ScribeEMR is now Nivaran.
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Intelligence for Healthcare Documentation, Coding & Revenue Workflows

Nivaran combines AI-powered technology with expert human support to help healthcare organizations manage the administrative work behind patient care. From clinical documentation and medical coding to revenue cycle management, we streamline critical workflows so providers and their teams can focus on what they do best.

Physician smiling while reviewing patient notes
ScribeRyte AI documentation interface
Special Orthopedic Group
Schmidt Plastic Surgery
PMC Medical Group
NRHA
Northern California Medical Associates
Nextech
Mohawk Valley Health System
ModMed
MC
Lone Star Orthopaedic and Spine Specialists
Langley Health Center
Jersey Health
Goodland Regional
Fusion
Excelsior Orthopaedics
Epic
eClinicalWorks
CureMD
Crouse Hospital
Capstone Clinic
Boston
Bay Area Medical Group
Athenahealth
AdvancedMD
AdvancedMD logo
AdvancedMD logo
Core Values

Performance you can measure across the care cycle

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Medical coding accuracy rate

Support cleaner claims with coding built around documentation quality and revenue integrity.

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Reduction in documentation time

Help providers spend less time in the EHR and more time focused on the patients in front of them.

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Reduction in operational costs with VMOS

Scale administrative support without adding the burden to your internal team.

How we reduce documentation burden and improve performance.

Key metrics:
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hours
Providers save on average in documentation time
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patients
Organizations see up to six additional patients daily
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AAPC/AHIMA-certified coders
“Nivaran was founded by pioneers in the medical documentation industry with a legacy dating back to 1999."
Terry Ciesla
Senior Vice President
Terry Ciesla
“Nivaran’s virtual scribes have been a tremendous asset to our practice, consistently providing timely, accurate, and well-organized clinical documentation.”
Dr. Maya Kamath
Maya Kamath, MD, FACOG
Women’s Care Florida
“I’ve had the pleasure of working with my Nivaran scribe for the past several months, and the experience has been consistently professional and productive.”
Harnish Chawla
Harnish Chawla, MD, FACC, FSCAI
Hunterdon Cardiovascular Associates
Key Challenges

When documentation breaks down, the impact doesn’t stop at the note

Documentation burden

Providers lose valuable time to charting, after-hours notes, and EHR tasks that pull attention away from patient care.

Revenue leakage

When documentation does not fully support the code, earned revenue can be delayed, reduced, or lost entirely.

Administrative overload

Clinical staff are often pulled into scheduling, prior authorizations, outreach, and other tasks that take them away from the work they were trained to do.

Vendor fragmentation

A note handled by one partner, coding handled by another, and billing handled somewhere else creates gaps, delays, and no clear point of accountability.

How We Help

Getting the bill right starts with getting the note right

Pre-care: preparing charts before the patient visit

Support patient access
Help patients get scheduled, complete intake requirements, and stay connected before appointments.

Reduce administrative workload
Virtual operations teams handle scheduling, prior authorizations, and outreach so staff can focus on patients.

Prepare for a smoother visit
Ensure the right information is in place before care begins, reducing delays and disruptions.

Point of care: documenting during the patient visit

Capture clinical conversations accurately
AI-powered scribing and human oversight help document visits in real time.

Reduce the burden on providers
Providers spend less time charting after hours  and more time with patients.

Create stronger documentation from the start
Accurate clinical notes support better care decisions and downstream workflows.

Post-care: coding and billing after the visit

Connect documentation to reimbursement
Documentation and coding teams work together to support clean, accurate claims.

Accelerate coding and billing workflows
Charts are reviewed, coded, and prepared for billing without creating backlogs.

Protect revenue and reduce denials
Issues are identified early to help prevent delays, rework, and lost reimbursement.

Ongoing: continuous revenue cycle and operations support

Optimize revenue cycle performance
Dedicated teams support billing, accounts receivable follow-up, and denial management.

Provide continuous operational support
Around-the-clock workflow coverage helps keep administrative functions moving.

Support the full healthcare workflow
One partner helps manage documentation, coding, revenue cycle operations, and patient support services together.

Our solutions

One partner for the workflows
that keep healthcare moving

Medical Scribing

Live remote scribing, AI-enabled and hybrid combination options.

Revenue Cycle Management

End-to-end support for the revenue processes that depend on clean documentation.

Medical Coding

AAPC-certified coding support to improve accuracy and timely reimbursement.

Virtual Operations

Administrative workflow support for back-office needs.

Medical Call Center Support

Patient registration, appointment confirmation, and outreach support.

Our Products

ScribeRyte AI

AI documentation that fits the way providers already work.

ScribeRyte AI captures patient conversations, generates clinical notes, and helps reduce after-hours charting with human oversight available when accuracy matters most.

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ScribeRyte AI Plus

AI speed with professional review built in.

ScribeRyte AI Plus combines AI-generated clinical notes with professional medical scribe review to reduce provider editing and deliver stronger documentation before final sign-off.

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Amplif.AI

A human review layer for AI-generated clinical notes.

Amplif.AI helps organizations improve the accuracy, consistency, and coding readiness of notes created by external AI documentation tools.

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Who we serve

Support that meets every team where they work.

Physicians & Providers

Physicians & Providers

Spend less time charting and more time focused on patient care, without changing how you practice.

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Practice Administrators

Practice Administrators

Reduce staffing pressure, simplify vendor management, and keep daily operations moving with fewer internal bottlenecks.

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Revenue Cycle Leaders

Revenue Cycle Leaders

Improve coding accuracy, reduce preventable denials, and connect documentation quality to reimbursement performance.

Find Out More
Health Systems & Hospitals

Health Systems & Hospitals

Standardize documentation, coding, and workflow support across sites, specialties, and provider groups.

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Our featured integration partners

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eClinicalWorks Logo
Epic Logo
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Medent Logo
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“I have been using the Nivaran service for several years now. I have had great success and consistency using the same scribe, who continues to make improvements and refinements in the notes. I finish my days on time with few if any notes to sign.”
Christopher J. Vinton
Worcester County Orthopedics
“Overall quality of scribing service is excellent, noting that the accuracy and completeness of documentation are mostly accurate. Medical terminology and grammar are excellent as well. Highly satisfied with the TTC and Nivaran services have significantly improved the workflow and efficiency. I am saving two hours daily and 20-30 minutes is usually spent editing scribed notes. Backup scribe coverage is also excellent. Aneesha, my scribe, does an excellent job of preparing the notes before the visit. Bringing imaging results and information from old notes is really helpful. Aneesha is doing an outstanding job and I truly appreciate her help.”
Philip J. Lahey IV
Worcester County Orthopedics
“Over the last few years, I have enjoyed the luxury of an extremely skilled scribe to document visits of my orthopedic surgery patients. Taranvim Kushnude documents my patient discussions and complaints, and physician exam and evaluations, documenting my subjective, objective assessment and plan for their future care. I can’t imagine not having her in the room with me virtually during the office visit. She allows me to focus on talking to the patient concerning their conditions, surgical intervention plans and treatment options. Taranvim allows me to focus on my patients condition, physical examination and discuss treatment options. I never have to look away from the patient to document the office visit. At the end of the clinic, all I need to do is review and sign off on my notes.”
Dr. Dennis T. Alter
Advent Health Medical Group, Palm Coast, Florida
“I’ve had the pleasure of working with my Nivaran scribe for the past several months, and the experience has been consistently professional and productive. She is punctual, reliable, and brings a strong work ethic and positive attitude to every encounter, which has made us an excellent team. What I value most is her ability to adapt to my personal clinical style, especially in creating assessments and plans that are descriptive, clinically meaningful, and not just generic templates. We actively refine diagnoses to ensure outdated or irrelevant problems are not carried forward, while the most important and current conditions are clearly documented. This level of precision has significantly improved the quality of my notes. Overall, I’m very happy with the support and collaboration.”
Harnish Chawla, MD, FACC, FSCAI
Hunterdon Cardiovascular Associates
“I have been using the Nivaran service for several years now. I have had great success and consistency using the same scribe, who continues to make improvements and refinements in the notes. I finish my days on time with few if any notes to sign.”
Christopher J. Vinton
Worcester County Orthopedics
“Overall quality of scribing service is excellent, noting that the accuracy and completeness of documentation are mostly accurate. Medical terminology and grammar are excellent as well. Highly satisfied with the TTC and Nivaran services have significantly improved the workflow and efficiency. I am saving two hours daily and 20-30 minutes is usually spent editing scribed notes. Backup scribe coverage is also excellent. Aneesha, my scribe, does an excellent job of preparing the notes before the visit. Bringing imaging results and information from old notes is really helpful. Aneesha is doing an outstanding job and I truly appreciate her help.”
Philip J. Lahey IV
Worcester County Orthopedics
“Over the last few years, I have enjoyed the luxury of an extremely skilled scribe to document visits of my orthopedic surgery patients. Taranvim Kushnude documents my patient discussions and complaints, and physician exam and evaluations, documenting my subjective, objective assessment and plan for their future care. I can’t imagine not having her in the room with me virtually during the office visit. She allows me to focus on talking to the patient concerning their conditions, surgical intervention plans and treatment options. Taranvim allows me to focus on my patients condition, physical examination and discuss treatment options. I never have to look away from the patient to document the office visit. At the end of the clinic, all I need to do is review and sign off on my notes.”
Dr. Dennis T. Alter
Advent Health Medical Group, Palm Coast, Florida
“I’ve had the pleasure of working with my Nivaran scribe for the past several months, and the experience has been consistently professional and productive. She is punctual, reliable, and brings a strong work ethic and positive attitude to every encounter, which has made us an excellent team. What I value most is her ability to adapt to my personal clinical style, especially in creating assessments and plans that are descriptive, clinically meaningful, and not just generic templates. We actively refine diagnoses to ensure outdated or irrelevant problems are not carried forward, while the most important and current conditions are clearly documented. This level of precision has significantly improved the quality of my notes. Overall, I’m very happy with the support and collaboration.”
Harnish Chawla, MD, FACC, FSCAI
Hunterdon Cardiovascular Associates