Exscribe

Exscribe is an ambulatory electronic health record and practice management system developed by Marsh Software, serving small to medium-sized medical practices across multiple specialties. Founded in 1999 and headquartered in Hackensack, New Jersey, the platform combines clinical documentation, scheduling, billing, and e-prescribing functionality into an integrated workflow designed for outpatient settings.

The system targets independent physician practices, multi-specialty groups, and community health centers that require a comprehensive yet accessible EHR solution. Exscribe emphasizes ease of use and customizable templates that can be adapted to specialty-specific workflows including family medicine, internal medicine, pediatrics, cardiology, orthopedics, dermatology, gastroenterology, and OB-GYN practices. The platform's clinical documentation module includes specialty-specific templates, clinical decision support tools, and quality measure tracking to support value-based care initiatives.

Exscribe is certified as ONC 2015 Edition Complete EHR technology, meeting meaningful use requirements and supporting participation in MIPS and MACRA programs. The system includes integrated e-prescribing through Surescripts certification with EPCS capability for controlled substances, lab integration with major reference laboratories including Quest Diagnostics and LabCorp, and interoperability features including Direct secure messaging and HL7 interfaces for health information exchange.

The practice management component provides patient scheduling, insurance verification, claims management, and revenue cycle tools designed to streamline administrative workflows. The integrated billing module supports electronic claims submission, denial management, and payment posting. A patient portal enables secure messaging, appointment requests, prescription refills, and access to medical records to enhance patient engagement.

Exscribe differentiates itself through its focus on smaller practices that need full-featured EHR and PM functionality without the complexity and cost associated with enterprise-level systems. The vendor emphasizes customer support and training to ensure successful implementation and ongoing optimization. The system is typically deployed as a cloud-based solution, though on-premise installations may be available for practices with specific infrastructure requirements.

While Exscribe competes in a crowded ambulatory EHR market against larger vendors like Epic, Athenahealth, and eClinicalWorks, it positions itself as a cost-effective alternative for practices prioritizing usability, specialty customization, and personalized vendor support over advanced analytics or population health management capabilities.