement Pulse parameters Tolerability + AEs Symptom rating delta Course-day tracking
JotAudit checks
Mapping (90867) billed once per course Daily session (90868) supports medical necessity Motor threshold re-mapping (90869) justified
Template sections
Themes + content Intervention modality Treatment plan progress Homework / between-session Risk assessment Session time (start / stop) Plan for next session
JotAudit checks
Time documented for 90832 / 90834 / 90837 Intervention named (CBT, DBT, IFS, etc.) Medical-necessity language tied to dx Treatment-plan goal progress

Format choice on a per-clinician basis: SOAP, BIRP, or DAP.

Template sections
Identified patient Patient-present status Systemic dynamics Intervention Treatment plan
JotAudit checks
90847 documents patient was present 90846 documents patient was NOT present Treatment in service of the identified patient
Template sections
Crisis description C-SSRS Risk + protective factors Safety plan Intervention Disposition Time (start / stop)
JotAudit checks
90839 covers 30 to 74 min 90840 each additional 30 min, billed in 30-min units Safety plan elements documented Risk language defensible
Template sections
Group composition Theme + focus Individual participation note Intervention Plan
JotAudit checks
Per-member participation captured Group size noted
Template sections
ASAM 6-dimension assessment Level of care recommendation MAT plan Outcome measure baseline Relapse risk
JotAudit checks
All 6 ASAM dimensions addressed LoC recommendation supported MAT informed-consent language
Templates by measure
PHQ-9 GAD-7 PCL-5 MDQ AUDIT ASRS C-SSRS
JotAudit checks
Score documented in numeric form Interpretation + action documented 96127 billable up to 4 per visit
The shape of the note

Same patient. Three different notes.

What a general AI scribe produces. What a BH-specific scribe produces for the same patient. The difference is not opinion. It is what the payer expects to see.

General SOAP99213
Adult outpatient visit
CC
HPI
ROS
Exam
A&P
Every visit, the clinician reshapes this into a BH-legible note.
JotPsych follow-up99214 + 90833
Med-management follow-up
Target sxPHQ-9 14 → 9
MSEEuthymic, no SI
S/EDry mouth resolved
Med↑ Sertraline 100
RiskLow, protective intact
PlanRTC 4 wk · lab 2 wk
Arrives in the shape a payer accepts.
JotPsych intake90792
Psychiatric intake (60 min)
HPISleep, focus loss 6mo
Psych HxPrior MDD, no inpt
Fam HxMaternal MDD
MSEAnxious, depressed mood
DSM-5F33.2 · F41.1
RiskLow-moderate, no plan
PlanSertraline 50 · weekly tx
Risk, DSM-5, plan, all in the shape Optum and Aetna ask for.
BH-trained, not adapted

The vocabulary, the screeners, the modalities. Built in.

A scribe trained on primary care does not know what akathisia sounds like in a conversation. It does not know that PHQ-9 score deltas belong in the note. It does not know how to structure a risk-of-self-harm assessment that holds up to chart review.

01 Validated screeners, scored and structured

Numeric scores enter the note in the shape payers expect. Score deltas across sessions are tracked. 96127 is billable up to four measures per visit.

PHQ-9 GAD-7 PCL-5 MDQ AUDIT ASRS C-SSRS

02 Therapy modality awareness

The model recognizes interventions by name and writes them into the note in modality-correct language. No "client appears to have engaged in coping strategies." A name is named.

CBT DBT ACT IFS EMDR MI Psychodynamic Couples / family Child & adolescent

03 Format choice for therapists

SOAP, BIRP, or DAP. Choose once, the note arrives in that shape every visit. Switching formats does not require rebuilding the template.

SOAP BIRP DAP

04 BH vocabulary the model knows

A general scribe mishears or omits these. JotPsych writes them. By name. With the correct clinical implication carried into the note.

Akathisia (vs anxiety) Countertransference Parasuicidal behavior Dissociation episodes EMDR phases IFS parts language DBT skills by name MI stance + reflections CBT distortions by name TD vs EPS Anhedonia gradient SI ideation vs intent vs plan

05 Risk language built for defensibility

Suicide and homicide risk assessments are not free text. They are structured into ideation, intent, plan, means, protective factors, and disposition, in the shape a chart review or audit reads.

Ideation Intent Plan Means access Protective factors Disposition + safety plan

06 DSM-5 specificity, not ICD shorthand

F33.1 not F33. F31.81 not F31. The diagnosis arrives at the level of specificity the payer actually pays. Severity, recurrence, and specifier captured every time.

F33.1 MDD recurrent moderate F31.81 Bipolar II F41.1 GAD F43.10 PTSD F90.2 ADHD combined
Forms we send. Forms we ingest.

The paperwork around the note, not just the note.

Pre-visit screeners, AI-scribe consent, prior auth, education letters, superbills. Sent to the patient, surfaced for the clinician, attached to the chart.

What patients see

Sent by text or email before the session. Returns to the chart by the time the visit starts.

Pre-visit intake
Demographics, insurance, current meds, prior treatment, presenting concern. Conditional logic shows or hides fields based on prior answers.
async
AI-scribe + recording consent
Plain-language disclosure of what is recorded, what is destroyed, what the AI generates. Signed once, attached to the chart, valid across sessions until revoked.
e-sign
Validated screeners
PHQ-9, GAD-7, PCL-5, MDQ, AUDIT, ASRS, C-SSRS. Scored automatically with cutoff interpretation. Score enters the note as a number, not a sentence.
96127
Release of information
Patient picks the parties (PCP, prior therapist, payer). The ROI lives with the chart and triggers the requested send when signed.
e-sign
Telehealth consent
State-specific by clinician license. Captured before the first virtual session, valid for the duration of the treatment relationship.
e-sign
Treatment plan signoff
Required by some payers. Sent when the plan is built. Patient signature lands in the chart.
e-sign

What clinicians generate

Drafted from the note. Editable. Always reviewed by the clinician before send.

Prior authorization request
Drafted with medical necessity language pulled from the note. Diagnosis, treatments tried, severity markers, requested service. Edit, sign, send to the payer portal.
PA
Client education letter
Plain-language explanation of diagnosis, medication, side effects, or treatment rationale. Tailored to the specific session you just finished.
letter
Superbill / CMS-1500
Drafted with CPT, ICD-10, modifiers, units, and provider info already populated from the note and the chart.
superbill
School / FMLA / disability letter
Templates per common request type. Pulls diagnosis and clinical recommendation from the chart, leaves space for the human language only the clinician can write.
letter
Referral letter
To the PCP, the specialist, or the therapist taking over the case. Pulls the most recent note plus diagnosis and active medications.
letter
Treatment plan
Goals, objectives, interventions, frequency, target dates. Drafted from the intake. Updated when goals are met or revised.
plan
Audit-defended

The audit letter arrives. You are already ready.

Before a note ships, JotAudit checks it against the published documentation rules of every major payer that pays behavioral health. Missing time. Missing risk language. Missing MDM elements. Missing specifier. Caught before signoff, not in a clawback.

150+
payer-rule checks built into every note
CPT matchingDocumentation supports the code billed
Medical necessityDiagnosis, severity, treatment justification
Modifier accuracy25-modifier for psychotherapy add-on
Session timeThreshold met for the code billed
ICD-10 specificityF33.1, not F33. F31.81, not F31.
Risk languageDefensible structure, not free text
Rules from CMS APA Cigna Aetna Optum United BCBS
! Before this note ships

90833 add-on present, but no psychotherapy time documented distinct from the E/M.

Rule UHC, BCBS, and Aetna require minutes spent on psychotherapy to be documented as a span distinct from the E/M time. Without it, the add-on is denied or recouped.
Rule ID: pmh_addon_90833_time_split · Source: payer documentation
Privacy posture

Privacy built for therapy. Not borrowed from medicine.

Therapy sessions are the most sensitive class of clinical data that exists. The posture below is the standard for every JotPsych customer, not the enterprise tier and not a paid add-on.

01
Zero model training
Your clinical sessions are never used to train or fine-tune AI models. The subprocessors do not train on this data either.
02
Audio destroyed at transcription
The original recording is permanently deleted the moment transcription completes. No backups. No cold storage.
03
BAA standard
A Business Associate Agreement is signed with every customer. Standard, not paid. Standard, not tier-gated.
04
Optional PII redaction
Strip patient identifiers from the transcript before the AI ever sees it. Toggle on or off per clinician, per session.
05
You control deletion
Delete a note at any time. When you delete, it is gone. No backups, no cold storage tricks.

Infrastructure: AES-256 at rest · TLS 1.2+ in transit · US-East hosted · SOC 2 certified vendors. Read the full posture on /security.

Note memory

It learns how you document.

Section order, phrasing, level of detail, what you bold, what you abbreviate. The note memory holds these across sessions. The third note arrives closer to your style than the first. The thirtieth arrives in it.

1 Per-clinician preferences. Two clinicians sharing a chart see two differently-shaped notes.
2 Per-visit-type templates. Your med-mgmt note style does not collapse into your therapy note style.
3 Per-payer adjustments. If your Optum chart-review history flags certain language, the note compensates next time.
4 Template upload. Bring your own. JotPsych writes inside its shape.
Your note memory last updated today
Section order
Target sx → MSE → S/E → Adherence → Med → Risk → Plan
Risk language style
Always bullet ideation / intent / plan / means / protective factors. Disposition on its own line.
Med change format
Up-arrow / down-arrow plus dose. Never "increased dose."
Plan style
RTC X wk · lab Y wk · messaging line if applicable
From clinician forums

What clinicians say when we are not in the room.

Paraphrased from public Reddit threads in r/PMHNP and r/Psychiatry. Posted unprompted, by clinicians comparing six or more AI scribes.

JotPsych is my favorite, having tried about six options.

PMHNP r/PMHNP · returning recommender

I really enjoy JotPsych. I edit every note and add what I want, but the AI is great. They also provide a transcript so I can revisit and add what I forgot.

PA r/Psychiatry

It is the best of the ones I have tried.

PMHNP r/PMHNP

Whatever code I use, the note will be more than sufficient to support it.

Solo psychiatrist customer testimonial

Source threads are public. Handles paraphrased for clinician privacy.

Try the scribe built only for your specialty.

Fourteen days. Every visit type. Every CPT. Every payer rule. No credit card.

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BAA standard. Audio destroyed at transcription. Zero model training.