What is Cagnea?

What it does

Audio in. Signed note out.

Cagnea sits quietly in the background of your visit. The moment you stop talking, a structured chart is waiting — already aware of your specialty and your billing rules.

01

You talk to your patient

02

Cagnea structures it

AI

Chief complaint
HPI
MDM
Re-eval
Plan
ICD-10

03

You get a signed-ready note

S Subjective

O Objective

A Assessment / Plan

I21.19 R07.9 MDM · High

How your day changes

7 PM, before vs after Cagnea.

Drag the slider. Same physician. Same patient load. Different ending.

Inbox · 7:02 PM All charts signed

✓ 34 patients · all signed off

✓ 0 charts in draft

✓ 0 unread results queue

✓ 0 RVU corrections pending

Inbox zero

After Cagnea · home by 7:15

Inbox · 7:02 PM 23 charts pending

! 14 charts in draft, awaiting MDM

! 9 attestation requests overdue

! 6 results unread, 2 critical

! Coding queries from billing × 4

! "Quick chart fix" Slack from QI

Last note: Patient #19. 15 to go.

Before · still here at 9 PM

‹›

Built for your specialty

One scribe. Every chart style.

Cagnea morphs to how your specialty actually documents. Click a tab — watch the same engine produce a chart that fits the room you're in.

Emergency Medicine

Chest pain, 2 hours, radiating to left arm

99285 · High complexity MDM

S HPI

58 y/o male presenting with substernal chest pain that began 2 hours ago while at rest. Pain rated 8/10, pressure-like, radiating to left arm. Associated with diaphoresis and shortness of breath. No prior cardiac history. Denies recent trauma.

O Objective

BP 162/94 · HR 102 · SpO2 96% RA · ECG: 1mm ST elevation in II, III, aVF

P Plan

Activate cath lab. ASA 325mg PO. Heparin bolus. Cardiology consult bedside.

Family Medicine

Annual well visit, no acute concerns

99396 · Preventive medicine

S HPI

47 y/o female presenting for annual physical. Reports good general health. Following Mediterranean diet, walking 4x/week. Last labs 14 months ago. No new medications. ROS negative except mild seasonal allergies in spring.

O Objective

BP 118/74 · BMI 24.1 · A1c (last) 5.4 · LDL 108 mg/dL

P Plan

CMP, lipid panel, A1c. Mammogram referral. Td booster today. Return in 12 months.

Cardiology

Follow-up post-stent, 3 months

99214 · Established patient, moderate

S HPI

Patient is 3 months s/p drug-eluting stent placement to LAD. Reports good exercise tolerance, climbed two flights of stairs without chest pain or dyspnea. Compliant with dual antiplatelet therapy. No bleeding events.

O Objective

BP 124/78 · HR 64 · LVEF 55% (post-stent echo) · No new murmurs

P Plan

Continue ASA + ticagrelor through 12-month mark. Statin titration. Stress echo at 6 months.

Pediatrics

4-year-old well-child check + behavior questions

99393 · Preventive, age 1–4

S HPI

4-year-old female brought by mother for routine well-child visit. Mother reports recent tantrums during transitions and difficulty with sleep onset. Eating and growth on track. Up to date on immunizations. Speaking in full sentences, identifies colors and shapes.

O Objective

Wt 36th %ile · Ht 52nd %ile · Vision/hearing screen passed · Dev screen WNL

P Plan

Anticipatory guidance re: bedtime routine. Discussed tantrum redirection. DTaP, IPV, MMR boosters today. Return at age 5.

The numbers

What that looks like at scale.

0 %

Approval rate without edits

across thousands of encounters

< 0 m

From encounter to signed note

beat the EHR back to your desk

0 x

Faster than manual charting

measured against scribe baseline

0 +

Specialties supported

ER, FM, Cardiology, Peds, more

A day in the life

Pick a moment in your shift.

Click any time on the timeline. Cagnea is doing the documentation work in the background so you can stay where the medicine actually happens.

07:00 — Sign-on

Coffee, not catch-up

Last night's charts were already signed on the way out. You walk into shift with a clean inbox and a fresh census — not a backlog.

10:14 — Mid-morning rush

Eyes on the patient

Cagnea is listening from your phone. You make eye contact, you examine, you talk. The structured note is being assembled in the background.

13:02 — Lunch

You actually eat it

No "I'll just finish a few notes." There's nothing to finish. Notes are signed-ready as soon as the encounter ends.

16:30 — High-acuity case

Documented like an attending should be

Complex MDM, all three E/M complexity pillars captured. ICD-10 codes match the clinical picture. Billing is finally accurate to the work you did.

19:00 — Sign-off

Home by 7:15

Inbox zero. No charts in draft. No "I'll finish them tomorrow." Your evening is yours again — exactly the way it was supposed to be.

Why it matters

Three things Cagnea protects.

01

Your attention

Documentation pulls your gaze toward a screen. Cagnea pushes it back to the patient — and patients can tell the difference.

02

Your billing

Under-documented MDM means under-coded charts. Cagnea writes the chart that matches the work you actually did, not a tired summary of it.

03

Your evening

Burnout isn't a personality flaw — it's a consequence of "pajama time" charting. We took the keyboard out of your kitchen.

Safe for your practice

Built like patient data is sacred — because it is.

AES-256

Encrypted at rest & in transit

Every byte of audio and chart data is protected end-to-end. Your patients' words never travel in the clear.
0-day

Zero data retention

Recordings are deleted the moment they're processed. Notes auto-purge after 14 days. Nothing lingers.
PHI

Never used to train models

Your patients are not training data. We do not feed PHI into any large language model fine-tuning pipeline.
BAA

HIPAA, signed and ready

Business Associate Agreement available out of the box. Compliance officers sleep at night, and so do you.

Cagnea is the AI scribe that gives you
your evening back.

Audio in. Signed note out.

7 PM, before vs after Cagnea.

One scribe. Every chart style.

Chest pain, 2 hours, radiating to left arm

Annual well visit, no acute concerns

Follow-up post-stent, 3 months

4-year-old well-child check + behavior questions

What that looks like at scale.

Pick a moment in your shift.

Coffee, not catch-up

Eyes on the patient

You actually eat it

Documented like an attending should be

Home by 7:15

Three things Cagnea protects.

Your attention

Your billing

Your evening

Built like patient data is sacred — because it is.

Encrypted at rest & in transit

Zero data retention

Never used to train models

HIPAA, signed and ready

Get your evening back.

Cagnea is the AI scribe that gives youyour evening back.

Audio in. Signed note out.

7 PM, before vs after Cagnea.

One scribe. Every chart style.

What that looks like at scale.

Pick a moment in your shift.

Coffee, not catch-up

Eyes on the patient

You actually eat it

Documented like an attending should be

Home by 7:15

Three things Cagnea protects.

Your attention

Your billing

Your evening

Built like patient data is sacred — because it is.

Encrypted at rest & in transit

Zero data retention

Never used to train models

HIPAA, signed and ready

Get your evening back.

Cagnea is the AI scribe that gives you
your evening back.