palmER vs Ambience.

Ambience is a hospital coding platform with an ED module. palmER was built for you: your MDM, your clinical questions, consult calls, and discharge papers, work and school notes included.

Ambience Healthcare is a documentation and coding product deployed through hospitals and health systems and used across many specialties, and it publishes an emergency medicine page. palmER is an emergency medicine charting platform built by emergency medicine physicians, and we sell it directly to the clinicians who use it.

For an individual emergency clinician, the comparison includes both the ED documentation and the help available throughout a shift.

At a glance

What Ambience's ED page covers

Ambience describes emergency department documentation on its ED page and an ED MDM Generator on its products page. If your health system has already bought it and embedded it in Epic, that integration is in place.

What the MDM contains

Both products offer an MDM. palmER's MDM organizes the details a reviewer needs to follow your reasoning: the differential you considered, the risk you weighed, the data you reviewed, and why you chose the disposition. It is written so it reads like your reasoning, not a summary of a conversation.

Help with the work around the note

You can start using palmER directly. The mobile app listens at the bedside and drafts your HPI and Physical Exam notes. You can return to each patient for clinical questions, consult drafts, and discharge papers, including work and school notes. Chart review and the palmEM reference are available alongside that work.

Nothing touches your EMR until you paste it. No IT project, no go-live date, no waiting on a committee.

Retention depends on the hospital contract

palmER keeps nothing. Audio is never saved, and your transcripts, drafts, edits, and questions are deleted within 24 hours. palmER stores no audio at all, and nothing you enter trains an AI model. Ambience's privacy policy publishes no retention period; it describes processing under customer agreements and BAAs, and says de-identified information may be disclosed where contracts and HIPAA permit.

For more on retained material and discovery, read what does your AI scribe save.

Trying palmER as an individual clinician

If your system is standardizing documentation and coding across every service line, that is the kind of product Ambience is built to be, and the ED module comes with it.

palmER is available directly for your next shift. Use the trial to assess the MDM and the help with clinical questions, consults, and discharge preparation.

Try palmER free for 30 days, no credit card. Or compare palmER and Ambience side by side first.