Features

Psynopsis features: from the note to the next step.

Psynopsis is psychiatric documentation software built by a PMHNP: medication references, MSE review, post-session dictation, E&M leveling support, psychiatric templates, a web app and a Chrome extension, with HIPAA and 42 CFR Part 2 handling. Explore the October 26 preview for billing, follow-ups, calendar, and letters below.

The next chapter of Psynopsis

Release planned for

See the work around the visit.

Choose a workflow, then step through it. See what Psynopsis brings into view and where your team makes the decisions.

Billing calculator

Understand the details behind your code.

Bring the details behind psychiatric coding into view. Review encounter context, medical decision making, visit time, and psychotherapy documentation alongside the patient chart. Optional AI suggestions require your acceptance.

  • Review problems, data, and management risk
  • Choose MDM or time before saving
  • Document psychotherapy time separately
Try a guided visit
How it worksIllustration · not an app screen
Medical decision makingProblems · data · risk
E/M timeDocumented separately
Clinician selectionChoose the E/M basis
MDMorTime

Psychotherapy time stays separate.
An add-on uses an MDM-based E/M code.

Review & saveYour code selection. Your confirmation.

Step 1 of 3

See what goes into the calculation.

Review encounter context, problems addressed, data, and management risk. AI input suggestions are optional and require individual acceptance.

Clinician reviews the inputs
See the actual calculator

Inside the test workspace

The actual billing calculator

October 26 release preview. Unsaved starting values; no billing code selected.

Actual test-workspace billing calculator with an unsaved-draft notice, optional Suggest billing inputs button, and sections for encounter context, problems, data, risk, time, psychotherapy, and claim review
View full calculator screenshot ↗

An explanation of the calculator, not a coding recommendation or a guarantee of payment.

See how it fits before you commit.

Preview a fictional visit without an account, or start with 5 free test hours.

October 26 release preview. The free allowance is for synthetic or de-identified examples. BAA included on paid plans.

Medication reference

Medication information, close to the conversation.

The Medication Safety panel detects medication names in the transcript and lets you search reference cards. Review warnings, counseling information, and source links while checking the patient’s medication details.

  • Detected names from the transcript
  • Search by generic or brand name
  • Reference information for clinician review
Start free

Workflow illustration · not an app screenshot

Medication reference
Information to review during the encounter
Medication Safety panel
Transcript Detected medication names
Search Generic or brand name
Reference cards Warnings and counseling information
Sources Links to reference labels
Clinical review Verify doses and patient-specific risks
AI draft — clinician review required before signing.

Mental status exam

Review the baseline. Document what is different.

The MSE uses a chart-by-exception workflow. Review the current baseline, record meaningful exceptions or limitations, and complete the separate suicide and violence risk selections before saving.

  • Review each examination domain
  • Record exceptions and assessment limitations
  • Complete explicit safety selections
Start free

Workflow illustration · not an app screenshot

Mental status exam
Review the baseline. Record the exceptions.
Clinician-entered review
Baseline Review the current findings
Domains Record exceptions or limitations
Suicide risk Explicit clinician selection
Violence risk Explicit clinician selection
Save Confirm the reviewed examination
AI draft — clinician review required before signing.

Post-session dictation

Document after the conversation.

Dictate your summary after the visit, choose a note template, and review the inputs before generating a draft. Edit the result and verify the clinical details before signing.

  • Dictate your own visit summary
  • Choose the note structure
  • Review and edit the generated draft
Start free

Workflow illustration · not an app screenshot

Post-session dictation
From your summary to a reviewed draft
Documentation workflow
Input Your dictated visit summary
Template Choose the note structure
MSE and billing Complete and review the inputs
Draft Generate, review, and edit
Finish Sign and copy the reviewed note
AI draft — clinician review required before signing.

Billing calculator

See the inputs behind your billing selection.

Work through encounter context, problems, data, management risk, E/M time, and psychotherapy. Optional AI suggestions run when requested and require individual acceptance. Choose the code basis, review the inputs, and save.

  • Review problems, data, and management risk
  • Keep psychotherapy time separate from E/M time
  • Select MDM or time and confirm before saving
Start free

Workflow illustration · not an app screenshot

Billing calculator
Review inputs before selecting a code
Calculator workflow
Encounter context Patient and visit type
MDM Problems, data, and management risk
Time Document E/M time
Psychotherapy Separate time and modality
Code basis Choose MDM or time
Claim review Review, confirm, and save
AI draft — clinician review required before signing.

Psychiatric templates

A starting structure for psychiatric visits

Basic templates in the 5-hour free test; custom templates on Professional. Choose a structure for the clinical details you need to document, then review the draft for the visit.

90791 / 90792

Psychiatric initial evaluation

HPI, psychiatric and medical history, substance use, MSE, risk assessment, DSM-5-TR formulation and initial plan.

99213 / 99214 ± 90833

Medication management follow-up

Interval history by diagnosis, medication reconciliation with changes and rationale, MSE, SI/HI and the MDM elements.

Within the encounter note

Psychotherapy section

Session focus, interventions, response, plan and time, added at the bottom of the existing encounter note.

Initial and updates

Treatment plan

Problems, measurable goals, interventions, medications and follow-up interval, revised as status changes.

Payer requests

Prior authorization documentation

Diagnosis, prior trials with doses and durations, and the rationale for the requested medication, in the order reviewers look for it.

Consults and referrals

Coordination-of-care letter

Letters to PCPs, therapists and referring providers with the current medication list, assessment and plan.

Want to see the format first? Free, clinician-written examples: mental status exam examples · all templates

Two ways to document

A web workspace and a companion Chrome extension.

Psynopsis works beside the EHR you already have. Use the full web workspace, or keep it in a panel next to a browser-based chart — nothing to install on the EHR side.

Web application

Notes, letters, and templates in the workspace

Actual test workspace showing the letter template library, Add Template, and built-in letter types

Actual test workspace, October 23. Release planned for October 26.

  • Encounter history, transcripts, MSE, and billing tools in the patient workspace
  • Reusable note and letter templates, with drafts you review
  • Copy the finished note into any EHR as structured text

Chrome extension

Psynopsis beside your browser-based EHR

Psynopsis Chrome extension panel with Transcript, MSE and Quality Metrics tabs and a Start New encounter button

Extension screenshot. The extension and web app have different layouts and controls.

  • Runs alongside browser-based EHRs such as Athena, DrChrono and CharmHealth
  • Transcript, MSE and quality checks in a side panel
  • Included on every plan, including Free

Security and compliance

Built for psychiatric records, including the ones HIPAA alone doesn’t cover

What we store, what we never store and what you sign. The full detail is on the compliance page.

HIPAA + BAA

Administrative, physical and technical safeguards. A BAA is included with every paid plan and emailed for review before you subscribe.

Audio never stored

Processed in real time for transcription and discarded. Never backed up, never used for model training.

Encryption and hosting

AES-256 at rest, TLS 1.3 in transit, access controls and audit logging on HIPAA-compliant US-based infrastructure.

NPI verification

Every account is verified against NPPES, so only licensed providers get in.

Your data, your control

Export or delete your documentation at any time. Patient data is never used to train AI models.

Feature questions

How much does Psynopsis cost?
Basic includes 5 free hours to test AI-assisted documentation, basic templates, Chrome extension access and community support using synthetic or de-identified examples. Professional is $75 per month with a BAA and adds advanced AI features, custom templates, MSE integration, treatment-plan documentation templates, priority support and an analytics dashboard. Enterprise is custom-priced for practices and organizations, with multi-user access, an admin dashboard, custom integrations, dedicated support, a custom BAA and onboarding assistance. No credit card is required to start.
Does Psynopsis work with my EHR?
Yes. Psynopsis runs beside any EHR as a web app or Chrome extension, so there is nothing to install on the EHR side. Finished notes copy into your system as structured text, and the Chrome extension keeps Psynopsis open alongside browser-based EHRs such as Athena, DrChrono and CharmHealth. Direct integrations are in development; contact us if you would like to be notified when your EHR is supported.
Can I use it without recording the patient?
Yes. With post-session dictation you see the patient normally, then dictate a two-minute clinical summary after they leave. Psynopsis structures it into a complete note with MSE, diagnosis-organized assessment and plan, medication changes and the documentation to support your E&M level. You can choose ambient recording or dictation for each visit.
Is audio recorded or stored?
No. Audio is processed in real time for transcription and immediately discarded. Nothing is stored on our servers, backed up or used to train models. If you use post-session dictation, the session itself is never recorded; only your short summary is processed, and that audio is discarded the same way.
What happens if the AI makes a clinical error?
Every note is a draft that requires your review. You must verify all medication names, dosages, clinical assessments and treatment plans before finalizing any note. Psynopsis is a documentation assistance tool; all clinical responsibility remains with the licensed provider. We recommend reviewing each section before signing, particularly medication entries and risk assessments.
Should I use the web app or the Chrome extension?
Both run the same psychiatric templates and quality checks. The web app is the full workspace, with encounter history, transcript, MSE panel, plan and billing calculator, and suits telehealth or a dedicated documentation screen. The Chrome extension keeps Psynopsis in a panel beside a browser-based EHR so you can capture the encounter and paste the note without switching windows. Many providers use both.
5 free hours · no credit card

See how your next note could read.

Use 5 free hours to test a synthetic or de-identified follow-up. Review the MSE, medications and plan, then choose a paid plan with a BAA for clinical use.

Test with synthetic or de-identified examples · BAA on paid plans