Syntry

FAQ & Complete User Guide

Your comprehensive guide to mastering Syntry. From basic documentation to advanced workflow features, everything you need to maximize your clinical efficiency.

Documentation Styles

Choose from three AI-powered documentation styles that adapt to your clinical practice and preferences.

Structured

Organized bullet points and clear sections

Narrative

Natural paragraph flow and storytelling

Adaptive

Smart mix based on content complexity

Structured Style Example

Perfect for organized, bullet-point documentation with clear sections

CHIEF COMPLAINT:
• Chest pain x 3 days
HISTORY OF PRESENT ILLNESS:
• 45-year-old female
• Sharp, left-sided chest pain
• Worse with deep inspiration
• Recent international travel (10 days ago)
• No associated dyspnea or leg swelling
PHYSICAL EXAMINATION:
• Vital signs: BP 120/80, HR 88, RR 16, O2 98%
• Cardiac: RRR, no murmurs
• Pulmonary: Clear bilaterally
• Extremities: No edema or calf tenderness
MEDICAL DECISION MAKING:
• Pleuritic chest pain, rule out PE
  - Wells score: 4.5 (moderate risk)
  - D-dimer ordered
  - Chest X-ray WNL
  - If D-dimer elevated → CTPA
• Patient counseled on PE precautions
• Return if worsening symptoms

Narrative Style Example

Natural paragraph flow for comprehensive storytelling documentation

Chief Complaint: This 45-year-old female presents with a three-day history of sharp, left-sided chest pain that has been progressively concerning her.

History of Present Illness: The patient describes the pain as sharp and stabbing in nature, primarily localized to the left lateral chest wall. She notes that the pain is significantly worse with deep inspiration and has been persistent over the past three days. Importantly, she recently returned from international travel to Europe ten days ago, involving a long-haul flight. She denies any associated shortness of breath, leg swelling, or calf pain. The pain has not responded well to over-the-counter analgesics.

Physical Examination: On examination, the patient appears comfortable at rest but demonstrates discomfort with deep inspiration. Vital signs are stable with blood pressure 120/80, heart rate 88 and regular, respiratory rate 16, and oxygen saturation 98% on room air. Cardiac examination reveals regular rate and rhythm without murmurs, rubs, or gallops. Pulmonary examination shows clear breath sounds bilaterally without wheezes, rales, or rhonchi. Extremity examination is notable for the absence of edema or calf tenderness.

Medical Decision Making: Given the patient's presentation of pleuritic chest pain in the setting of recent long-haul travel, there is moderate concern for pulmonary embolism with a Wells score of 4.5. I have ordered a D-dimer level and obtained a chest X-ray, which appears normal. Depending on the D-dimer results, we may proceed with CT pulmonary angiography. The patient has been counseled extensively about the signs and symptoms that would warrant immediate return to the emergency department, including worsening dyspnea, chest pain, or leg swelling.

Adaptive Style Example

Smart combination of structured and narrative based on content complexity

CHIEF COMPLAINT: Chest pain x 3 days
HISTORY OF PRESENT ILLNESS:
This 45-year-old female presents with sharp, left-sided chest pain that began three days ago. The pain is pleuritic in nature and significantly worse with deep inspiration. She recently returned from international travel to Europe (10 days ago) involving a long-haul flight. She denies dyspnea, leg swelling, or calf pain.
PHYSICAL EXAMINATION:
• Vital signs: BP 120/80, HR 88, RR 16, O2 98% on RA
• Appears comfortable at rest, discomfort with deep inspiration
• Cardiac: RRR, no murmurs, rubs, or gallops
• Pulmonary: CTAB, no wheezes or rales
• Extremities: No edema or calf tenderness
MEDICAL DECISION MAKING:
Pleuritic chest pain, rule out pulmonary embolism (Wells score 4.5 - moderate risk)

Given the patient's recent travel history and pleuritic symptoms, there is moderate concern for PE. I have obtained a chest X-ray which is normal and ordered a D-dimer level. If the D-dimer is elevated, we will proceed with CT pulmonary angiography. The patient has been thoroughly counseled about PE warning signs and instructed to return immediately for worsening dyspnea, chest pain, or development of leg swelling.

AI Insight: Adaptive style automatically chose structured format for examination findings (easier to scan) and narrative format for complex clinical reasoning (better flow).

Visual Cards Interface

Syntry provides a modern, intuitive interface designed for healthcare professionals with visual cards that enhance your clinical workflow.

Visual Cards System

  • Clinical Decision Support: Visual calculators and risk assessment tools
  • Interactive Cards: Touch-friendly interfaces for mobile and tablet use
  • Persistent Display: Cards remain accessible throughout your encounter
  • Custom Calculations: Specialty-specific tools and calculators

Enhanced User Experience

  • Dark Mode Support: Eye-friendly interface for extended use
  • Responsive Design: Optimized for desktop, tablet, and mobile devices
  • Drag & Drop Zones: Visual feedback for file upload areas
  • Progress Indicators: Clear feedback during AI processing and analysis
  • Floating Navigation: Easy access to frequently used features

Encounter Management

  • Rich Text Editing: Advanced formatting options for clinical notes
  • Auto-Save Functionality: Never lose your work with continuous saving
  • Version History: Track all changes with complete edit history
  • Export Options: Multiple formats for EMR integration
Visual Cards Interface Example

Interactive visual cards providing clinical decision support and intuitive workflow management

Pro Tip: Visual Workflow Optimization

The visual cards interface adapts to your screen size and usage patterns. On tablets, cards become larger and more touch-friendly, while on desktop they provide detailed information at a glance. Take advantage of the persistent display to keep important clinical tools visible throughout your encounter documentation process.

How to Use Syntry

Follow these step-by-step guides to master Syntry and streamline your clinical documentation workflow.

1. Getting Started - New Dashboard

Your dashboard is your home base. Here you can:

  • View all your encounters
  • Start new encounters
  • Access settings and help
  • Search and filter past encounters
New Dashboard showing encounter list and controls

2. Starting a New Encounter

Click "Start New Encounter" to begin:

  • Choose between Recording or Manual entry
  • Recording: Use your microphone to dictate
  • Manual: Type notes directly
  • Both options generate professional documentation
Start New Encounter modal with three options

3. Recording Your Encounter

The recording modal provides:

  • Real-time audio waveform visualization
  • Clear recording status indicator
  • Tap the microphone circle to stop
  • Audio is processed immediately
  • No audio files are permanently stored
Recording interface with controls

4. Finalize Recording Modal

When you finish recording, a modal appears with three options:

  • Finalize: Process the recording and generate your clinical note
  • Keep Recording: Continue recording to add more information
  • Cancel Recording: Discard the current recording and start over
  • Clear visual feedback for each action
  • No commitment until you choose "Finalize"

Pro Tip: You can always continue recording if you realize you missed something important. Only finalize when you're completely done with your documentation.

Finalize recording modal with three action options

5. Typing Notes Manually

For manual documentation:

  • Type directly into any section
  • AI assists with formatting and structure
  • Switch between documentation styles
  • Add, edit, or remove sections as needed
  • Auto-save protects your work
Clinical notes typing interface with AI assistance

6. Finalizing Your Encounter

Review and finalize your documentation:

  • Review all generated sections
  • Edit any content as needed
  • Add additional notes or sections
  • Sign to complete the encounter
  • Export or integrate with your EHR
Complete encounter summary with all documentation

7. Customizing Your Settings

Personalize Syntry to your practice:

  • Set preferred documentation styles
  • Configure section templates
  • Adjust AI assistance levels
  • Manage privacy and security settings
  • Set up EHR integrations
Settings and preferences page

Decision Support Tools

Access evidence-based clinical calculators and decision support tools directly within your documentation workflow:

Clinical Calculators - Built-in risk scores, dosing calculations, and assessment tools
Real-time Guidance - Contextual recommendations based on patient data and symptoms
Evidence-Based - All tools based on current clinical guidelines and research
Decision support tools with clinical calculators

Reassessments & Follow-up Documentation

Efficiently document follow-up visits and reassessments with integrated image upload and progress tracking:

Image Documentation - Drag and drop images directly into patient records
Progress Tracking - Compare current status with previous visits automatically
Efficient Workflows - Streamlined interface for quick follow-up documentation
Reassessment interface with image upload capabilities

Smart Flow - Intelligent Documentation Workflow

Smart Flow is our adaptive documentation system that learns and evolves with your practice patterns:

Custom MDM Templates - Create personalized Medical Decision Making templates
Adaptive Learning - AI learns from your edits and documentation patterns over time
Template Library - Pre-built templates for common specialties and encounter types
Real-Time Adaptation - Templates adjust based on encounter complexity and specialty

User Workflow:

1. Setup: Configure Smart Flow in Settings → MDM Generation Style
2. Template Creation: Design custom templates using our intuitive editor
3. AI Integration: AI uses your templates as scaffolds for documentation generation
4. Continuous Improvement: System learns from your edits to improve future suggestions

Benefits:

Consistency: Maintain your preferred documentation style across all encounters
Efficiency: Reduce editing time with AI that understands your preferences
Flexibility: Switch between structured, narrative, and Smart Flow styles as needed
Personalization: Templates evolve to match your unique clinical decision-making patterns
Smart Flow interface showing workflow automation
Smart Flow advanced features and shortcuts

Settings Assistant - AI-Powered Configuration

Let our AI assistant guide you through configuring Syntry for optimal performance in your specific workflow.

Specialty templates - Customized recommendations for your medical field
Workflow optimization - AI-driven suggestions to improve efficiency
Integration setup - Step-by-step guidance for EMR connections
Productivity tips - Personalized recommendations to save time
Security guidance - Best practices for HIPAA compliance
Settings Assistant providing AI-powered configuration guidance

Quick Setup in 3 Steps

1
Select your medical specialty
2
Choose preferred documentation style
3
Configure workflow preferences

Complete How-To Guides

Step-by-step tutorials for every Syntry feature. Master clinical documentation with these comprehensive guides.

How to Record Your First Encounter

Complete Tutorial: From Login to Finished Note

1

Access Your Dashboard

Log into Syntry and navigate to your encounters dashboard. You'll see all previous encounters and the "Start New Encounter" button.

Tip: Bookmark your dashboard URL for quick access
2

Click "Start New Encounter"

The prominent purple button opens the encounter options modal with three choices: Type Notes, Record Audio, or Echo Mode.

Best Practice: Record Audio for fastest documentation
3

Select "Record Audio"

Choose the microphone option to begin voice recording. This opens the recording interface with live waveform visualization.

🎤 Note: Ensure your microphone permissions are enabled
4

Record Your Clinical Conversation

Speak naturally about the patient encounter. Include history, examination findings, assessment, and plan. The waveform shows real-time audio capture.

Example recording content:

"45-year-old female presenting with chest pain that started 2 hours ago. Pain is sharp, substernal, 7 out of 10, radiating to left arm. Associated with shortness of breath and diaphoresis..."

5

Stop Recording & Finalize

Tap the microphone circle to stop. Choose "Finalize" to process the audio. The AI immediately begins transcription and note generation.

Processing takes 10-30 seconds depending on recording length
6

Review Generated Clinical Note

Your completed encounter appears with all sections: HPI, ROS, Physical Exam, MDM, Decision Support, and Discharge Instructions. Review and edit as needed.

Your first AI-generated clinical note is complete!

Advanced Recording Techniques

Best Recording Practices

  • Speak clearly and at normal pace
  • Include specific medical terminology
  • Mention normal and abnormal findings
  • State your clinical reasoning

What to Include

Chief Complaint & HPI: Presenting symptoms, timeline, quality, severity, associated symptoms
Physical Exam: Vital signs, system-specific findings, normal and abnormal results
Assessment & Plan: Clinical impression, differential diagnosis, treatment plan

Common Mistakes to Avoid

  • Speaking too quickly or mumbling
  • Recording in noisy environments
  • Using unclear abbreviations
  • Omitting clinical reasoning
Pro Tip

Pretend you're presenting the case to a colleague. This naturally includes all necessary clinical details for comprehensive documentation.

How to Use Echo Mode for Natural Handoff Documentation

Echo Mode: Talk naturally like you're giving report to a colleague

What is Echo Mode?

Echo Mode transforms natural handoff conversations into complete clinical documentation. Simply speak as if you're giving report to a colleague - no need to say "period" or "comma" - just talk naturally and get a comprehensive note.

Natural Handoff Style

Speak conversationally like giving report to a colleague

Complete Note Generation

Generates comprehensive documentation from natural speech

Privacy-First

Audio processed securely, never stored permanently

How to Use Echo Mode

1

Select "Echo Mode" when starting a new encounter

2

Speak naturally as if giving handoff to a colleague

3

Record colleague handoffs (with permission) for instant notes

4

Add reassessments after seeing the patient post-handoff

5

Review and finalize your complete documentation

Pro Tip: Perfect for shift changes, patient transfers, and consultation handoffs. No need for formal dictation - just speak naturally!

How to Document Reassessments & Follow-Up Care

Complete Guide: Update existing encounters with new findings and assessments

1

Access Existing Encounter

Navigate to your encounters dashboard and select the patient encounter you want to update. Click the "Add Reassessment" button to begin.

Tip: Recent encounters appear at the top for quick access
2

Choose Documentation Method

Select your preferred input method: Voice Recording for hands-free documentation, Manual Typing for detailed notes, or File Upload for test results and imaging.

Best Practice: Use voice recording for quick bedside updates
3

Document New Findings

Record or type your reassessment findings, including vital signs, symptom changes, response to treatment, and new clinical observations.

Example reassessment content:

"Patient reassessed after 2 hours. Chest pain improved from 7/10 to 3/10. Vital signs stable. No new symptoms. EKG shows resolution of ST changes..."

4

Upload Supporting Documents

Drag and drop lab results, imaging studies, or EKGs directly into the reassessment. Synapse AI will analyze and integrate findings automatically.

Supported files: PDF lab reports, DICOM images, JPG/PNG photos, ECG tracings
5

Auto-Update MDM & Assessment

Watch as the AI automatically updates the Medical Decision Making section, incorporating new data complexity and risk factors into the billing level calculation.

MDM complexity automatically adjusts based on new findings and data reviewed
6

Review Updated Documentation

Your encounter now includes the complete reassessment with timeline, updated assessment and plan, and revised billing documentation reflecting the additional complexity.

🎉 Your updated encounter is ready with proper MDM billing support!

Key Features of Reassessments

Auto-MDM Updates

Billing complexity automatically recalculated

Drag & Drop Integration

Upload and analyze supporting documents instantly

Timeline Tracking

Complete chronological record of patient care

Common Reassessment Scenarios

  • Post-procedure monitoring
  • Response to treatment evaluation
  • Lab/imaging result integration
  • Shift change handoff updates
Pro Tip

Upload lab results or imaging before dictating your reassessment. Synapse AI will reference the findings in your generated documentation automatically.

Manual Documentation & Smart Templates

When to Use Manual Entry

  • Quiet environments where recording isn't practical
  • Quick follow-up visits with minimal changes
  • Updating specific sections of existing encounters
  • Documenting from written notes or memory

Smart Features

Auto-completion:

AI suggests completions as you type medical terms

Smart formatting:

Automatic structure and medical language enhancement

Keyboard shortcuts

Save encounter Ctrl + S
Next section Tab
AI suggestions Ctrl + Space
Expand section Ctrl + E

Quick Templates

Type these shortcuts for instant templates:

/normal-pe - Normal physical exam template
/chest-pain - Chest pain evaluation template
/follow-up - Follow-up visit template
/discharge - Discharge instructions template

Troubleshooting Common Issues

Microphone Not Working

Common Causes:
  • • Browser permissions not granted
  • • Microphone in use by another app
  • • Hardware/driver issues
  • • Browser doesn't support audio
Solutions:
  • • Check browser mic permissions
  • • Close other audio apps
  • • Try different browser
  • • Restart browser/device

Slow Processing or Errors

Possible Issues:
  • • Poor internet connection
  • • Very long recordings
  • • Background noise
  • • Server load
Quick Fixes:
  • • Check internet speed
  • • Keep recordings under 10 minutes
  • • Record in quiet environment
  • • Try again in a few minutes

Still Need Help?

Our support team is available 24/7 to help resolve any technical issues.

Help Bot AI Assistant

Your intelligent help companion that provides instant answers, guides you through features, and helps troubleshoot issues in real-time.

How to Access Help Bot

The Help Bot toggle is available in your dashboard sidebar for instant assistance.

Help Bot Toggle

Help Bot

AI-powered assistance

Key Features:
  • Instant Q&A support
  • Feature walkthroughs
  • Troubleshooting help
  • Context-aware responses
How it Works:
  • 1 Toggle Help Bot on/off
  • 2 Ask any question
  • 3 Get instant guidance
  • 4 Follow step-by-step help

Settings Assistant

Help Bot integrates with your settings to provide personalized configuration assistance.

Settings Assistant Panel

"Hi! I'm your Settings Assistant. I can help you configure your workspace, adjust preferences, and optimize your workflow. What would you like to set up today?"

Notifications

Email alerts, push notifications, frequency settings

Templates

Custom templates, auto-fill preferences, snippets

Workflow

Automation rules, shortcuts, integrations

Best Practices for Help Bot

Effective Questions:

  • "How do I create a new template?"
  • "Show me how to upload images to Synapse"
  • "What's the difference between encounter types?"
  • "Help with billing codes for critical care"

Tips for Success:

  • Be specific about your current task
  • Mention the section or feature you're working with
  • Follow up with clarifying questions if needed
  • Use Help Bot for real-time guidance during tasks

Common Help Scenarios

User: "I can't find where to save my template"

Help Bot: "I'll guide you through saving templates! Look for the 'Save as Template' button in the top right of your document editor. Would you like me to walk you through the entire process step-by-step?"

User: "How do I change my notification settings?"

Help Bot: "Let me help you customize your notifications! Click on your profile icon → Settings → Notifications. From there you can adjust email alerts, push notifications, and frequency. I can also help you set up smart notifications based on your workflow."

User: "What's the best workflow for emergency department documentation?"

Help Bot: "Great question! For ED workflows, I recommend: 1) Start with our ED template, 2) Use quick voice notes for initial assessment, 3) Upload any images to Synapse for analysis, 4) Use auto-complete for common procedures. Would you like me to set up an optimized ED workspace for you?"

Working with Synapse AI Assistant

Learn how to leverage Synapse for clinical decision support, image analysis, and intelligent documentation assistance.

How do I upload images to Synapse?

Synapse accepts medical images through multiple methods for instant analysis and clinical insights.

Upload Methods

Drag & drop files here

or click to browse

Drag & drop directly into chat
Take photo (mobile) or select from gallery
Copy & paste from clipboard

Supported Formats

DICOM
.dcm
Images
.jpg, .png
PDF
Documents
Screenshots
Any format

What Synapse Can Analyze

Sample ECG>
ECG Interpretation

Rhythm analysis, arrhythmia detection, interval measurements

Sample X-ray>
X-ray Analysis

Abnormality detection, fractures, lung pathology

Sample Skin Condition>
Dermatological Assessment

Rash identification, lesion analysis, skin conditions

Sample Lab Results>
Lab Interpretation

Value analysis, reference ranges, clinical significance

Sample CT/MRI>
Advanced Imaging

CT/MRI findings, anatomical analysis

Sample Wound Assessment>
Wound Assessment

Healing progress, size measurement, care recommendations

Try it yourself!

Upload any medical image and ask: "What do you see in this image?" or "Analyze this ECG/X-ray/rash" for instant clinical insights.

Why Synapse Image Analysis is Highly Accurate
Massive Medical Dataset: Trained on millions of medical images with expert annotations from leading medical institutions
Specialist Knowledge: Incorporates expertise from radiologists, cardiologists, dermatologists, and other specialists
Continuous Learning: Constantly updated with the latest medical research and imaging techniques
Pattern Recognition: Identifies subtle patterns that might be easily missed during busy clinical workflows
Medical Literature Integration: Cross-references findings with current medical literature and guidelines
Instant Analysis: Provides comprehensive interpretation in seconds, not minutes
Important Clinical Disclaimer

Synapse is a clinical decision support tool, not a replacement for clinical judgment. All AI interpretations should be reviewed and validated by qualified healthcare professionals. The final diagnosis and treatment decisions always remain with the clinician who has the full clinical context, patient history, and direct patient interaction.

How to interact with Synapse effectively?

Synapse is designed to understand natural medical language and provide comprehensive clinical support.

Synapse AI Assistant
Clinical Decision Support
Online
Calculate Wells score for PE with these symptoms: leg swelling, recent surgery, tachycardia
11:24 AM
⚠️ Wells Score = 7 (High Risk)
Recommendation: Immediate anticoagulation and CTPA
Score Breakdown:
• Clinical signs of DVT: 3 points
• PE most likely diagnosis: 3 points
• Surgery within 4 weeks: 1.5 points
• Heart rate >100: 1.5 points
11:24 AM • Analyzed in 0.8s
What's the next step for workup?
11:25 AM
Recommended Workup:
Immediate: Start anticoagulation (unless contraindicated)
Urgent: CTPA within 4 hours
Consider: D-dimer, ABG, ECG, troponin
11:25 AM
Ask Synapse anything...

Advanced Features

Drug interactions & dosing calculations
CPT coding optimization
Differential diagnosis generation
Follow-up planning assistance

Pro Tips

Be specific with patient details for better recommendations
Upload multiple images for comprehensive analysis
Ask follow-up questions to dive deeper
Use during documentation for real-time support

How does Synapse help with MDM and Discharge Instructions?

Watch how Synapse intelligently updates your Medical Decision Making and generates comprehensive discharge instructions based on your clinical findings.

Synapse - MDM & DC Assistant
Documentation Support Active
Live Assist
28yo female with ankle injury after fall. X-ray shows distal fibula fracture, non-displaced. Patient ambulating with minimal pain. Help me with MDM.
2:15 PM
🦴 Ankle Fracture - Updating MDM
Medical Decision Making - Moderate Complexity
Primary Diagnosis: Closed distal fibula fracture, non-displaced
Supporting Evidence: X-ray shows fracture line without displacement, patient weight-bearing
Risk Stratification: Low risk for complications, stable fracture pattern
Management Plan: CAM boot immobilization, orthopedic follow-up, weight-bearing as tolerated
✓ MDM automatically updated in encounter
2:15 PM • Analysis complete
Great! Now generate discharge instructions for the ankle fracture. Patient is stable for home.
2:18 PM
Discharge Instructions Generated
💊 Pain Management
Ibuprofen 600mg every 6 hours - With food to prevent stomach upset
Acetaminophen 1000mg every 6 hours - Can alternate with ibuprofen
Ice packs 15-20 minutes - Every 2-3 hours for first 48 hours
Avoid opioids unless severe pain - Contact us if needed
🦶 Activity & CAM Boot Care
Wear CAM boot at all times when walking
Weight-bearing as tolerated - Use crutches if needed
Remove boot for showering - Keep foot dry
Elevate leg when resting - Above heart level
⚠️ Return to ED Immediately If
• Severe, worsening pain despite medication
• Numbness, tingling, or color changes in toes
• Signs of infection (fever, increased swelling, warmth)
• Unable to move toes or severe swelling
2:18 PM • Patient education materials included
Perfect! Can you also add follow-up recommendations?
2:20 PM
📅 Follow-up Recommendations
Orthopedic Surgery: Within 1-2 weeks for fracture evaluation
Repeat X-ray: In 2 weeks to assess healing progression
Primary Care: If no ortho appointment within 1 week
Physical Therapy: After 4-6 weeks (ortho will coordinate)
Work/School Note: Provided for modified duties
✓ Documentation complete and ready for review
2:20 PM • Encounter finalized
Continue documentation with Synapse...

Smart MDM Updates

  • • Analyzes clinical data in real-time
  • • Updates complexity level automatically
  • • Suggests appropriate billing codes
  • • Ensures documentation requirements

Complete DC Instructions

  • • Condition-specific guidance
  • • Patient-friendly language
  • • Safety warnings & red flags
  • • Medication reconciliation

Documentation Support

  • • Automatically populates encounter
  • • Provides follow-up recommendations
  • • Generates work/school notes
  • • Creates patient education materials

Billing & CPT Coding Assistant

Learn how Syntry's AI helps optimize your billing accuracy and ensures proper documentation for maximum reimbursement.

How does Syntry ensure accurate billing and CPT coding?

Syntry's billing assistant analyzes your documentation in real-time to suggest the most appropriate CPT codes and billing levels based on current CMS guidelines.

Why Syntry's Billing Suggestions are Highly Accurate

Current CMS Guidelines: Updated with the latest 2025 CPT codes, RVU values, and billing requirements
Documentation Analysis: Evaluates MDM complexity, exam components, and time spent for accurate level selection
Compliance Monitoring: Ensures documentation meets CMS requirements for each billing level
Specialty-Specific: Recognizes specialty-specific codes and modifiers for emergency medicine, family practice, and more
Audit Protection: Flags potential compliance issues and suggests documentation improvements
Real-time Analysis: Continuously updates suggestions as you add documentation
Syntry Billing Assistant
Real-time CPT Code Analysis
Analyzing

Encounter Analysis Summary

Patient: 28yo female
Chief Complaint: Ankle injury after fall
Duration: 23 minutes
Setting: Emergency Department
History: Detailed (4+ elements)
Exam: Detailed (2+ systems)
MDM: Moderate complexity
Procedures: X-ray interpretation

Recommended Billing Codes

99284 Emergency Department Visit - Level 4
$487.23

High complexity emergency department evaluation and management

History: Detailed
4+ HPI elements, ROS, PFSH
Exam: Detailed
2+ organ systems examined
MDM: Moderate
Multiple diagnoses, limited data
73610 X-ray ankle, complete
$156.78
L5740 CAM boot application
$89.45
Estimated Total: $733.46

Documentation Compliance Check

Chief complaint documented ✓
HPI meets 4+ elements requirement ✓
Physical exam supports Level 4 ✓
Consider adding time-based documentation for alternative billing

Alternative Billing Considerations

Time-based billing: 23 minutes spent - could support 99284 based on time alone if >75% counseling/coordination
Conservative option: 99283 (Level 3) if you prefer more conservative billing - $298.67
Audit protection: Current documentation strongly supports 99284 with minimal audit risk

Maximize Revenue

  • • Identifies highest appropriate billing level
  • • Captures all billable procedures and services
  • • Suggests additional documentation for higher levels
  • • Prevents under-billing common scenarios

Ensure Compliance

  • • Real-time CMS guideline compliance
  • • Flags potential audit risks
  • • Documentation requirement alerts
  • • Modifier suggestions when appropriate

Save Time

  • • Instant code suggestions as you document
  • • No manual CPT code lookup required
  • • Integrated billing summary for easy review
  • • Reduces billing staff workload
Important Billing Disclaimer

Syntry provides billing assistance and suggestions, not final billing decisions. All coding and billing decisions should be reviewed by qualified billing professionals or providers. Syntry's suggestions are based on documentation analysis and current guidelines, but the final responsibility for accurate billing remains with the healthcare provider and their billing team. Always verify codes against current CPT and ICD-10 manuals.

Discharge Templates & Snippets

Streamline patient discharge instructions with customizable templates and reusable snippets for consistent, comprehensive patient education.

Discharge Templates

Templates can replace the entire discharge instructions patient education area, or can be integrated into AI-generated instructions for comprehensive patient guidance.

  • Complete Replacement: Use templates as full discharge instruction sets
  • AI Integration: Combine with AI-generated content for personalized instructions
  • Condition-Specific: Create templates for common diagnoses and procedures

Discharge Snippets

Snippets are quick phrases that you routinely include in discharge instructions, ensuring consistent messaging and important safety information.

  • Quick Insertion: Instantly add common phrases and instructions
  • Safety Reminders: "Return to the emergency department or seek emergency medical treatment if symptoms worsen or persist"
  • Standardized Care: Ensure consistent messaging across all patient encounters

Saved Discharge Templates

Chest Pain
Follow up with cardiology if symptoms persist. Return...
Abdominal Pain
Return if pain worsens or fever develops. Follow up w...
Upper Respiratory Infection
Rest, fluids, and over-the-counter medications for sy...

Saved Discharge Snippets

Click "Add Snippet" to create your first snippet.

Settings page showing saved templates and snippets ready for use

How to Create and Use Templates & Snippets

Creating in Settings

  1. 1
    Navigate to Settings: Access your settings page from the main menu
  2. 2
    Add Templates: Use "Add Template" to create condition-specific instruction sets
  3. 3
    Create Snippets: Add common phrases and safety instructions you use frequently
  4. 4
    Organize & Edit: Manage your collection with edit, copy, and delete options

Using in Encounters

  1. 1
    Open Encounter: Navigate to the discharge instructions section
  2. 2
    Insert Template: Select from your saved templates to replace or enhance AI content
  3. 3
    Add Snippets: Insert common phrases and safety reminders anywhere in your documentation
  4. 4
    Customize: Edit and personalize the content for each patient's specific needs

Common Use Cases & Examples

Popular Template Categories:
  • • Chest pain evaluation and follow-up
  • • Abdominal pain management
  • • Upper respiratory infections
  • • Minor injury care instructions
  • • Post-procedure care guidelines
Essential Snippet Examples:
  • • "Return to ED if symptoms worsen or persist"
  • • "Follow up with your primary care provider in 1-2 weeks"
  • • "Take medications as prescribed"
  • • "Activity restrictions: no heavy lifting for 2 weeks"
  • • "Call 911 for severe symptoms"

Pro Tip: Efficient Workflow Integration

Start by creating templates for your most common diagnoses, then build a library of essential safety snippets. This combination ensures consistent, comprehensive patient education while saving significant documentation time. Templates can be used standalone or merged with AI-generated content for the perfect balance of efficiency and personalization.

Copy All Feature

Efficiently copy your entire encounter documentation with one click, formatted for external systems.

How to Copy All Your Documentation

1

Complete Your Documentation

Finish documenting your encounter with all necessary sections (HPI, ROS, Physical Exam, Assessment & Plan, etc.)

2

Click "Copy All"

Look for the Copy All button in the top toolbar or use the keyboard shortcut Ctrl+Shift+C (Cmd+Shift+C on Mac)

3

Choose Your Format

Select from multiple output formats: EMR-formatted text, RTF with formatting, or plain text for maximum compatibility

4

Paste Into Your EMR

The formatted text is now in your clipboard, ready to paste directly into Epic, Cerner, Athena, or any other EMR system

Copy All - Format Selection

Choose your preferred output format

EMR Format

Optimized for Epic, Cerner, and other major EMR systems

✓ Recommended
Rich Text (RTF)

Preserves formatting, bold text, and bullet points

Plain Text

Universal compatibility, no formatting

Preview (EMR Format):
CHIEF COMPLAINT: Chest pain

HISTORY OF PRESENT ILLNESS:
This is a 45-year-old male presenting with acute onset chest pain...

REVIEW OF SYSTEMS:
Constitutional: Denies fever, chills, weight loss...

PHYSICAL EXAMINATION:
Vital Signs: BP 128/84, HR 88, T 98.6°F, RR 16, O2 Sat 99% on RA
General: Alert, oriented, appears comfortable...

ASSESSMENT AND PLAN:
1. Chest pain, atypical - Consider cardiac vs GI etiology...

Benefits of Copy All

  • Save 5-10 minutes per encounter vs manual copying
  • Maintains consistent formatting across all EMRs
  • Reduces copy-paste errors and missing sections
  • Automatically updates when you edit content

Pro Tips

  • Use Ctrl+Shift+C for instant copying
  • Preview before copying to check formatting
  • Customize section order in Settings
  • Save custom templates for different EMRs

History & Version Control

Never lose your work. Syntry automatically tracks all changes and saves multiple versions of your documentation.

How History Works for Each Section

Individual Section History

HPI

Every edit to your History of Present Illness is saved with timestamps

PE

Physical exam changes tracked separately for easy review

A&P

Assessment & Plan revisions preserved with diagnostic reasoning

Complete Encounter History

Auto-saves every 30 seconds
Manual snapshots when you click "Save Version"
Compare any two versions side-by-side
30-day detailed history retention

Encounter History - John Smith

Version history for chest pain encounter

12 versions
12
Current Version Latest

Updated Assessment & Plan with discharge instructions

2 minutes ago • Auto-save

11
Manual Save Milestone

Completed physical examination findings

8 minutes ago • Manual save by Dr. Johnson

10
Auto-save

Added review of systems - cardiovascular

15 minutes ago • Auto-save

Never Lose Work

  • • Automatic saving every 30 seconds
  • • Survives browser crashes and network issues
  • • Cloud backup of all versions
  • • Recovery from any device

Team Collaboration

  • • See who made each change
  • • Track attending vs resident edits
  • • Comment on specific versions
  • • Merge changes intelligently

Audit Trail

  • • Complete documentation timeline
  • • Legal-ready change tracking
  • • Export history reports
  • • Compliance with record-keeping requirements

Undo/Redo System

Intelligent undo and redo that understands your clinical documentation workflow and preserves your context.

Smart Undo/Redo System

Contextual Undo

Text Changes

Undoes logical text blocks, not individual characters

AI Suggestions

Undo entire AI-generated sections or individual suggestions

Section Changes

Revert entire section additions, deletions, or reorders

Advanced Features

Ctrl+Z / Cmd+Z for undo
Ctrl+Y / Cmd+Shift+Z for redo
100+ levels of undo history
Visual preview of what will be undone
Selective undo by section or change type

Undo Stack - 8 Actions Available

Recent changes to this encounter

Added "chest pain resolved" to A&P

Assessment & Plan • 1 minute ago

Accepted AI suggestion for physical exam

Physical Examination • 3 minutes ago

Modified HPI - added symptom timeline

History of Present Illness • 5 minutes ago

Preview Next Undo

Will remove: "Patient reports chest pain has completely resolved with rest and is now pain-free."

Edit with Confidence

  • • Experiment freely knowing you can undo
  • • Try different phrasings without fear
  • • Test AI suggestions risk-free
  • • Quick recovery from mistakes

Faster Editing

  • • No need to manually select and delete
  • • Intelligent text block recognition
  • • Keyboard shortcuts for speed
  • • Visual feedback prevents errors

Advanced Control

  • • Selective undo by section
  • • Branch from any point in history
  • • Undo only AI vs manual changes
  • • Merge conflict resolution

Complete User Journey

See how all of Syntry's features work together in a typical clinical workflow, from patient encounter to final documentation.

1

Patient Encounter Begins

Start your encounter with Syntry's intelligent recording and documentation.

Choose Your Method:

  • Live audio recording
  • Direct typing/dictation
  • Mobile Mic Mode for privacy

Style Selection:

  • Structured format
  • Narrative style
  • Adaptive (recommended)
2

AI Processing & Enhancement

Syntry's AI automatically processes your input and creates structured documentation.

Smart Transcription

Medical terminology recognition, speaker identification, and noise filtering

Section Organization

Automatic sorting into HPI, ROS, PE, Assessment & Plan sections

Clinical Enhancement

Suggests relevant details, ICD codes, and follow-up actions

3

Interactive Review & Editing

Use Syntry's powerful editing tools to refine your documentation.

Synapse AI Assistant
  • • Upload and analyze medical images
  • • Get diagnostic suggestions and MDM help
  • • Generate discharge instructions
  • • Answer clinical questions contextually
Editing Features
  • • Smart undo/redo with 100+ levels
  • • Real-time auto-save every 30 seconds
  • • Version history and comparison
  • • Collaborative editing with team
4

Quality Assurance & Compliance

Ensure accuracy and compliance before finalizing your documentation.

Billing Analysis

Automatic CPT code suggestions and billing optimization

Compliance Check

Validates documentation completeness and requirements

Quality Review

Grammar check, medical accuracy, and formatting validation

5

Export & EMR Integration

Seamlessly transfer your completed documentation to your EMR system.

Copy All Feature
  • • Multiple format options (EMR, RTF, Plain Text)
  • • One-click copy with Ctrl+Shift+C
  • • Preview before copying
  • • Custom section ordering
Archive & Tracking
  • • Complete version history preserved
  • • Audit trail for compliance
  • • Searchable encounter database
  • • Export reports for quality metrics

Complete Workflow Benefits

Save Time

Reduce documentation time by up to 70% with AI assistance and smart features

Ensure Quality

Comprehensive checks for accuracy, compliance, and completeness

Maximize Revenue

Optimal billing codes and documentation for highest appropriate reimbursement

Better Care

More time with patients, improved documentation quality, better outcomes

Pricing & Subscription FAQ

Everything you need to know about Syntry's pricing, payments, and subscription management.

Why is pricing different for Advanced Practice Providers vs Physicians?

Syntry's pricing reflects the income differential between Advanced Practice Providers (NP/PA) and Physicians (MD/DO) in emergency medicine, making our platform accessible and affordable for all provider types.

NP/PA Plan - $79/month

Designed for Nurse Practitioners and Physician Assistants working in emergency medicine

• Average EM NP salary: ~$130,000/year
• Average EM PA salary: ~$147,000/year
• Syntry cost: 0.7% of annual income

MD/DO Plan - $99/month

Designed for Emergency Medicine Physicians and other attending physicians

• Average EM Physician salary: ~$374,000/year
• Syntry cost: 0.3% of annual income
• Same features, proportional pricing
Key Points About Our Pricing Structure
  • Same Features: Both plans include all Syntry features - no feature limitations
  • Income-Proportional: Pricing represents similar percentage of income for both provider types
  • Market Research: Based on national salary data from emergency medicine
  • Accessibility: Ensures Syntry is affordable for providers at all levels
  • Fair Value: Same time savings and productivity benefits for everyone

Payment & Subscription Management

Payment Processing

Secure Payments via Stripe

Bank-level security with PCI DSS compliance

Accepted Payment Methods

All major credit cards, debit cards, and ACH transfers

Billing Cycle

Monthly subscription, billed on the same date each month

Invoices & Receipts

Automatic email receipts and downloadable invoices

Instant Activation

Account activated immediately after successful payment

Subscription Management

Account Settings

Manage payment methods and billing info in your account

Pause Subscription

Temporarily pause for up to 6 months (contact support)

Cancel Anytime

No contracts, cancel through account settings or contact support

Access After Cancellation

Continue using Syntry until end of current billing period

How do I cancel my subscription?

Option 1: Go to Account Settings → Subscription → "Cancel Subscription"
Option 2: Email support@syntryhealth.com with "Cancel Subscription" in subject
Note: You'll continue to have access until your current billing period ends

Do you offer refunds?

7-Day Trial: Free trial available for new users

Cancellation: No refunds, but you keep access until period ends

Special Circumstances: Contact support for billing issues or technical problems

Unused Time: We don't prorate refunds for partial months

Can I change my payment method?

Easy Updates: Change cards anytime in Account Settings

Multiple Cards: Store backup payment methods

Failed Payments: We'll retry failed payments and notify you

Billing Alerts: Get notified before card expiration

Is there a free trial?

7-Day Free Trial: Full access to all features

No Credit Card: Sign up without payment information

Trial Features: Create unlimited encounters, use all AI features

Easy Upgrade: Subscribe anytime during or after trial

What happens if my payment fails?

Automatic Retry: We retry failed payments 3 times over 10 days

Email Notifications: You'll be notified of payment issues immediately

Grace Period: 10-day grace period to update payment method

Account Suspension: Access suspended after grace period ends

Do you offer discounts?

Annual Billing: Save 20% with annual subscriptions (coming soon)

Group Discounts: Special pricing for healthcare organizations (contact sales)

Student Rates: Discounted pricing for residents and students

Non-Profit: Special pricing available for qualifying organizations

How to Subscribe to Syntry

Subscription Process

1

Visit Pricing Page

Review plans and choose Monthly or Annual billing

2

Select Your Provider Type

Choose NP/PA or MD/DO pricing tier

3

Secure Stripe Checkout

Complete payment using our secure Stripe integration

4

Instant Account Activation

Start using Syntry immediately after payment

Secure Payment Features

SSL Encryption

All payment data encrypted in transit

PCI DSS Compliant

Bank-level security standards

No Data Storage

Syntry never stores your payment information

Automatic Renewals

Seamless subscription management

Ready to get started?

View Pricing & Subscribe

14-day free trial • No setup fees • Cancel anytime

Enterprise & Special Plans

Healthcare Organizations

  • • Custom pricing for 10+ users
  • • Advanced admin controls
  • • Priority support
  • • Custom integrations

Residents & Students

  • • 50% discount on standard pricing
  • • Verification required
  • • All standard features included
  • • Educational support resources

Locum Tenens

  • • Flexible monthly plans
  • • No long-term commitments
  • • Multi-facility support
  • • Quick setup and training

Frequently Asked Questions

Find quick answers to the most common questions about Syntry's features, security, and workflow.

Is Syntry HIPAA Compliant?

Yes. Syntry follows HIPAA guidelines and offers signed BAAs to covered entities. All data is encrypted, access is controlled, and we maintain comprehensive audit trails.

Can I edit my AI-generated notes?

Absolutely. You have complete control over all generated content. Edit, add, remove, or restructure any part of your documentation before finalizing.

Real-time editing with instant preview

What happens to my audio recordings?

Audio recordings are never stored permanently. They are processed for transcription and immediately deleted. Only your final, signed clinical notes are retained.

Auto-deletion within minutes of processing

How does the Mobile Mic Mode work?

Mobile Mic Mode is designed for healthcare providers who need hands-free recording while keeping their phone in their pocket or coat. The black screen prevents accidental taps that could stop recording and lose valuable patient encounter data.

How to Use Mobile Mic Mode

1
Start Recording: Tap "Mobile Mic Mode" on your mobile device to begin recording
2
Black Screen Activates: Screen turns completely black to prevent accidental interactions
3
Pocket-Safe Recording: Place phone in pocket or coat - recording continues safely
4
Exit Mode: Double-tap anywhere on the black screen to reveal the mic modal and stop recording
Privacy & Security
  • • Black screen protects patient privacy
  • • No visible interface during encounters
  • • Prevents accidental screen captures
  • • HIPAA-compliant design
Workflow Benefits
  • • Hands-free operation during exams
  • • No risk of accidentally stopping recording
  • • Continuous recording in pocket/coat
  • • Focus entirely on patient care
Pro Tips for Mobile Mic Mode
Keep phone microphone unobstructed in pocket for best audio quality
Practice the double-tap gesture to quickly exit when needed
Ensure adequate battery life before long encounters
Test audio levels in your typical recording environment
Available only on mobile devices - automatically detects your device type

Can I use Syntry on mobile devices and tablets?

Syntry provides full mobile compatibility with optimized touch interfaces for healthcare professionals on the go.

Mobile Features

  • Responsive Design: Adapts perfectly to smartphone and tablet screens
  • Touch-Optimized: All features accessible via touch interface
  • Mobile Voice Recording: High-quality audio capture on mobile devices
  • Offline Capability: Basic functionality available without internet connection
  • Cross-Device Sync: Seamless synchronization across all your devices

Device Support

iOS: iPhone & iPad
Android: Phones & tablets
Windows: Desktop & tablet
macOS: Mac computers
Chrome OS: Chromebooks

Mobile-Specific Features

  • Camera Integration: Direct photo capture for medical imaging
  • Push Notifications: Real-time alerts for important updates
  • Biometric Security: Fingerprint and face unlock compatibility

Pro Tip: Start an encounter on your mobile device during patient rounds, then seamlessly continue documentation on your desktop workstation. All data syncs in real-time for maximum workflow flexibility.

How accurate is the AI transcription?

Our AI transcription is highly accurate, especially for medical terminology. However, we always recommend reviewing and editing your notes before finalizing to ensure accuracy and completeness.

Specialized medical AI with continuous learning

Pro Tips for New Users

Start Simple: Begin with basic documentation to get familiar with the interface
Customize Settings: Adjust templates and preferences to match your workflow
Test Audio: Check your microphone quality in a quiet environment first
Get Support: Use our built-in help or contact support for personalized assistance

Still Have Questions?

We're here to help! Contact us for personalized support and guidance.

Get Direct Support

Our team is ready to help with setup, troubleshooting, and optimization of your Syntry workflow.

Quick Response Times

General inquiries: Within 24 hours
Technical support: Within 4 hours
Urgent issues: Same day response