AI Scribe for Cardiology

Transcribe Health drafts your consult, follow-up, and procedure notes while you work, so the cardiac detail is on the page before you leave the room.

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Cardiology documentation, from clinic to cath lab

Cardiology runs on two very different kinds of notes. There are cognitive visits (new consults, heart-failure follow-ups, arrhythmia and lipid management), where the ECG read, the echo numbers, stress or nuclear results, and the current medication plan all have to come together in one note. Then there is procedural work in the cath lab, EP suite, and device clinic, which needs a structured report precise enough to survive billing and audit review.

Both are dense. A single heart-failure follow-up can touch ejection fraction, NYHA class, volume status, GDMT titration, and anticoagulation, and each one needs the actual value and the reason behind it. By hand that is either typing through clinic or dictating late into the evening.

Transcribe Health listens to the visit, or to your narration after a procedure, and drafts a note that puts the cardiac detail where it belongs: ejection fraction, device settings, drug names and doses, and the reasoning behind your assessment. You read it and sign. Nothing is filed without you.

Documentation Challenges in Cardiology

1
Interpreting and documenting ECG findings, echocardiography results, and stress test data in a narrative clinical note
2
Managing detailed medication regimens including anticoagulants, antihypertensives, and anti-arrhythmics with exact dosing in documentation
3
Writing up cardiac catheterizations, device implants, and electrophysiology studies with the technical detail billing and audit review require

How Transcribe Health Helps Cardiology

Cardiac Procedure Reports

Turns your dictation or post-procedure narration into a structured report for a cath, a device implant, or an ablation.

Diagnostic Integration Notes

Puts the ECG, echo, and stress-test findings you read into the note, in the place they belong.

Medication Management Documentation

Records the medication list, dose changes, and anticoagulation decisions without you retyping them.

A cardiology note, captured in real time

An abridged follow-up from a routine post-PCI visit, drafted the way you would see it before signing.

Follow-up · NSTEMI, 6 weeks post-PCI to the LAD

Subjective

61-year-old man seen six weeks after drug-eluting stent placement to the mid-LAD for an NSTEMI. Denies recurrent chest pain, exertional dyspnea, orthopnea, or palpitations. Tolerating dual antiplatelet therapy with no bleeding or bruising. Has completed 8 of 36 cardiac rehabilitation sessions with good exercise tolerance. Adherent to all medications.

Objective

BP 118/72, HR 64 and regular, BMI 28. No elevated JVD, lungs clear, no peripheral edema. Right radial access site well healed. ECG: normal sinus rhythm, no acute ST-T changes, resolution of prior anterior T-wave inversions. Transthoracic echo today: LVEF 45% with mild anteroapical hypokinesis, no significant valvular disease.

Assessment

1) NSTEMI, status post PCI with drug-eluting stent to the LAD, stable on dual antiplatelet therapy. 2) Ischemic cardiomyopathy, LVEF 45%, NYHA class I. 3) Hypertension, controlled. 4) Hyperlipidemia, on high-intensity statin.

Plan

Continue aspirin 81 mg daily and ticagrelor 90 mg twice daily to complete 12 months of DAPT. Continue atorvastatin 80 mg, metoprolol succinate 50 mg daily, and lisinopril 10 mg daily. Check fasting lipid panel and HbA1c today. Repeat echocardiogram in 3 months; if LVEF remains 35% or below on guideline-directed therapy, reassess for a primary-prevention ICD. Continue cardiac rehabilitation. Return to clinic in 3 months.

Illustrative example. Not a real patient encounter.

Built for cardiology coding and your EMR

Notes capture the data you reviewed, the problem complexity, and the risk that back up your E/M level and a procedure's medical necessity. That is the detail auditors look for, and the first thing to slip when charting is rushed.

CPT

99204 / 99205New-patient consult, moderate to high complexity
99214 / 99215Established-patient follow-up, moderate to high complexity
9300012-lead ECG with interpretation and report
93306Transthoracic echocardiogram, complete with Doppler and color flow
93458Left heart catheterization with coronary angiography
93656Comprehensive EP study with atrial fibrillation ablation

ICD-10

I25.10Atherosclerotic heart disease of native coronary artery without angina
I21.4Non-ST elevation (NSTEMI) myocardial infarction
I48.91Unspecified atrial fibrillation
I50.22Chronic systolic (congestive) heart failure
I10Essential (primary) hypertension

Fits the workflow you already have

Drafts drop into the major EMRs cardiology groups run on: Epic (including Cardiology and Cupid workflows), Oracle Health (Cerner), and athenahealth. You get whatever note type you are working in, a consult, a procedure report, or a device-clinic follow-up. It writes up the ECG, echo, and stress interpretations you dictate. It does not read images or replace your PACS; you make the call and it records it.

What's Happening in Cardiology

Cardiac Interventions Today

2026 CPT Restructuring: Biggest Cardiology Coding Overhaul in a Decade

2026 brings large-scale CPT restructuring for PCI, EP ablation, and imaging codes, plus a 2.5% efficiency adjustment to work RVUs and approximately 10% RVU reductions for hospital-based procedures.

Stricter documentation requirements for medical decision-making complexity make accurate, real-time clinical note capture critical to avoid revenue loss from coding gaps.

American Heart Association

Heart Disease Remains #1 Cause of Death with 941,652 Deaths in 2022

CVD remains the leading cause of death in the US. 47% of adults have high blood pressure, and if trends continue, hypertension and obesity will each affect over 180 million adults by 2050.

Growing cardiovascular patient volumes mean more encounters requiring complex documentation of chronic conditions, risk factors, and treatment plans.

HealthQuest Billing

Medicare PFS 2026 Changes Tighten Reimbursement for Procedural Cardiology

The 2026 Medicare Physician Fee Schedule introduces tighter reimbursement models with higher denial sensitivity. Cardiology procedures carry higher reimbursement values and are frequently audited for medical necessity.

Automated documentation that captures procedure details, medical necessity justification, and decision-making rationale can reduce audit risk and denial rates.

Clinical Workflows

AI Medical Scribe for Cardiology Practices

Cardiology documentation involves complex testing, risk stratification and procedural notes. Here's how AI scribes handle cardiac-specific workflows.

Cardiology AI scribe questions

Does it understand cardiology terminology and drug names?

Yes. It captures agents like ticagrelor, sacubitril/valsartan, and amiodarone, and values like LVEF, NYHA class, and pacemaker or ICD settings, with correct spelling and dosing rather than phonetic guesses.

Can it document procedures, or only office visits?

Both. In clinic it drafts consult and follow-up notes from the visit; after a catheterization, ablation, or device implant it structures a procedure report from your narration.

Will it help with coding and audit defensibility?

It surfaces the medical decision-making detail (data reviewed, problem complexity, risk) that supports your E/M level and a procedure's medical necessity. In practice that reduces both under-coding and audit exposure.

How is patient information protected?

All data is encrypted in transit and at rest, handled under a Business Associate Agreement available on every plan, and covered by HIPAA for US practices and PHIPA and PIPEDA for Canadian practices.

Does it connect to our EMR and imaging?

Structured notes drop into major EMRs including Epic, Oracle Health, and athenahealth. It documents the interpretations you give for ECG, echo, and stress testing; it does not replace your imaging or measurement systems.

HIPAA Compliant

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