The Only EHR Software That Gets Faster and Smarter the More You Use It.
AI-Based EMR/EHR Software Rated #1 by Physicians.
The Only EHR Software That Gets Faster and Smarter the More You Use It.
AI-Based EMR/EHR Software Rated #1 by Physicians.
New Discover RAI
Imagine AI That Actually Understands Your Clinical Reasoning
Introducing Reflective Ambient Intelligence (RAI)™ from Praxis EMR.
Praxis Reflective AI™ merges ambient understanding with its award-winning Concept Processor, enabling the system to reconcile AI-captured speech with the doctor’s own prior clinical knowledge. The result is a faster, safer, and far more personal documentation experience.
See RAI in action
RAI Improves Medical Quality
Practice your best under any situation.
How Praxis EMR Works
Praxis EMR is dramatically different. It thinks like you do. The Artificial Intelligence (AI) inside Praxis gets faster and easier as you use it. Praxis is not just an EHR system; it's a medical tool.
Learn about Praxis with Reflective Ambient Intelligence (RAI)
The #1 Rated EHR System in Healthcare
Praxis enjoys the support of thousands of medical professionals who have experienced the amazing benefits of Praxis EMR in their daily practice of medicine.
Awards and accolades
“ With Praxis, I even have the freedom to create my own report model for Gastroenterology, using my own words, how I think, and how I practice medicine. Other EMRs just don’t do this. ”
Dr. Vitaly Fishbein
Gastroenterology
Why generic Ambient Scribes are a liability, not a solution
Ambient scribes are being rapidly adopted across health systems — but peer-reviewed research and ongoing lawsuits reveal serious dangers that vendors aren't advertising.
Recent lawsuits in California and Illinois allege that health systems used ambient scribing without obtaining informed patient consent, potentially violating state wiretapping statutes.
American Bar Association Health Law, 2026AI Hallucinations in the Medical Record
Ambient scribes introduce "clinically significant hallucinations" — plausible-sounding but fabricated clinical content inserted directly into the permanent medical record. In cardiology and time-sensitive specialties, even small documentation errors can cause diagnostic delays and patient harm.
Nature npj Digital Medicine, Sept 2025 & PMC, 2026The Doctor Stops Thinking
Perhaps the most dangerous long-term risk: widespread ambient scribe adoption may decouple physicians from their EHRs, eroding the feedback loops necessary for clinical reasoning. Studies warn that core components of synthesis and reflection are being reduced through passive automation.
JMIR Medical Informatics, 2025No Integration with Your Clinical Knowledge
Ambient scribes capture what is said in the room today. They have no knowledge of how you've treated this patient before, your diagnostic logic, or your preferred clinical patterns. Every encounter starts from zero — wasting decades of expertise you've already built.
RAI Clinical ResearchA Polished Note Isn't the Same as a Smart One
Ambient scribes are optimized to produce well-formatted output — clean SOAP notes, tidy paragraphs. But a beautifully formatted note is not the same as a clinically intelligent one. Polish doesn't capture why a decision was made, only that something was said.
RAI Clinical ResearchMalpractice Exposure
AI-generated notes that don't reflect your actual clinical reasoning expose you to malpractice claims. Conventional AI-generated notes are increasingly used as evidence that a physician practiced "cookie-cutter medicine" — the exact opposite of individualized care.
American Bar Association Health Law, 2026HIPAA & Privacy Violations
Ambient audio recording constitutes electronic Protected Health Information (ePHI). Audio and transcripts create new data flows to third-party servers — expanding cyberattack surfaces and introducing multi-vendor data handling chains that most practices cannot adequately govern.
npj Digital Medicine, March 2026Bias & Transcription Disparities
Algorithmic bias in ambient scribes can misrepresent certain dialects, accents, and phrasing — disproportionately affecting how certain patient populations are documented. This introduces systemic disparities into medical records that can affect care downstream.
NCBI / NIH Research, 2025Vendor Lock-In & a Fragmented Record
Most ambient scribes are bolt-on, third-party tools. Your audio, transcripts, and AI-generated drafts live in a separate vendor's cloud — disconnected from your EHR. If you switch vendors, that clinical context is lost, and your medical record becomes a patchwork across systems you don't control.
RAI Clinical ResearchThe Hidden Cost of a Bad Note
A single hallucinated medication, allergy, or diagnosis isn't just a documentation error — it's a liability event. Between chart corrections, legal exposure, payer audits, and potential malpractice claims, the "free time" an ambient scribe saves can be wiped out by one bad encounter.
RAI Clinical ResearchThe Workload Doesn't Disappear, It Shifts
Many physicians report spending nearly as much time reviewing, correcting, and rewriting an AI scribe's draft as they would have spent charting themselves. If you still have to proofread, edit, and repair the note, the time supposedly "saved" was never really saved — it was just moved later in the day.
Physician-reported documentation burden research, 2025Patients notice the recording — and it changes the room
Beyond legal consent requirements, many patients report discomfort or hesitancy discussing sensitive topics when they know a third-party AI is actively recording and transmitting the conversation. This "consent fatigue" can subtly change what patients are willing to share — directly affecting the quality of the history you're able to take. Medicine is built on trust. Your AI should protect the physician-patient relationship — not complicate it.
Patient trust & disclosure research, 2025Medical Specialty
Leading AI EHR Software for Medical Providers
Streamline your practice with our advanced EHR system, designed for accuracy, efficiency, and better patient care.
Financial Benefits
Praxis has improved the quality of medicine I practice while respecting the way I practice. It keeps my practice running more efficiently every day. I estimate small practices will make hundreds of thousands of dollars more if they use Praxis.
Dr. Steven McKenzie
Family Practice
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Increases in Revenues0
BonusPraxis RAI for your Specialty
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Testimonials
Clients who love our
“ I must tell you Praxis is awesome in real time. The power and scope of functionality renews my excitement and enthusiasm in my practice of medicine. ”
John Davis, M.D.
Family Medicine“ I'm a big fan of the features of Praxis EMR. The template-free design, fast documentation, reporting tools, chart dictation, and scanning capabilities all within one program make it easy to work with. ”
Jose Victor Castellanos, MD, PLLC
Internal Medicine“ Praxis means better care for the patients, in a cost- and time-efficient manner; it means better medicine for everyone, patient and doctor alike. ”
Heidi Heras M.D., PC
Otolaryngology“ I went through a number of EHR programs and nothing met my needs like Praxis EMR. The program is the absolute best at tailoring notes to your practice; Praxis notes very easy to modify or add to. I have tailored my chart note in order of how I document/to my flow of treatment.”
Dr. Brigette F. Kuhn
Podiatry“ PRAXIS dramatically improves my quality of care...the satisfaction of my patients, and the satisfaction of my colleagues to whom I refer my patients. And...the efficiency and effect on my bottom line is darn impressive. ”
Daniel Griffin, M.D.
Internal Medicine“ Praxis is the most wonderful EMR out there because it allows you to practice medicine the way you want to practice it. Praxis allows me to create a method with which I want to treat patients. It allows the other providers to have their own protocol, but at the same time it allows us to cooperate. ”
Dr. Stephen Hsieh
Internal MedicineStill using a Template EHR System?
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