OrthoScribe Practice Admin Training Guide

This guide is for Practice Admins who manage their organization’s OrthoScribe account, monitor provider activity, customize coding settings, and support onboarding.

1. Role of a Practice Admin

Enhanced Permissions

Practice Admins have enhanced permissions to:

  • • View and monitor provider activity and notes via the web portal
  • • Edit and reprocess notes and codes
  • • Customize EM and ICD coding rules
  • • Manage account and integration settings
  • • Support onboarding of new providers

2. Access & Navigation

Logging In

Go to app.orthoscribe.ai and sign in with your admin credentials.

Main Navigation

Appointments — view provider schedules, recorded encounters, and generated notes
Macros & Procedures — review and edit saved macros and procedure templates
Settings — configure practice-wide preferences, coding rules, and export settings

3. Monitoring Providers

Provider Oversight Process

  1. Use the Appointments tab to select a provider from the sidebar
  2. View their daily schedule and note statuses
  3. Open any patient note to review sections, ICD/E&M/procedure codes, and any edits made
  4. Use Reprocess if you need to rerun the note or coding based on updated data

4. Editing Notes & Codes

Note Editing Process

  1. Select a patient encounter → Edit to adjust note content
  2. Scroll to the coding section to view automatically generated ICD, E&M, procedure, and order codes
  3. Modify, add, or remove codes as needed
  4. Save changes to update the record

Code Editing Process

  1. On the webapp, navigate to Settings → Coding Instructions to be taken to the Coding Instructions page
  2. Coding Instructions
  3. From there, you can edit the coding instructions both E&M and ICD Codes.
  4. Changes save automatically.

5. Settings Overview

Practice Admins should be familiar with the Settings page:

Transcript Find & Replace

Configure automatic replacements for common transcription errors or abbreviations.

Audio Keywords

Add keywords that trigger special processing or recognition.

AI Disclaimer

Toggle on/off an automatic disclaimer appended to notes.

Athena EMR Upload Settings

Map each OrthoScribe note section (HPI, PE, A/P, etc.) to the corresponding Athena EMR fields.

Billing AI & Sync Settings

Enable or disable automatic generation for:

  • • ICD Codes — diagnosis codes based on note content
  • • E&M Codes — visit level based on note content
  • • Procedure Codes — from documented procedures, with modifiers
  • • Order Codes — imaging/DME CPT codes from existing orders

6. Customizing Coding Rules

Coding Customization

• We provide default coding guides built by our advisory board.

• You can customize for your practice (e.g., comorbidity rules, preferred ICD mappings, specialty-specific E&M levels).

Location: Adjust these in the Settings page under the relevant coding section.

7. Onboarding New Doctors

Onboarding Process

• We send each new provider an Onboarding Guide

• Offer live setup and training upon request

• Typical onboarding time: under 30 minutes to get a provider recording and generating notes

Your Role in Onboarding

  • • Ensure the provider account is created and linked to your practice
  • • Provide integration codes if they are an integrated user
  • • Verify their settings (macros, EMR mappings, coding preferences)
  • • Monitor their first day's use and assist with any adjustments

8. Support & Troubleshooting

Troubleshooting Tools

  • • Use System Logs to investigate failed uploads, missing notes, or coding issues
  • • Contact OrthoScribe Support at support@lotusscientific.com for escalations
  • • Maintain regular reviews of provider usage to ensure compliance with documentation and coding preferences

Contact Information

Clinical Onboarding:
Sravan Dhulipala — sravan@lotusscientific.com
+1 (404) 771-8746
Technical Support:
support@lotusscientific.com