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AI Documentation

The note is done when the session is.

Suithera drafts insurance-compliant progress notes in your format — SOAP, DAP, or BIRP — with CPT and ICD-10 suggestions attached. You review, edit, and sign. Nothing enters the chart before that.

SOAP / DAP / BIRPCPT auto-selectICD-10 suggestionsDraft → sign, always
Draft — SOAP · 11:00 sessionAwaiting your signature
SUBJECTIVEClient reports improved sleep since last session; anxiety spikes remain tied to workplace deadlines.OBJECTIVEEngaged affect, congruent mood. Completed GAD-7 (score 9, mild-moderate; down from 12).ASSESSMENTProgress toward goal 1 (anxiety management). Skills use increasing between sessions.PLANContinue weekly CBT; review workplace boundary script next session.CODINGCPT 90837ICD-10 F41.1
Drafted from your session summary · client identified by initials only

Formats & templates

Your format. Your phrasing. Every time.

The draft follows the note structure you already use — not a generic AI voice your payer has never seen.

  • All major formats: SOAP, DAP, BIRP, and intake note templates, payer-compliant out of the box.
  • Template control: section order, required fields, and house phrasing are yours to define.
  • Quick form, not a blank page: client initials, duration, presenting issue, interventions, response — the draft builds from structure, not guesswork.

FAIR USE — 300 AI notes / month. Covers a five-day-a-week caseload; your notes and templates keep working past the cap, new AI drafts resume next cycle.

Coding

The code attaches itself.

Billing codes stop being a second job after each session.

  • CPT auto-select: 90832 / 90834 / 90837 chosen from session type and duration.
  • ICD-10 suggestions: diagnosis codes proposed from session content — the therapist always confirms, never the model.
  • Claims-ready output: structured for direct submission to insurance payers. No re-typing into a clearinghouse. See Billing & Claims →

The signature gate

Drafted by AI. Owned by you.

Documentation AI in a clinical setting has one honest design: the clinician signs everything. Suithera enforces it in code.

DRAFT STATENothing auto-applies

A generated note lives outside the chart until you review and sign it. Unsigned drafts expire; they never leak into the record.

CONSENT: AI_DOCUMENTATIONPer-client consent, recorded

AI documentation runs only for clients with recorded consent. A missing gate blocks the call — and the block itself is audit-logged.

MINIMUM NECESSARYInitials in, encryption at rest

Clients are identified by initials at intake. Note content is encrypted at rest and in transit, with an audit entry on every read.

Questions

Asked by every careful clinician.

Does the AI ever write directly into the chart?

No. Every output is a draft in a separate review state. It enters the chart only when you sign it — and the signature event itself is logged.

What does the model actually see?

The structured session summary you enter — initials, duration, presenting issue, interventions, response. Note content is encrypted at rest; prompts are stored in the audit log as hashes, never as text.

What if a client declines AI documentation?

You write that client's notes manually, exactly as before. The consent gate blocks AI calls for them, and any blocked attempt is recorded in the audit log.

Can I keep my own note templates?

Yes — templates are yours: section order, required fields, and phrasing. The AI drafts into your structure rather than imposing one.

AI Documentation

Sign your last note by 6 PM.

Every practice starts with it switched on. Keep it after the trial, or do not — Solo keeps working either way.

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SUITHERA AI$29 /mo · fair use 300 AI notes / month · own 15-day free trial · requires Suithera Solo. Cancel anytime; cancelling an add-on never touches your Suithera Solo plan.