Chiropractic Software With AI: Which Features Are Genuine?

Two chiropractic systems have clearly documented AI features on their own pages: ChiroTouch, through its Rheo AI scribe and charting tools, and Jane, through its AI Scribe add-on. Most other claims are looser. A feature is genuine when the vendor can show it filling your notes, in your template, with you reviewing the result.

That test sorts the field faster than any feature list, because "AI-powered" is easy to print and hard to demo. A quick example: at a demo, dictate a messy two-minute visit into your own SOAP template. A vendor that can only play a pre-recorded clip has told you what you need to know.

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What ChiroTouch actually lists

ChiroTouch's home page leads with Rheo, which it describes as the thing that lets you speak naturally during an exam so that it captures and structures a SOAP note. Alongside that, the page names several other AI-flavoured features. In plain terms, the ones I would separate are these.

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• AI Scribe and charting. Speak during the exam; Rheo structures the note. The page also lists custom SOAP templates, smart macros that fill relevant fields, and digital intake that flows into the SOAP note.
• Scheduling by natural language. Create, adjust and reschedule appointments by typing or saying what you want, rather than dragging blocks.
• Compliance Scan. Flags missing documentation before a claim goes out. Read this as a checker on your notes, not a writer of them.
• Intake summarisation. On the pricing page, digital intake comes with an AI summary.

The page also carries performance figures, such as a reduction in after-hours charting time and up to 92 per cent less documentation time. These are the vendor's own numbers, drawn from its customers, and results "may vary by specialty, market, payer mix, and clinic operations", as its footnote says. Treat them as a reason to run your own one-week trial, not as a forecast.

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Which ChiroTouch plan carries which AI

The pricing page, as I read it, groups the AI features by plan rather than by price. Dollar prices are not published; you ask for a demo.

So "ChiroTouch has an AI scribe" is true, but if you want the scribe itself you are looking at the middle tier or above. The entry plan has what the page calls basic AI charting. Ask what basic means in a demo.

What Jane publishes about its AI Scribe

Jane takes a different approach. Instead of baking the scribe into a tier, it is an add-on that any plan can have. From Jane's own pages:

• Every plan includes AI Scribe Free, with five notes a month at no cost.
• AI Scribe Unlimited is $15 a month per opted-in practitioner on the pricing page. Jane's help page says the price varies by region, so check what your account shows.
• It is managed per staff member: a full-access user can turn it off for anyone, or change a person between free, unlimited and none. A microphone icon appears in the charting area for those who have it.
• You can record a session live or dictate after the session, and Jane describes templates and prompts you can set up, including a global prompt that shapes every note.
• If you start unlimited mid-month, the charge is prorated.

That per-practitioner switch is useful in a clinic with three chiropractors where only one wants the scribe. You pay for one seat, not all of them. The free tier also makes a safe trial, since five real notes is enough to see whether the output suits your style.

For a deeper look at Jane's booking and scribe together, there is a separate tutorial on Jane for chiropractors, and a head-to-head in Jane against ChiroTouch for a small clinic.

A system with no AI named: ChiroHD

I looked at ChiroHD's home page as a contrast. It describes scheduling with text reminders, drag and drop and bulk scheduling, patient app check-in, and charting with custom smart macros and trends over time. It does not name an AI scribe in the text I read. That does not mean it lacks one, and a page can lag the product. It does mean you should not assume. If a software you like does not mention AI, ask the sales contact: "Do you have an AI scribe, and is it your own or a partner's?" The answer, and how fast it arrives, tells you where the product is.

A ten-minute test that separates real from marketing

Take this to every demo. It costs the vendor nothing to run if the feature is real.

1. Ask for your template, not theirs. Give them your usual SOAP layout or paste a sample of your own note headings. A real scribe fills your fields. A marketing scribe produces a generic paragraph.
2. Speak a messy, realistic visit. Include an interruption, a patient saying "it's not my neck, it's more across here", and a plan you change halfway. See whether the note keeps the correction.
3. Count clicks after the note appears. From the scribe's finished text to a signed, billable note, how many steps? If you must copy and paste, add that to the time.
4. Check billing flow. Does the note's treatment detail feed the charge entry, or are they separate? ChiroTouch's page claims treatment details flow to billing and claims; ask them to show it.
5. Look for the wrong thing. Ask the presenter to point out an error the scribe made last week and how a clinician catches it. A vendor who cannot name one has not looked.
6. Ask where audio and text go. Retention, processing region, whether recordings are kept, whether a business associate agreement is available where relevant.

A worked comparison for a three-chiropractor clinic

Illustration only. Take a clinic with three chiropractors, each seeing about 24 patients on a working day, and a front desk of two. One chiropractor spends around 90 minutes after clinic finishing notes; the other two spend about 40.

Option A, Jane with AI Scribe Unlimited for the 90-minute clinician only: $15 a month for one seat. If the scribe cuts her after-hours time by half, that is 45 minutes a day, roughly 15 hours across a 20-day month, for $15. Even if correction time halves that saving, it comes out at a few cents a minute.

Option B, ChiroTouch at the middle tier for all three: prices are by quote, so the clinic needs the number before comparing. The AI scribe is shared by all three and sits alongside scheduling, billing and recall in one system. The extra cost only makes sense if the clinic would otherwise change its EHR anyway.

The sensible way to compare is not feature against feature but total cost per month against hours given back. If your present EHR is fine and only notes hurt, a per-seat add-on is the cheaper experiment. If the EHR is old and the clinic is already shopping, the integrated version removes a handoff. If you are leaning to switch, the data export checklist for chiropractors comes first.

Marketing phrases and what to ask instead

Rules-based automation is not worse. A reminder that goes out the day before and works every time is more valuable than a clever assistant that works most days. The point is to know which you are paying for.

Three misses to expect, whichever tool you pick

Laterality and levels. An illustrative one: you say "tenderness at C5-6 on the left", the draft says "right". A scribe cannot see the patient. The fix is a habit of reading the objective section first, because that is where wrong-side and wrong-level errors do harm.

The invented normal. You never tested reflexes. The draft includes "reflexes normal" because most templates do. Strip default-normal text from your template or have the tool leave a field empty when nothing was said.

Plan drift. You decide on three visits a week then change to two. The final note records both. Read the plan last and compare it with what you told the patient.

Consent and data: do this before the first recorded visit

Whatever tool you use, a recording or transcript of a consultation is health information. Tell patients before you start in plain words, offer an opt-out that does not affect their care, and record the consent in the chart. Read the vendor's data terms and ask whether audio is stored or deleted after the note is created. Jane, for example, has a clinic-wide recording deletion policy in its AI Scribe settings with three choices: keep recordings indefinitely, delete them as soon as a chart draft is generated, or delete them after a set number of days. Its guide says a newly enabled account defaults to deleting straight after generation. Whatever your tool, find the equivalent setting, choose on purpose, and say what you chose in your privacy notice. In places where a business associate agreement applies to your practice, get it signed before real appointments, and do not use free general chatbots for patient information. The tutorial on consent and data checks before recording goes through the wording and the checks line by line.

A one-week trial you can run yourself

Here is a filled-in trial sheet. Copy it into a spreadsheet.

Clinician: [first name]      Tool: [name]      Week of: [date]

Baseline week (no scribe)
Mon-Fri: minutes of charting per day (during clinic + after hours): ___ ___ ___ ___ ___
Average minutes per patient: ___

Trial week (scribe on)
Mon-Fri: minutes of charting per day: ___ ___ ___ ___ ___
Notes needing a correction: ___ of ___
Corrections by type: wrong side/level ___ | invented normal ___ | missing detail ___ | tone ___
Patients who objected to recording: ___

Decision (circle): keep / keep for one clinician only / stop
Reason in one line: ______________________

Decide on the numbers, not on how it felt, because a scribe feels faster than it is when you skip checking.

Writing the instruction that shapes every note

Jane describes a global prompt and per-template prompts for its scribe, and most scribes have something similar. A vague instruction gives vague notes. Here is an illustrative global prompt for a chiropractor, followed by the kind of output you should expect and what to change.

Write in first-person clinical shorthand, past tense, in four headings: Subjective, Objective, Assessment, Plan.
Only record findings I state aloud. If I did not mention a test, leave it out; never write "normal" or "negative" unless I said so.
Always keep side (left/right) and spinal level exactly as spoken.
Keep patient quotes in quotation marks.
List the treatment given and the home advice as separate bullets.
If anything is unclear, write [CHECK] instead of guessing.

Illustrative output from a spoken summary about a patient with mid-back pain:

S: Mid-back pain x 2 weeks after lifting boxes. "Worse when I turn to the left." No pins and needles reported.
O: Tenderness T6-8 paraspinals, left greater than right. Restricted rotation to left. [CHECK] neurological screen not stated.
A: Mechanical thoracic strain.
P: Manual therapy T6-8. Heat advice. Review in one week.

What you would fix: the [CHECK] flag is doing its job, because you did the neurological screen and forgot to say so. Add the findings by hand. "Left greater than right" is correct only if you said it; confirm. A good prompt trades a few flagged gaps for fewer invented details, which is the right trade in a clinical record.

Before and after: a note with an invented normal

Without an instruction against defaults, a scribe often completes the pattern a template implies. Here is an illustrative before and after.

Spoken: "Lumbar tenderness left L4-5, limited flexion, straight leg raise on the left reproduces buttock pain. Plan, adjust, ice, see Friday."

Draft with no safeguard
O: Lumbar spine tender L4-5. Flexion limited. SLR left positive. Reflexes normal. Sensation intact. Muscle strength 5/5.

Corrected
O: Lumbar spine tender left L4-5. Flexion limited. SLR left reproduces buttock pain. Reflexes, sensation, strength not tested today.

The "reflexes normal, sensation intact, strength 5/5" line looks professional and would read well to a reviewer, which is exactly why it is dangerous. If it goes into a record, you have documented tests you did not perform.

Questions to put to any vendor in writing

After the demo, send the questions by email so the answers are on file. A short template:

Subject: Questions after our demo

Hello [first name],

Thanks for the demo. Could you confirm in writing:
1. Which AI features are included in the plan we discussed, and which cost extra?
2. Does the scribe write into our own SOAP template fields, or produce text we paste?
3. Is audio kept after the note is created? If so, for how long and where?
4. Which company's model processes the audio and text, and is any of it used for training?
5. Can we switch the scribe on for one clinician and off for others?
6. What is the price per clinician, and is there a minimum term?

Kind regards,
[your name]

If a vendor will not answer question 4, that is an answer. Compare replies across vendors in a simple table with a column per vendor; the pattern jumps out quickly.

A worked choice for a solo chiropractor

Illustration. A solo chiropractor sees around 18 patients a day, uses a long-established EHR with no AI, and finishes notes at home for about 50 minutes each evening. She has three paths.

• Stay and add nothing. Cost zero, evenings stay long.
• Stay and add a separate scribe. A per-clinician subscription. Good if it writes into her template; poor if she copies and pastes each note. At 18 notes a day, pasting adds up fast.
• Move to a system with a built-in scribe. A bigger change with data migration, retraining and a week of slower days, but no handoff afterwards.

Her first step is cheap: ask her current vendor whether a scribe or partner integration exists, then run the one-week trial from the sheet above on the free tier of a scribe she can test. Only if the numbers show a saving of at least 20 minutes a day, after checking, does she shortlist a move. The cost of testing is a week, and the data told her the answer.

What to do with the front-desk side

The front desk does not need the scribe, but the same questions apply to texts, recalls and reviews. ChiroTouch lists automatic recall and review requests in its middle tier and AI review replies at the top tier, and Jane's top plan, Thrive, lists return-visit reminders and automated waitlist management. Before paying for a higher tier to get one feature, check whether your current plan already has a rules-based version that does the job. For many clinics, a recall that fires at six weeks matters more than any AI wording around it. The wider list of jobs worth giving to a machine is in which admin jobs to start with.

A four-week rollout once you have chosen

Adopting a scribe in a clinic is a habit change, so stage it. This is the order I would use in a three-practitioner clinic, with the reasoning attached to each week.

• Week one: one clinician, five patients a day. Choose the person who complains most about charting, because they will notice failures and care about fixing them. Keep their old way available so a bad day does not stop the clinic.
• Week two: all of that clinician's patients. Tally corrections by type. Update the global prompt after each pattern you see, for example "never write normal unless I say it".
• Week three: a second clinician. Ask them to use their own template, not the first person's. Different templates expose different failures, and you want those found before everyone depends on it.
• Week four: review. Compare time sheets, corrections and patient comments. Decide who keeps it, and who does not need it. Not every clinician benefits: someone who already types fast notes in macros may save little.

Put a short line on your intake form and at reception: "Your clinician may use an AI note-taking tool during your visit. You can ask them not to." Reception staff need a two-sentence answer ready if a patient asks where the recording goes. If the front desk cannot answer, the clinic is not ready, whatever the software can do.

Finally, write down the day you will review the choice again. Features, plan names and prices on these vendor pages change, and a scribe that was weak in autumn may be good by spring. A diary entry six months out costs nothing.

Where the AI sits around the EHR rather than in it

Several clinic jobs sit outside the chart: answering the phone, texting lapsed patients, drafting review replies. Some EHRs bundle them, others leave them to separate tools. If you are weighing a phone assistant, what an AI receptionist costs a chiropractic office sets out the sums, and re-engaging patients who have drifted away is a job you can start with AI-drafted messages and no special software at all. Those two jobs often give a clearer payback than the scribe, so do them in the order your own time sheet suggests.

Questions chiropractors ask about AI in their EHR

Is an AI scribe the same as dictation?

No. Dictation turns your speech into text word for word. An AI scribe listens to a conversation or your summary and writes structured notes, such as a SOAP note, in your template. It can also get things wrong, so you still read and correct every note before signing.

Do I need a separate scribe app if my EHR has none?

Not always, but check the integration carefully. Third-party scribes often paste text rather than fill fields, and some do not write back at all. Ask for a live demo into your own templates and count how many clicks the note needs afterwards.

Can I trial an AI scribe without risking patient data?

Use the vendor's free or trial tier with a few consenting patients, or with role-play notes. Do not paste real records into a general chatbot. Confirm the vendor's data terms and any business associate agreement before using it on genuine appointments.

How should I measure whether the scribe is working?

Time one week of charting before and one week after, counting minutes per patient and after-hours minutes. Add a tally of corrections you made per note. If correction time eats the saving, the tool is not helping that clinician.

Further reads

• AI Scribe for Chiropractors: Chiro Tools vs Heidi and Jane — A closer comparison of scribe tools for chiropractors.
• AI Scribe Costs Compared: What Small Clinics Pay in 2026 — AI scribe prices across several small-clinic tools.
• ChatGPT for Chiropractors: What Is Safe Without a BAA? — What is safe to put in ChatGPT without a signed agreement.
• AI Scribe Security: Audio, Retention and BAA Vendor Questions — Audio, retention and agreement questions for scribe vendors.
• AI SEO for Chiropractors: Local Pages and Showing Up in AI Answers — Search and review work that sits outside the EHR.
• How to Roll Out an AI Scribe Without Losing Patient Trust — Introducing a scribe without losing patients' trust.
• Chiropractic Reactivation: AI-Drafted Messages to Lapsed Patients — Win-back messages for patients who have drifted away.
• AI-Generated SOAP Notes for Chiropractors: A Review Checklist — A visit-by-visit checklist for catching invented findings, missing details, copied plans and weak edit trails in chiropractic notes.
• AI Tools and AI Development: The Complete 2026 Guide — the AI hub, including every tutorial in the AI-for-business series.

Sources: ChiroTouch home and pricing pages, Jane pricing page and AI Scribe guides (access management, recording deletion policy), and the ChiroHD home page (viewed 4 November 2026). Vendor performance figures are the vendors' own.