Skriber Journal
Welcome to the Skriber Journal
Our mission is to empower clinicians with timely, actionable insights focused on the intersection of AI scribing, regulatory compliance, and practice optimization.
0
+
Hours Recovered Annually. Our expert strategies show you how to reclaim hours per year.
0
%
Reduction in Documentation Time. Learn methods used by top practices to slash daily documentation time by over 50%.
0
%
Charting Accuracy Rate. Articles focused on achieving near-perfect chart quality and ensuring every SOAP note and code is 99% accurate.
0
+
Specialties Covered. Explore case studies and integration guides for over 35+ medical specialties.
Sleep Apnea SOAP Notes (with Examples)
A patient may come in because their partner hears loud snoring. Another may report morning headaches, poor focus, or feeling...
Read More →
OB-GYN SOAP Notes (with Examples)
An OB-GYN visit can involve more than the main concern listed on the schedule. A routine prenatal check may reveal...
Read More →
Gastrointestinal SOAP Notes (with Examples)
Digestive symptoms can be hard for patients to explain and challenging for clinicians to sort out. A patient may describe...
Read More →
Athletic Training SOAP Notes (with Examples)
An athlete walks into the training room with ankle pain just as practice begins. Another needs a rehabilitation check, while...
Read More →
Mental Health Prognosis
When a person walks into a mental health professional’s office, they often carry one big question in their heart: “Will...
Read More →
What Is a Superbill?
What Exactly Is a Superbill? A superbill is a detailed, itemized document that healthcare providers give to patients after a...
Read More →
Current Procedural Terminology (CPT) Codes
If you work in healthcare, you have probably heard the term “CPT code” many times. But what exactly are these...
Read More →
International Classification of Diseases (ICD)
The International Classification of Diseases, or ICD for short, is a system that gives every disease, injury, and health condition...
Read More →
Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5)
What Is the DSM-5? The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is the main guide that mental...
Read More →
Z-Codes
What Are Z-Codes and Why Do They Matter? Z-codes are a special group of diagnosis codes found in the ICD-10-CM...
Read More →
Medication Administration Record (MAR)
Let’s start with the basics. A Medication Administration Record, or MAR for short, is one of the most important documents...
Read More →
Best EHR for Private Practice (2026)
Running a private practice is hard work. You have patients to see, notes to write, bills to send, and insurance...
Read More →
How to Write Better Clinical Notes (with Examples & Template)
Clinical documentation is the backbone of safe and effective healthcare. As clinicians, we spend a significant amount of time writing...
Read More →
Occupational Therapy (OT) SOAP Notes (with Examples)
If you are an OT student or new practitioner, you already know that our job is about helping people do...
Read More →
Medical Necessity
Medical necessity is one of the most important concepts in healthcare. It decides whether a health insurance company will pay...
Read More →
Couples Therapy Notes (with Examples)
Couples therapy notes are written records that therapists create after each session with a couple. These notes are important for...
Read More →
What Are DARP Notes and How to Write Them (with Examples)
If you work in healthcare, counseling, or any field where you need to keep records of client interactions, you have...
Read More →
When Can Psychotherapy Notes be Disclosed?
Psychotherapy notes are some of the most private records in mental health care. They often contain a therapist’s personal observations,...
Read More →
Can Psychotherapy Notes Be Subpoenaed?
Many mental health professionals worry about receiving a subpoena for their records. One of the most common questions is: Can psychotherapy...
Read More →
Group Therapy Notes (with Examples)
Group therapy is a powerful way to help people heal. One therapist can help many clients at once. This makes...
Read More →
What Are Play Therapy Notes and How to Write Them (With Examples)
If you are a play therapist, you already know that your job is special. You work with children in a...
Read More →
The Complete History of Electronic Health Records (EHR)
From Paper Charts to Digital Medicine, A Journey Through Time AI-Powered • HIPAA-Ready Clinical notes, done for you. Skriber listens,...
Read More →
Best Note-Taking App for Therapists 2026 (Tested by Therapists)
Therapy is rewarding work, but the paperwork is a lot. Progress notes, treatment plans, and client records can steal hours...
Read More →
Clinical Evidence
Clinical evidence is the foundation of modern healthcare. Every diagnosis, treatment plan, medication, therapy intervention, and patient care decision should...
Read More →
EHR Evaluation Checklist
If you work in a doctor’s office, a clinic, or a hospital, you already know how important health records are....
Read More →
EHR Implementation
An EHR (Electronic Health Record) is a digital version of a patient’s paper chart. It holds medical history, test results,...
Read More →
Best AI DAP Note Generator 2026
Clinical documentation is one of the biggest challenges in modern healthcare. Therapists, psychiatrists, psychologists, physicians, nurses, counselors, social workers, and...
Read More →
The Best AI BIRP Note Generator 2026
If you are a therapist, psychiatrist, doctor, or nurse, you know how much time writing notes takes. You likely spend...
Read More →
Best AI ABA Session Notes Generator 2026
As a professional in Applied Behavior Analysis (ABA), you know that writing session notes is an important part of the...
Read More →
The Best AI Progress Note Generator 2026
Healthcare professionals spend a huge amount of time writing notes. Therapists finish sessions and still need to complete progress notes....
Read More →
Psychotherapy Notes vs. Progress Notes
If you have ever felt confused about the difference between psychotherapy notes and progress notes, you are not alone. Many...
Read More →
Mental Status Exam (MSE) Cheat Sheet: Checklist & Examples
When a patient comes to see us, we check their blood pressure and listen to their heart. But we also...
Read More →
2026 ICD-10 Diagnosis Code F41.1: Generalized Anxiety Disorder (GAD)
We see patients every day who feel worried all the time. They cannot seem to turn off their anxious thoughts....
Read More →
SOAP Notes vs DAP Notes
As a healthcare professional, you write notes every day. These notes tell the story of your patient’s care. Good notes help...
Read More →
H&P vs SOAP Notes
Let’s be honest. Nobody went to medical school because they loved writing notes. You went to school to help people...
Read More →
BIRP vs SOAP Notes
Let’s be honest. You did not become a nurse, therapist, doctor, or counselor because you love paperwork. You became a...
Read More →
2026 ICD-10 Diagnosis Code I50.2: Heart Failure with Reduced Ejection Fraction (HFrEF)
Why Getting This Code Right Matters More Than You Think As healthcare professionals, we know that heart failure is not...
Read More →
2026 ICD-10 Diagnosis Code Z91.81: History of Falls
Falls are a big problem in healthcare. Many patients, especially older adults, fall at home or in hospitals. When a...
Read More →
2026 ICD-10 Diagnosis Code M54.12: Cervical Radiculopathy
Why This Code Matters in Your Daily Practice As a healthcare professional, you know that coding is not just about...
Read More →
2026 ICD-10 Diagnosis Code J45.909: Reactive Airway Disease
You have seen the term “Reactive Airway Disease” or RAD on patient charts many times. It is a common phrase...
Read More →
2026 ICD-10 Diagnosis Code K52.9: Chronic Diarrhea
For medical coders, gastroenterologists, and primary care providers, few ICD-10 codes appear as frequently, or cause as much confusion, as...
Read More →
2026 ICD-10 Diagnosis Code E87.6: Hypokalemia
What Is Hypokalemia? Hypokalemia is a medical term that means your patient has too little potassium in their blood. Potassium...
Read More →
2026 ICD-10 Diagnosis Code R06.02: Shortness of Breath
You see shortness of breath every day. It is one of the most common reasons patients come to the ER,...
Read More →
2026 ICD-10 Diagnosis Code M54.16: Lumbar Radiculopathy
You see patients with leg pain every day. They tell you about a burning feeling that starts in their low...
Read More →
2026 ICD-10 Diagnosis Code G62.9: Peripheral Neuropathy
As healthcare professionals healthcare, we spend years learning about nerves, muscles, and how the body talks to itself. We learn to...
Read More →
2026 ICD-10 Diagnosis Code R74.01: Transaminitis
Have you ever looked at a lab report and seen high liver enzyme numbers? Your first thought might be “something...
Read More →
Advantages and Disadvantages of Electronic Health Records
If you work in a clinic, a hospital, or even a home health agency, you spend more time with your...
Read More →
SBAR Tool (Situation, Background, Assessment, Recommendation) (with Examples)
If you work in healthcare, you know how scary it can be to share important news about a patient. What...
Read More →
Source-Oriented Medical Record (SOMR)
What Is a Source-Oriented Medical Record? A Source-Oriented Medical Record (SOMR) is a way to organize a patient’s medical information....
Read More →
Problem-Oriented Medical Record (POMR)
If you work in healthcare or are studying to be a doctor, nurse, or medical assistant, you know one thing...
Read More →
Charting by Exception
If you have been a nurse for even one shift, you know this truth: charting takes forever. You finish giving...
Read More →
Occupational Therapy Documentation (OT Notes): with Examples and Cheat Sheet
As an occupational therapist, you help people do the things they want and need to do every day. But after...
Read More →
History Taking
As a clinician with years of experience, I can tell you that the most powerful tool I own is not...
Read More →
Clinical Documentation Improvement (CDI)
Let’s be honest for a moment. When was the last time you finished a patient encounter and felt a deep...
Read More →
DAR Notes
If you are a new nurse or a nursing student, you have probably heard the words “charting” or “documentation” more...
Read More →
Narrative Notes
As a nurse, your hands do a thousand things in a shift. You start IVs, you hold a patient’s hand,...
Read More →
SIRP Notes
If you work in mental health, you know that note-taking is part of the job. You see clients, you help them, and...
Read More →
GIRP Notes (with Examples)
Writing notes during or after a therapy session can feel like a lot of work. We spend our days connecting...
Read More →
How to Write PIRP Notes (with Examples)
Clinical documentation is often the most dreaded part of our work. You finish a meaningful session, and then comes the...
Read More →
PIE Notes (with Examples)
Let’s be honest for a second. How do you feel when you have to sit down and write your progress...
Read More →
Progress Notes
If you work in healthcare, you know that paperwork is a big part of the job. One of the most...
Read More →
BIRP Notes (with Examples)
As a clinician, I know that writing notes is probably not your favorite part of the job. It can feel...
Read More →
DAP Notes
As clinicians, we chose this path to help people. We want to listen to our clients, help them work through...
Read More →
Doctor’s Note (with Template & Examples)
A doctor’s note is a short medical document written by a doctor or another licensed healthcare professional. It explains a patient’s health...
Read More →
Psychiatric Nursing Notes (with Examples)
Writing nursing notes is a big part of every psychiatric nurse’s day. Some nurses enjoy the documentation process. Others find...
Read More →
General Anxiety Disorder – Seven Item (GAD-7)
If you work with patients, you deal with anxiety every single day. It hides behind headaches. It fuels high blood...
Read More →
How to Write a Good Discharge Summary Note (with Examples)
As medical professionals, we spend a lot of time focusing on the beginning of a patient’s journey with us: the...
Read More →
How to Write ABA Notes (with Examples)
If you work in Applied Behavior Analysis (ABA), you have probably heard the saying: “If it isn’t written down, it didn’t...
Read More →
Mental Status Examination (MSE)
If you work in healthcare, whether you’re a psychiatrist, nurse, a medical student, a resident, or a social worker, you’ve...
Read More →
Patient Health Questionnaire (PHQ-9)
As clinicians, we are always looking for tools that help us understand our patients better. We need ways to measure...
Read More →
The Clinician’s Guide to Building Effective Treatment Plans
Whether you’re a therapist, a social worker, a nurse, or a doctor, you write treatment plans. It might feel like...
Read More →
SOCRATES (Pain Assessment)
Have you ever had a patient try to describe their pain, and it just comes out as a confusing jumble...
Read More →
Trauma SOAP Notes (with Examples)
Trauma is one of the most common reasons people seek therapy, counseling, and mental health support. Many clients experience trauma...
Read More →
Social History (medicine) SocHx
As a medical professional, I understand that we often rush through the “SocHx” portion of our H&P. We might jot...
Read More →
SAMPLE History
Why SAMPLE History Matters If you work in healthcare, you know that time is often not on your side. Whether...
Read More →
OPQRST
Why Asking the Right Questions Matters As medical professionals, we know that a patient’s story holds the answers. Often, the...
Read More →
Best AI Scribe for Psychiatry (2026)
Being a psychiatrist is tough. You listen, you care, you solve deep problems. But then comes the paperwork. Notes, treatment...
Read More →
Vital Signs (with Examples & Template)
Think of vital signs as the body’s most basic news report. Before a patient says a word about their headache,...
Read More →
Anxiety SOAP Notes (with Example)
As healthcare professionals, in our work, we see many patients struggling with anxiety. It is a common condition. It can be...
Read More →
SOAPIE Charting (with Examples)
If you work in healthcare, you know that good communication is everything. What we write in a patient’s chart is...
Read More →
OLD CARTS
When a patient comes to you, they bring more than just a symptom. They bring a story. This story holds...
Read More →
SOAP Notes (with Examples & Template)
As healthcare professionals, our primary mission is clear: to understand our patients and guide them toward better health. Yet, in...
Read More →
Past Medical History (PMH)
Today, we are going to talk about one of the most important parts of our job. It is not a...
Read More →
Top 10 AI SOAP Note Tools in 2026 (Reviewed by Real Clinicians)
Tired of spending hours each night writing notes instead of being with family? You’re not alone. Doctors, therapists, and medical...
Read More →
Depression SOAP Note Example
Let’s talk about depression. It’s not just feeling sad for a day. It is a real medical condition. It affects...
Read More →
Skriber Joins Forces with Athenahealth, Redefining the Physician-Workflow Standard
As healthcare continues to change, the smooth flow of information is not just a convenience; it’s an important component of patient...
Read More →
Biopsychosocial Assessment (with Examples)
Introduction: Seeing the Whole Person When a patient walks into your office, what do you see? You see their symptoms....
Read More →
Skriber & eClinicalWorks Integration: A New Era of Automated Charting
In healthcare documentation, the most valuable currency isn’t money; it’s time. The new integration between Skriber and eClinicalWorks directly deposits...
Read More →
Chief Complaint (CC)
Imagine you walk into a doctor’s office. You are feeling sick. You have many things to say. Your head hurts....
Read More →
History of Present Illness (HPI)
The History of Present Illness (HPI) is the heart and soul of any medical visit. It’s a detailed, chronological narrative...
Read More →
History and Physical (H&P): Your Most Powerful Medical Tool
What is an H&P, and Why is it So Important? Imagine you are a detective. A crime has happened, and...
Read More →
Clinical Words to Use in Progress Notes
Progress notes are a part of everyday clinical work. They tell the ongoing story of a patient’s care and progress....
Read More →
The 10 BEST AI Scribes (2026)
AI medical scribes have moved from early experimentation to everyday clinical tools. In 2026, clinicians are no longer asking whether to use...
Read More →
How to write Psychiatry Notes (with Examples)
Psychiatry notes are one of the most important tools in mental health care. They help psychiatrists record patient symptoms, clinical...
Read More →
SOAP Notes Plan (with Examples)
SOAP notes are one of the most widely used clinical documentation formats in healthcare. They help professionals record patient information...
Read More →
SOAP Notes in Physiotherapy (with Examples)
SOAP notes are one of the most important documentation tools used in physiotherapy practice. They provide a clear and structured...
Read More →
Acupuncture SOAP Notes (with Examples)
SOAP notes are a simple and clear way to document patient care. In acupuncture practice, SOAP notes help track symptoms,...
Read More →
SOAP Notes for Asthma (with Examples)
Asthma is a long-term breathing condition that affects the airways of the lungs. People with asthma have sensitive airways that...
Read More →
Orthopedic SOAP Notes (with Examples)
Orthopedic care focuses on bones, joints, muscles, ligaments, and movement. Every orthopedic visit depends on clear and accurate documentation. One...
Read More →
The Best HIPAA Compliant Dictation Software
Healthcare work today moves very fast. Doctors, therapists, nurses, and other clinicians must finish many notes every day while also...
Read More →