Exam Xoom puts your clinical work first: fast, flexible charting built for how you actually examine and document. And because you run the practice, the business side is right there when you want it: what you're owed, at a glance. Billing serves you here, instead of dictating how you chart.
The big platforms are overbuilt and expensive, and they charge you more every time you add a provider. The "all-in-one" tools bury basic features behind higher tiers and make you request a quote just to see pricing. Either way, small practices end up paying enterprise prices for software they half-use.
Exam Xoom was built by a clinician who needed something better and simpler — and then ran a real practice on it for years before offering it to anyone else. It's made for the way small offices actually work.
Most EHRs are billing systems with a charting screen stapled on. You feel it every visit — documentation shaped by what the biller needs, codes and modifiers crowding out clinical thinking, your exam findings squeezed into fields designed for a claim form.
Exam Xoom flips that. The documentation is the priority, designed for the way you examine, assess, and plan care. And here's what good documentation actually does for you: when your notes clearly show patient progress and medical necessity, you don't just deliver better care — you get reimbursed for it. Strong records are what hold up when a payer asks why care was needed, and they're the difference between a claim that's paid and one that's questioned.
And billing isn't hidden away either: as a practice owner, you want to see what you're owed, so it's right on your dashboard, under the day's schedule where it belongs. The point was never to bury billing: it was to stop billing from dictating how you document. Your notes come first. Your business is right behind them.
Fast, flexible charting shaped around your exam and your workflow — not a claim form.
Findings, assessment, and plan captured cleanly — clearly demonstrating medical necessity and how the patient is improving.
Notes that prove progress and necessity support cleaner claims, fewer denials, and records that hold up to review.
Record the encounter — Exam Xoom transcribes it and drafts your SOAP note automatically. You review, refine, and sign. Less time on documentation, more time on care.
Patients complete history and paperwork before they arrive. Less front-desk work, cleaner data, faster visits.

Build your own questionnaires and exam templates. Chart the way your practice works instead of forcing your workflow into a generic template.

Generate claims, submit electronically, and reconcile EOBs — with personal injury, workers' comp, and Medicare workflows handled.
Patients view treatment plans, access their records, and pay bills online — without tying up your front desk.

Show patient progress in a format patients understand and payers respect. Demonstrate medical necessity, document improvement over time, and give third-party payers exactly the evidence they need to approve care.
Customize the documentation to your practice instead of bending your practice to the software.
Exam Xoom records and transcribes your encounter in real time, then uses AI to generate a structured SOAP note draft — which you review, refine, and sign. Documentation that once took 10 minutes now takes 90 seconds.
Start the recording from any charting screen. The encounter is captured in real time — you stay focused on the patient, not the keyboard.
Exam Xoom transcribes the audio and feeds it through the AI — pulling out the subjective complaints, objective findings, assessment, and plan.
A draft note is generated and linked directly to the visit. Edit anything, approve what's right, and sign — no starting from a blank field.
AI drafts, you decide. Every note is yours to edit and sign. Each entry is auditable and tied to the practitioner of record.
"Patient reports left knee pain worsening over the past two weeks, rated 7 out of 10, worse with stairs and prolonged sitting. No prior surgery. Lachman's test negative. Range of motion limited to 110 degrees of flexion."
S: Pt c/o L knee pain × 2 wks. Pain 7/10, aggravated by stairs and prolonged sitting. No prior surgical history.
O: Lachman's test negative bilaterally. L knee ROM: flexion limited to 110°. Extension WNL.
A: Left knee dysfunction with restricted ROM and pain on weight-bearing activity.
P: Continue conservative care; reassess ROM in 1 week.
Exam Xoom ships with a deep, searchable library of questionnaire questions, clinical tests, and procedures — and you can browse it right now. It's the documentation backbone that makes charting fast and reimbursement defensible.
Search a ready-made bank of intake and history questions, or use them as the starting point for your own custom forms.
Search questionsBrowse a catalog of orthopedic and clinical tests to drop into your exams — standardized, documented, and ready to score.
Search testsLook up procedures to document and bill, mapped cleanly to the records that support medical necessity.
Search proceduresYour clinical work leads; your billing follows. Charting is built around how you examine and document, and the business view you need as an owner, like what you're owed, is right there too: serving you, not steering you.
Your notes do double duty: better care and stronger reimbursement. Records that clearly show progress and medical necessity mean cleaner claims, fewer denials, and defensible documentation when payers come asking. Billing is fully integrated and flows right out of it.
One flat rate per clinic for up to three providers — no per-seat fees that punish you for growing, and no "contact sales for a quote." You'll see the price right here on the page.
We migrate your patient data, records, and insurance info securely and encrypted. Moving off your old system is the hardest part — so we handle it.
I'm a practicing chiropractor and an engineer. Before chiropractic school I earned a degree in engineering physics and worked as a broadcast engineer, and I've been in practice since graduating in 2000.
I built Exam Xoom because I wanted an EHR that was easy to use in a small practice, and one that helps me check my diagnosis against what the exam actually shows. I've run my own clinic on it for three years. When you call for help, you're talking to the person who wrote it.
| Exam Xoom | Generalist platforms | Enterprise systems | |
|---|---|---|---|
| Designed practitioner-first, not billing-first | ✓ | ✕ | ✕ |
| Documentation built to support reimbursement | ✓ | Sort of | ✓ |
| Made for small practices | ✓ | Sort of | ✕ |
| Flat pricing, no per-provider fees | ✓ | ✕ | ✕ |
| Built & used by a practicing clinician | ✓ | ✕ | ✕ |
| Free data migration | ✓ | Add-on | Add-on |
| AI visit transcription & SOAP note drafting | ✓ | ✕ | Add-on |
| Transparent pricing on the website | ✓ | ✕ | ✕ |
Built for small practices — up to three providers on a single flat monthly rate. No per-provider fees, no quotes, no sales calls. The price is right here.
More than three providers? Let's talk — we'll work out a plan that fits a larger practice. Get in touch →
A 15-minute demo. No pressure, no script. We'll show you exactly how it works and answer anything you want to ask.
You'll reach the person who built it — not a sales team.