palmERAmbience.palmER.
A health system-purchased documentation and coding tool that runs inside Epic workflows. Emergency medicine is listed, but the public materials reviewed do not describe a direct self-serve signup path or ED-specific MDM workflow.
Ambience
Ambience is selected and deployed by a health system, with a public product focus that includes documentation, coding, and revenue-cycle workflows. Direct self-serve signup is not offered, and public retention periods are not listed.
When palmER is the right call.
When the chart is written between rooms, not after a scheduled visit. Chart-paste MDM with a real differential, a patient board for the shift, structured consult scripts, and a pre-sign-off check. Available directly, with no health-system purchase or IT rollout required. Encounter audio is never stored, and patient data automatically deletes within 24 hours.
You signed one note. What else still exists?
AI documentation can create more than the note you sign: audio, transcripts, draft notes, edits, prompts, and questions. What remains depends on the tool, the vendor's terms, and sometimes your health system's contract.
What the public documents say.
No vendor-published retention numbers cover audio, transcripts, drafts, or clinician inputs; the public privacy policy defers product-data handling to customer agreements. One documented health-system deployment describes holding audio for about 30 days before de-identification.
No lasting shadow record.
Encounter audio is never stored. Inputs, transcripts, chats, drafts, and questions automatically delete within 24 hours. AI providers operate under zero-retention agreements.
Seventeen rows. No spin.
Emergency Medicine and Pediatric Emergency Medicine are listed, but the product is not exclusively positioned for the ED.
Built by board-certified emergency physicians for ED/UC workflows.
Real-time encounter capture and note organization are named; ED-specific MDM structure is not publicly described.
MDM Assistant generates differential, risk stratification, disposition, and a Clinical Insights sidebar (Most Serious / Most Likely).
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed in real time and immediately discarded.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Paste a full chart into the MDM Assistant for a complete, defensible MDM in seconds.
Most Serious and Most Likely differential panels generate alongside the MDM.
Patient Mode panel for active and completed patients across the shift.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
palmER Colab side panel inherits patient and conversation context automatically.
ConsultER generates structured specialty consult scripts.
Includes coding suggestions and E/M guidance; a clinician-facing pre-sign ED chart review is not described.
Chart CheckER flags documentation gaps, billing opportunities, and medico-legal vulnerabilities before sign-off.
Integrated palmEM AI knowledge base for instant EM clinical reference.
No vendor-published retention numbers cover audio, transcripts, drafts, or clinician inputs; the public privacy policy defers product-data handling to customer agreements. One documented health-system deployment describes holding audio for about 30 days before de-identification.
Audio is never stored: it is transcribed in real time and immediately discarded. Everything else, inputs, transcripts, chats, and generated drafts, auto-deletes within 24 hours, and AI providers operate under zero-retention agreements.
Pricing is not public; purchase is arranged through a health system.
Two tiers publicly listed: Clinician at $199/month and Trainee at $49/month for verified students and residents.
30-day free trial, no credit card required.
Runs inside Epic workflows through the Epic Ambient Module and FHIR APIs.
Works alongside any EMR via copy and paste; no direct EHR integration.
Health systems; clinician access depends on an employer deployment.
Emergency and urgent care clinicians, groups, and health systems.
Built broad, or built for the ED.
Ambience includes emergency medicine within a broader health-system product, but its public materials do not describe the same ED-specific MDM workflow. palmER can be started directly and adds chart-paste MDM, a structured differential, a patient board, ConsultER, and Chart CheckER.
- 15s
- 30
- 24h
Asked often. Answered plainly.
How does Ambience fit emergency medicine?+
Ambience supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER is purpose-built around emergency-department documentation: chart-paste MDM with Most Serious / Most Likely differential, multi-patient panel, ConsultER, Chart CheckER, and the integrated palmEM AI clinical reference.
Does Ambience offer a public free trial?+
No public self-serve trial; access is arranged through a health system. palmER offers a 30-day free trial with full access to every tool, no credit card required.
What does Ambience cost?+
Pricing is not publicly listed; purchase is arranged through a health system. palmER is publicly listed at $199/month for clinicians. Approved students and residents can apply for the $49/month trainee rate. The 30-day free trial includes every tool and requires no credit card.
What does Ambience retain after an encounter?+
No vendor-published retention numbers cover audio, transcripts, drafts, or clinician inputs; the public privacy policy defers product-data handling to customer agreements. One documented health-system deployment describes holding audio for about 30 days before de-identification. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
How does palmER compare on MDM?+
The palmER MDM Assistant takes a full pasted chart and returns a complete MDM with clinically appropriate differential diagnoses, risk stratification, justification for orders and consultations, shared decision-making documentation, and support for appropriate E/M billing levels. The Most Serious and Most Likely differential panels and Clinical Insights sidebar generate alongside the MDM. Public materials for Ambience do not detail an equivalent ED-specific MDM workflow.
What about EHR integration?+
Runs inside Epic workflows through a health-system deployment. palmER works alongside any EMR via copy and paste, there is no integration step or IT setup required.
Every claim about Ambience on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Ambience Healthcare, homepage ↗
Health-system purchasing, documentation and coding features, emergency-medicine support, and Epic integration.
- Ambience Healthcare, privacy policy ↗
Website privacy policy excludes product offerings; product-data handling (audio, transcripts, drafts) is deferred to customer agreements and BAAs; no public retention numbers. Cleveland Clinic describes a 30-day window followed by de-identification in its deployment.
Fairness note: vendors update positioning, pricing, and features over time. If something on this page is out of date, tell us. A physician reviews every report, and the page gets refreshed, whichever way the correction cuts.
Try the one built for your shift.
Start a trial tonight, paste your messiest chart, and read what comes back. Thirty days free, no card, no auto-billing.