PAM is a documentation co-pilot for OB/GYN practices. It reads your charts as you write them, flags the codes and modifiers you missed, and shows you the revenue your EHR didn't. Built for eClinicalWorks. Built by an OB/GYN.
Most OB/GYN practices leave 4–7% of collectible revenue on the table every year. Not because anyone is doing anything wrong — because the system that records the visit is not the system that prices it.
You didn't shortchange the patient — you shortchanged yourself. Across a year, that's $32K per provider in revenue you already earned.
Your biller catches some of these. Most slip through. The single highest-volume "easy money" miss in OB/GYN.
By the time the denial lands on your front desk's queue, the fix is five times more expensive than catching it pre-bill.
PAM sits next to your eClinicalWorks chart. As you document, it parses your note in real time. Nothing to install on patients' devices.
Missed E/M level. Missing modifier. Procedure documented but not coded. Each suggestion shows the exact text in your note that backs it up.
One click to accept, edit, or dismiss. The suggestion log becomes an audit trail — every code is grounded in your own words.
Real-time E/M level suggestions, grounded in the note you already wrote. Most practices see the largest revenue lift here in the first 30 days.
Same-day procedure + E/M visits flagged automatically. The highest-volume "easy money" miss in OB/GYN.
Pre-bill review built into your existing eCW workflow. No new queue, no extra step for your biller.
PAM lives inside the chart you already use. If Brett wouldn't open it during a 10-minute visit, we wouldn't ship it.
I'm Brett — I'm an OB/GYN in private practice. Last year I sat down and added up every visit where I had done the work, documented the work, and gotten paid for less than the work. It was enough to hire another medical assistant.
Not because I was sloppy. Because the EHR I use every day was never designed to price what I do — only to record it.
I called Max. We started building PAM the next week. PAM is the tool I wished I had every Tuesday afternoon when I'm trying to close 18 charts before I pick up my kid.
If you run a small OB/GYN practice, PAM is built for you specifically. We'd like to talk to you.
Every code is a suggestion. You accept, edit, or dismiss. PAM never writes back to your chart without your click.
If your note doesn't support the code, PAM doesn't suggest it. Every suggestion comes with the exact chart text behind it. Audit-ready by design.
SOC 2 in progress. PHI never leaves the environments you already trust.
We don't take a percentage of your collections. Flat per-physician monthly subscription. We win when you keep more of what you already earned.
Don't see yours? Email hello@notivamed.com. One of the two of us answers.
Free 90-day chart audit. Founding pricing locked for two years. A direct line to Brett and Max — not a support queue.