AI-Powered Internal Medicine EHR: Chart Faster. Capture More Revenue. Manage Complexity with Ease.

Althea Smart EHR includes automated preventive care reminder alerts that surface overdue screenings at the point of care, including colonoscopy, cardiac risk assessment, lung cancer screening, diabetes monitoring, and adult immunizations. The Care Gap Dashboard gives a real-time view of open preventive gaps across your entire adult panel, so no patient falls through the cracks between visits.

TCM is the highest-value program for internal medicine. Althea Smart EHR triggers TCM workflows automatically when a qualifying patient is discharged from an inpatient setting, prompting the required 2-day contact, scheduling the follow-up visit, and auto-applying CPT 99495 (14-day) or CPT 99496 (7-day) at the qualifying encounter. No manual code entry, no missed captures.

Althea Smart EHR automates the entire patient communication cycle for internal medicine practices. Lab result notifications alert patients when results are available, automated chronic disease recall reminders keep high-risk patients on schedule, and two-way HIPAA-compliant texting lets patients reach your practice directly. The Althea Health Patient Portal gives patients secure access to records, messaging, appointment scheduling, and balance payments, all without staff involvement.

Althea Smart EHR is purpose-built for this, with organ system-specific flowsheets for cardiology, nephrology, pulmonology, and endocrinology. Longitudinal lab trend visualization (creatinine, A1C, BNP) is graphed automatically within the patient chart. Multi-condition patients with DM + CKD + CHF + CAD are managed with cross-condition care gap alerts and coordinated care plans in a single encounter.

RAF scores determine reimbursement for your Medicare Advantage patients, and internal medicine carries the highest chronic disease burden of any outpatient specialty. Althea Smart EHR includes built-in RAF Score Optimization and HCC Gap Detection that surface underdocumented chronic conditions at the point of care, visit by visit. 10% of your patients can represent 33% of your risk-adjusted revenue opportunity.

Althea Smart EHR’s AI Ambient Charting listens during both outpatient clinic encounters and inpatient bedside rounds, identifies the visit type (initial H&P, follow-up SOAP, consult note, or inpatient progress note) and generates the appropriate structured note in real time. Most notes are complete before the patient leaves the room or before you leave the floor.

MD Synergy eliminates all three disruption sources: free data migration before go-live, 2-hour training required for Althea Smart EHR for the provider, and 100% patient go-live on Day 1.

Althea Smart EHR includes structured CCM workflows with built-in time tracking, care plan documentation, and billing automation for CPT 99490 and 99491. Internal medicine practices managing complex multi-chronic adult patients are the primary beneficiaries of CCM. Althea Smart EHR ensures every qualifying month is captured and billed without adding staff burden.

Internal medicine visits frequently qualify for Level 4 (99214) and Level 5 (99215) E&M codes based on medical decision-making complexity. Althea Smart EHR’s AI Billing Assistant confirms the correct complexity level at every visit, ensuring complex visits are documented and billed at the appropriate level, and flagging under-coded visits before claim submission.

AWVs bill under G0438 (initial) and G0439 (subsequent). Althea Smart EHR’s purpose-built AWV templates guide physicians through every required component: health risk assessment, cognitive screening, preventive care review, and care plan update, ensuring compliant, complete visits every time for your adult Medicare population.

Althea Smart EHR automatically graphs longitudinal lab trends within the patient chart, including creatinine over time for CKD monitoring, A1C trend for diabetes management, BNP for CHF tracking, and lipid panels over years of follow-up. No manual chart creation; the trends update automatically with each new result, making disease progression and treatment response immediately visible.

Althea Smart EHR includes a built-in MIPS Dashboard, adult HEDIS measure tracking including diabetes care, hypertension control, statin therapy, and COPD management, with a panel-wide Quality Dashboard, and QRDA reporting for compliant CMS quality measure submissions, directly impacting reimbursement in value-based contracts.

Six criteria that matter for internal medicine: (1) AI ambient charting for H&Ps and consult notes, (2) CCM and APCM billing automation for chronic disease revenue, (3) TCM and CCM billing automation, (4) RAF/HCC gap detection for Medicare Advantage, (5) Truly mobile-first on iPhone and iPad for both clinic and hospital, (6) No setup fees and flexible contract terms. Althea Smart EHR meets all six, rated 5.0 ★ on Capterra.

Internists spend more time on documentation per patient than almost any other specialist, with complex H&Ps, lengthy consult notes, and multi-problem follow-up visits. Practices using Althea Smart EHR reported cutting their charting time in half , with most notes completed before the patient leaves the room or before leaving the hospital floor, giving physicians back hours every day.