Clinical Documentation That Protects Revenue Integrity — At Enterprise Scale
InstaNote supports traditional dictation and ambient conversation capture, returning near-final clinical notes that improve coding accuracy, reduce claim denials, and support compliance across inpatient and outpatient settings.
Trusted across inpatient and outpatient settings in health systems, specialty practices, and academic medical centers
Documentation is your largest unmanaged operational risk.
Your providers are spending hours after the clinical encounter finishing notes. Your coding team is reviewing, correcting, and resubmitting. Your revenue cycle is absorbing the cost of what was missed at the point of care, quietly, encounter by encounter.
Revenue Leakage
Denied claims. Incomplete documentation. Reimbursement gaps that compound over time. These are not billing problems. They are documentation problems that start at the point of care.
Operational Strain
Providers finishing notes after hours. HIM teams reviewing for accuracy and completeness. IT managing compliance risk. Each role carries a piece of the same broken workflow.
Compliance Exposure
Documentation that does not meet clinical or coding standards creates audit risk. Every encounter not captured accurately is a liability waiting to surface.
Tool Proliferation Without Outcomes
Transcription tools. Voice-to-text solutions. Standalone scribes. Most address only part of the workflow, without connecting clinical capture to coding accuracy and revenue cycle performance.
The difference between a documentation tool and AI-powered clinical documentation is where the work happens.
A transcription tool moves words from voice to text. AI-powered clinical documentation captures the encounter, structures the note, and surfaces coding guidance in real time, before the encounter ends. That distinction changes what enters your revenue cycle, what your coders review, and what your compliance team audits.
Traditional Documentation Approach
- ✕Provider documents after the encounter
- ✕Notes reviewed and corrected by HIM downstream
- ✕Coding applied separately, post-documentation
- ✕Errors surface at claims, after the window closes
- ✕No real-time quality signal for operational leaders
InstaNote — AI-Powered Clinical Documentation
- ✓Near-final note returned in approximately 30 seconds per encounter
- ✓Coding suggestions surfaced within the documentation workflow
- ✓Provider reviews and approves before sign-off
- ✓Documentation enters the revenue cycle accurate and complete
- ✓Reporting gives HIM, compliance, and operations full visibility
Three capabilities. One integrated solution.
Built to serve every role in the documentation lifecycle, from point of care through revenue cycle close.
Point of Care
InstaNote supports both traditional dictation and ambient conversation capture, returning a comprehensive, near-final clinical note in approximately 30 seconds. It fits into existing provider workflows across inpatient and outpatient settings, without requiring new behaviors or new systems.
- →Traditional dictation and ambient capture
- →Inpatient and outpatient settings supported
- →Approximately 30 second note return
- →Mobile app, web interface, and telephone recording options
- →Customizable templates per provider, specialty, and location
Revenue Cycle
Real-time coding suggestions surface within the documentation workflow. Providers review and approve before sign-off, reducing downstream denials and improving first-pass reimbursement accuracy across specialties.
- →Real-time ICD coding suggestions
- →Provider review and sign-off within the workflow
- →Reduced first-pass denial rates
- →Improved reimbursement accuracy across specialties
Enterprise Standardization
Customizable templates and workflows adapt to your specialties, your EHR environment, and your compliance protocols, from individual practices to complex health systems, without adding IT complexity or clinical change management burden.
- →EHR-integrated across major systems
- →Specialty-adaptive documentation templates
- →HITRUST Certified security infrastructure
- →Rapid deployment: 2 to 6 weeks typical
The same solution. Outcomes that matter to you.
InstaNote delivers measurable value at every level of the health system. Select your role.
For Chief Medical Officers and Medical Leadership
Documentation burden is one of the leading drivers of provider dissatisfaction and attrition. When providers spend hours after the encounter finishing notes, care throughput suffers, waitlists grow, and quality metrics erode.
InstaNote reduces after-hours documentation time, improves the quality of what providers submit, and fits into how your providers already practice, without adding training burden or workflow complexity. Proven across both inpatient and outpatient environments.
What InstaNote addresses for your priorities
- Provider satisfaction and retention. Documentation burden is reduced at the point of care, not shifted to after hours.
- Care throughput. Providers spend less time per encounter on administrative work, increasing capacity.
- Documentation quality. Structured notes with real-time coding alignment improve downstream accuracy.
- Reliable deployment. Live in as little as 2 to 6 weeks without disrupting clinical operations.
Key Outcomes for CMO and Medical Leadership
Outcomes that hold up in real deployments.
InstaNote is deployed across health systems of varying size and complexity. These are the numbers that matter.
Case Studies Available on Request
Health system-specific outcome data, deployment case studies, and ROI modeling are available as part of an InstaNote overview. Request your overview to see results from systems comparable to yours.
Request an OverviewSecurity, compliance, and auditability — by design.
InstaNote runs on the HITRUST Certified eScriptionOne environment. Every element of the security architecture is designed for healthcare enterprise environments where data integrity and compliance are non-negotiable.
Full Reporting Visibility
InstaNote provides comprehensive operational and compliance reporting, giving every stakeholder the data they need to manage performance, demonstrate ROI, and maintain audit readiness.
- ✓User access and activity reporting
- ✓Volume and throughput reports
- ✓Billing and cost reporting
- ✓Documentation quality reports
- ✓Turnaround time (TAT) reporting
- ✓Specialty-level performance data
Real-time coding alignment. Specialty-adaptive documentation. Physician-validated AI.
Coding Alignment at the Point of Care
InstaNote generates structured clinical notes with concurrent ICD coding suggestions, reviewed and approved by the provider before sign-off. The revenue cycle receives documentation that is both clinically accurate and coding-ready from the first moment of capture.
Specialty-Adaptive by Design
Templates are customizable per provider, document type, and location. Documentation meets the clinical and compliance requirements of each specialty, across inpatient and outpatient settings, rather than a generic standard that creates rework for HIM.
Physician-Validated AI with Human Oversight
Hallucinations are minimized through physician-validated dataset prompts and expert human oversight across the system, giving compliance teams, HIM directors, and clinical quality leaders confidence in what the AI produces at scale.
Capture. Generate. Review.
Three steps. No new systems. No change in how your providers practice.
Capture
The provider uses traditional dictation or ambient conversation capture via the InstaNote mobile app, web interface, or telephone. Both inpatient and outpatient workflows are supported. No new equipment required.
Generate
A near-final, structured clinical note is returned in approximately 30 seconds. ICD coding suggestions surface in the same workflow, ready for provider review before sign-off.
Review and Sign
The provider reviews, adjusts as needed, and signs off in the EHR, InstaNote app, or web interface. The completed note routes to the EHR, HIM, and billing through your existing integration pathways.
Implementation typically takes 2 to 6 weeks depending on interfaces. Current DeliverHealth customers can be live in 1 to 2 weeks.
See How InstaNote Performs in Your Environment.
We work with health systems of all sizes to model a path that fits your documentation workflow, your EHR environment, and your revenue cycle goals. No pressure. No commitment. A clear look at what InstaNote delivers.
Trusted by 60,000+ providers · HITRUST Certified · Deployed in 2–6 weeks