Sigil
Psychiatry · EHR
For psychiatrists & PMHNPs · solo to mid-size group
Measurement-based care, controlled-substance tracking, Stanley-Brown safety plans, MSE-aware AI scribe, and Epic-grade revenue capture — purpose-built for prescribers. Onboard in under a day. Cancel anytime.
No credit card required · HIPAA-compliant · BAA on request
MIPS-134 / 107 / 411
Behavioral health quality measures, scored in-app
22
Specialty packs ship in the platform; psych is fully featured
100%
Time-based CPT compliance for 90832 / 90834 / 90837
< 1 day
Average onboarding for a solo prescriber
Most psych software stops at scheduling and a notes textbox. Hospital EMRs bury MSE, PMP attestation, and Stanley-Brown safety plans behind a dozen clicks. We put the things a prescriber needs in the first 30 seconds of a chart on the first 30 seconds of a chart.
What's in the box
PHQ-9 and GAD-7 trends with response (≥50% drop) and remission (<5) flags right on the patient summary. Every score saves to the longitudinal record — no Excel sheet on the side.
Six-step safety plan editor purpose-built for behavioral health: warning signs, internal coping, social distractions, contacts, professionals, and means restriction. Append-only revision history for clinical and legal review.
Active C-II through C-V prescriptions in one panel with schedule chips, days-supply totals, refill cadence, and a one-click PMP review attestation. Stale-query nudges turn yellow at 90 days.
All four behavioral-health instruments ship in the pack with proper bands, severity colors, and CPT-aware suggestions. Score → save → it's on the chart and it counts toward MIPS-134, MIPS-107, and MIPS-411.
Dictation produces SOAP, DAP, BIRP, or psychiatric-intake notes in the requested format. The scribe is hard-prompted to include a complete Mental Status Exam and to surface explicit suicide-risk stratification when the dictation references SI/HI.
90832 (30 min) / 90834 (45 min) / 90837 (60 min) with the time-bound rules baked into the encounter form. Add-on E&M psychotherapy (90833/36/38), family (90846/47), group (90853), and crisis (90839/40) all pre-loaded.
HCC recapture (chronic dx with $/RAF estimate), 2021 E/M MDM calculator, ICD specificity prompts, modifier capture (–25, –95, –GT), and claim scrub — every dollar Epic catches, this catches.
Crisp typography, ⌘K patient palette, premium toasts, route transitions, sparklines, animated counters. Looks like an EMR that won't make you want to quit medicine.
Pricing
All plans include the full psychiatry pack, AI scribe, and revenue-capture suite. The only thing that changes is seat count and support tier.
All plans HIPAA-compliant · BAA included · US-based hosting · Data export on demand
Not yet. EPCS requires DEA-credentialed identity proofing and a separate vendor integration. We're building it as a Q3 add-on. Meantime, the EMR captures the full e-prescription record so paper / fax workflows stay intact.
Yes. Bulk FHIR R4 import for Patient, Condition, AllergyIntolerance, and MedicationRequest is built in (drag-drop NDJSON at /admin/import). Notes and historical encounters import as PDF documents on the timeline.
DAP and BIRP note formats ship in the pack with the structural separation psychotherapy notes require. The scribe is prompted not to include direct quotes or session play-by-play in therapy notes.
Sigil is an independent psychiatry-first EMR built by clinicians, out of Dubuque, Iowa. The platform was originally built for a $100M, 32-provider multispecialty clinic (Sigil, since 1924) and is now offered as a standalone vertical for psych practices.