Tacit Scribes

Tacit Scribes is a Washington, DC-based medical scribing and back office outsourcing company built exclusively for ophthalmology and optometry practices. Founded in 2022 by Hubert Pham, MD, MS, a practicing ophthalmologist in Northern Virginia, the company grew out of a real problem: physicians losing 90 or more minutes per day to documentation after clinic. The result is a focused outsourcing service that pairs eye-care practices with specialty-trained virtual scribes, helping clinicians reclaim those hours and see more patients without extending their day. The core offering is dedicated virtual scribing delivered live inside a practice's existing EMR via Zoom. Scribes document slit-lamp findings, IOP measurements, injection records, and surgical plans in real time, covering the full range of ophthalmic and optometric visit types. Beyond live charting, Tacit Scribes provides chart preparation before each encounter, so the scribe enters the room already familiar with the patient's history. The team also supports MIPS compliance, tracking QPP performance scores and building documentation that helps practices avoid payment penalties. Supported platforms include Nextech, ModMed, NextGen, EyeMD, Medent, and Doctorsoft. Tacit Scribes serves ophthalmology and optometry clinics across the United States. It is not a generalist back office provider or a staffing agency that rotates scribes between specialties. Every scribe completes an internal program called the Tacit Residency before their first shift, covering ophthalmic terminology, ICD-10 coding, and the specific EMR workflow and visit templates of the practice they are joining. On the operational side, scribes are selected from the top 0.5% of applicants, and clinical experience is required. The applicant pool draws from licensed nurses, pharmacists, and allied health professionals. HIPAA Business Associate Agreements are included as a default, and onboarding from initial discovery call to going live takes approximately two weeks. The company operates without long-term contracts, operating on a month-to-month model. Ophthalmology and optometry practices interested in outsourcing their clinical documentation can start with a two-week free trial, no credit card or long-term commitment required. Contact Tacit Scribes to schedule a discovery call and see whether the service fits your practice's workflow.