Documentation quality platform for emergency medicine

Notes that hold up, done before your shift ends.

We’re built by emergency physicians to construct your note from triage to dispo, validate documentation against clinical guidelines, and ensure you’re fairly reimbursed for the care you delivered.

Summary
Chief Complaint

Cough and shortness of breath

HPI

History of asthma presenting with non-productive cough and shortness of breath for two days, worse at night. Denies fever, sick contacts, or prior DVT.

MDM
MEDICAL DECISION MAKING

This 34-year-old male with a history of asthma presented with cough, shortness of breath, and left chest wall pain, with left calf pain and mild swelling after recent yard work. Exam revealed bilateral expiratory wheezing and a positive Homan sign. Given the calf swelling and pleuritic pain, pulmonary embolism was considered and worked up.

High-Risk Dx: Thromboembolic process possible i
acute dyspnea; pleuritic pain or syncope; unilateral chest pain; tachycardia or hypoxia
Recommendations i
1

Explicitly document all PERC criteria to establish low-risk status: age, HR, SpO₂, hemoptysis, estrogen use, prior DVT/PE, unilateral leg swelling, recent surgery or trauma.

2

If PERC is positive or incomplete, document Wells score elements and rationale, then risk-appropriate testing pathway (D-dimer vs CTPA).

3

Clarify laterality, onset, and progression of calf pain and swelling relative to dyspnea and pleuritic chest pain.

The problem

In the ED, the note is the encounter.

You’re seeing 2 patients an hour and charting steals time from patient care. Your note has to communicate your medical decision-making to the next clinician, capture quality measures, and hold up to case management and revenue cycle review.

Sayvant in the ED

Sayvant was built by emergency physicians to do three things.

Complete your note during the case

Sayvant follows you from initial assessment to order interpretation and medical decisionmaking so your notes are drafted when you’re ready to dispo.

  • Generates HPI, PEs, and MDMs that clearly explain your clinical reasoning.
  • Includes robust differential diagnoses and medical necessity discussion for admissions.

Catch what matters in the moment

As the case unfolds, Sayvant validates diagnoses and medical decisionmaking against clinical evidence and guideline definitions to flag potential gaps.

  • Surfaces next steps and best practices for high-risk chief complaints based on trusted guidelines (ACEP, BMJ).
  • Flags missing pertinent information (time stamps, interpretations, risk scores).

Reflect the full complexity of every encounter

Sayvant ensures your note is documented in alignment with reimbursement criteria to support appropriate charge capture.

  • CPT code capture for professional fees (E/M, critical care, ACP, procedures).
  • Real-time admission advisory to validate medical necessity for admissions.
Grounded in the evidence

The guidance you practice by, built into every case.

Sayvant partners with trusted sources of evidence-based decision support, so the right next step is in front of you while you’re still at the bedside.

American College of Emergency Physicians BMJ Clinical Intelligence
How it fits the shift

From encounter to signed chart, before the next patient.

At the bedside

Ambient listening

From your phone, tablet, or workstation, Sayvant listens so you stay focused on the patient. The conversation becomes the documentation.

Between rooms

Dictate on the move

Add your reasoning at the nurses' station or your desk. Sayvant folds it into the chart.

Before the next patient

Review-ready note

The note is largely written: HPI, MDM, differentials, admission advisory, billing detail.

Sign-off

You review and sign

Sayvant does most of the work; your judgment shapes the final record. Every note under your name stays under your control.

Built for the pace of a busy ED.

Ambient Listening or Dictation

Capture detail in 30+ languages and run several patients in parallel. Ambient or dictation supported on both mobile and desktop.

MDM Generation and Review

Draft defensible MDMs for any patient presentation. Sayvant ensures your reasoning is legible to anyone reading your notes.

Personalized Templates

Have favorite dot phrases or templates? Customize Sayvant so every note comes out in your voice and style.

High-Risk Guidance

Sayvant flags missing documentation and next steps for high-risk chief complaints and landmine differentials while the patient is still in the room.

Differential Diagnoses

Sayvant suggests differentials and documents your reasoning for rule-out or deprioritization. Differentials scale based on patient presentation and dispo.

Admission Advisory

Sayvant evaluates your cases against admission criteria in real time, streamlining admit workflows and reducing case management overhead.

Discharge Instructions

Generate personalized discharge instructions, built directly from your medical decisionmaking. Available in 30+ languages.

Quality Measure Capture

Detect and capture quality measures without extra clicks. Sayvant integrates directly with your QCDR registry.

RCM Aligned

Sayvant ensures your documentation meets coding criteria and proactively addresses downcoding or denial risks. Tuned for E/M, critical care, interpretation, and procedure capture.

Results

Sayvant reduces cognitive load and compliance risk for medical groups and decreases waiting room and turnaround times for patients.

3.7%Professional-fee charges per encounter
9.5%Time to provider (TTP)
4.1%Turnaround time to admission (TAT-A)
1.8%Turnaround time to discharge (TAT-D)
Statistically significant across 50 EDs and 250,000+ encounters · p < 0.001 Read the full study
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Sayvant Quality System

A physician-validated, per-note scoring standard—built with board-certified emergency physicians—that grades every chart against the clinical, quality, and financial expectations of the care delivered. It is the backbone behind every result above.

1M+Discharges scored
3,000+Safety & quality checks
100%Documentation coverage
100+Sites

Clinical Index

How fully the note captures your reasoning and the complexity of the visit.

Quality Index

Whether the chart meets evidence-based standards and captures the quality measures.

Financial Index

Whether the documentation supports the E/M level and critical care delivered.

Supported integrations
Epic
Cerner
MEDITECH
HL7 FHIR