The whole ABA session, from first trial to signed note.
Cadence is one workspace from the moment a session starts to the moment the note is signed. Say each trial out loud or tap it, watch it become clean data as you go, and let Cadence’s AI read the trend and draft the note. Everything is reviewable, and nothing is final until you approve it.
- 14-day free trial
- HIPAA-compliant, BAA-backed
- Works offline
Illustrative interface. A clinician reviews and signs off on every suggestion.
Helpers that work in the background, under your sign-off.
These are Cadence’s AI helpers, each keeping an eye on one slice of the work. Nothing clinical or billable moves without a licensed clinician’s decision, and everything they do lands on the audit trail.
Hands-free capture
Transcribes speech and resolves it into structured clinical events as you say them - mid-session, without breaking your flow.
Suggests · you decideMastery tracking
Tracks each target trial by trial and surfaces a phase-change suggestion when the data meets your mastery criteria - checked nightly and on every client review, so no goal is left waiting.
Suggests · you decideTrend reading
Reads trend and variability across sessions and writes the interpretation in plain language - not just a chart, a conclusion.
Suggests · you decideSession notes
Drafts the SOAP session note from the session's own data, with its CPT code, times, and location - and holds sign-off until every required element is present.
Drafts · you signProgress reports
Gathers every target’s graph, mastery status, and trend for the period and drafts the progress report - summary and recommendations.
Drafts · you signAuthorizations
Watches units used and reauthorization windows - then assembles the payer-facing continued-services packet before they lapse.
Drafts · you signCompliance sweep
Sweeps sessions for unsigned notes, missing co-signatures, and CPT mismatches - a ranked list of exactly what blocks clean billing.
Flags · you resolveTreatment plans
Reads a signed assessment and drafts the treatment plan - domains, targets, operational definitions, mastery criteria - for you to shape.
Drafts · you activateFamily updates
Writes warm, jargon-free progress updates for families - built only from committed data, never a figure that isn’t in the record.
Anchored to committed dataData import
Maps client rosters and programs out of your old system - reading only column headers, never a row of client data - you confirm the mapping before anything is imported.
Suggests · you confirmHelpers in the background. Your clinical judgment in the foreground.
How we keep it safe
Everything in the box, and where we stop.
Capture and documentation are where Cadence starts, not the whole product. Here is every area that ships today, including where Cadence deliberately stops. If a term below is unfamiliar, the reference guides define the field’s side of it: the eight measurement systems and interobserver agreement.
Session capture
Voice-first capture, with a tap grid that runs with no connectivity, covering every ABA measurement system.
- Capture by speaking: narrate a session and the Capture agent resolves speech into structured trials in real time.
- Capture by tapping: an eyes-up tap grid that needs no AI and no network at all.
- Native support for all 8 ABA measurement systems: DTT, NET, task analysis, frequency, duration, interval, latency, and ABC.
- Fully offline: every tap is written to on-device storage and awaited before it is shown as captured, then synced deterministically.
- Corrections are one tap and survive going offline - a fixed read is never lost to a sync.
- Speech is transcribed by the browser's built-in recognition by default, so Cadence receives the transcript and never the audio; BAA-covered medical ASR with speaker isolation is used only when explicitly configured.
- Configurable prompt hierarchies, so prompted-trial scoring matches how the clinic actually codes prompts.
Clinical reasoning
Agents evaluate mastery, read trends, and propose phase changes - as proposals a clinician decides on.
- Mastery is evaluated against a configurable, data-driven rule - nightly and whenever a client is reviewed - never hardcoded clinical logic.
- A phase-change proposal is surfaced when the data meets the mastery criteria, carrying the exact evidence it rests on.
- Trend, variability, level change, and stalled progress are computed with least-squares regression, then narrated in plain language.
- Equal-interval graphs, with phase-change lines and the mastery criterion drawn in, are generated automatically from committed session data.
- Generalization and maintenance are tracked distinctly from acquisition.
- A caseload copilot answers questions about your clients using read-only tools over committed data.
Documentation & notes
SOAP notes and progress reports drafted from committed data, with a compliance checklist that blocks an incomplete signature.
- SOAP session notes are auto-drafted from the session's committed data, with the data attached.
- Sessions are scheduled and documented under any code in the ABA CPT family (97151-97158), and every note carries its session's code.
- Progress reports assemble every target's graph, mastery status, and trend for the period, then draft the summary and recommendations.
- A required-element checklist blocks sign-off when a note is missing something a payer will ask for.
- Signed notes are amendable through tracked addenda rather than edits, so the record stays defensible.
- Every figure in a draft is checked against committed measurements; a percentage that does not match is flagged before signature.
Data quality & reliability
Interobserver agreement is measured in-product, because a treatment decision is only as good as the reliability of the data under it.
- Interobserver agreement (IOA) is computed in 2 methods - total count and exact agreement - against the field's conventional 80% acceptability threshold.
- Reliability checks are stored with the session and target they belong to, and can be recomputed from the stored check.
- Data-integrity checks surface gaps and anomalies in a client's record rather than leaving them to be found at report time.
- Every clinical record moves through an explicit proposed → committed lifecycle; rejected and superseded records are retained, never deleted.
Assessments & treatment plans
Structured assessments scored against real instrument architecture, feeding a drafted treatment plan.
- Assessments are scored area-by-area against the actual instrument structure: 16 VB-MAPP milestone areas and all 25 ABLLS-R areas (A-Y).
- Vineland-3, AFLS, PEAK, and FBA are supported as assessment instruments with free-form area entry.
- The Plan agent reads a signed assessment and drafts the treatment plan - domains, targets, operational definitions, and mastery criteria - for a BCBA to shape and activate.
- Assessment findings, recommended service hours, and medical-necessity language live with the assessment record.
Scheduling
A real clinical calendar: staff and clients, recurrence, conflict detection, and cancellations that free the slot.
- A week-view calendar scheduling clients with the staff assigned to them, scoped to what each role may see.
- Recurring appointments, expanded from a recurrence rule rather than copied by hand.
- Conflict detection, so a clinician is not double-booked into two rooms at once.
- Cancellations and no-shows are recorded distinctly and vacate the slot for capacity math.
- A scheduled session starts directly into the capture flow - the calendar and the clinical record are the same system.
Supervision & oversight
Supervision that follows the caseload, including a cross-location view for multi-site operators.
- A BCBA sees the committed data for every supervisee on their caseload, with the proposals waiting on them ranked.
- Supervision hours are tracked against the sessions they were delivered in.
- An org-wide, cross-location supervision dashboard covers every client across every site for multi-site operators.
- A clinical sweep surfaces what is unsigned, uncosigned, or mismatched as a ranked list of what actually blocks clean billing.
Caregivers & families
A family-facing view anchored to committed data, plus caregiver training tracked as its own program.
- A caregiver view showing the child's progress, written from committed data and never from an unreviewed draft.
- Signed progress reports are shared with the family, labeled with the period the clinic actually authored.
- Caregiver-training goals are tracked as their own program, with the caregiver as the learner and implementation fidelity as the measure.
- Caregiver training maps to the family-guidance CPT codes (97156 and 97157) it is billed under.
- Consents are recorded per type, including telehealth and recording consent, with their status on the client record.
Authorizations & billing readiness
Authorization tracking, pre-billing validation, and a standards-shaped claim file - short of full-service RCM, on purpose.
- Authorized units are tracked against units delivered, with expiring and exhausted authorizations flagged before they lapse.
- The Authorization agent assembles the payer-facing continued-services packet ahead of a reauthorization window.
- Pre-billing validation checks CPT mapping, modifiers, and payer-specific rules before a claim draft leaves the clinic.
- Claim drafts export as an 837P (ASC X12N 005010X222A1) file for a biller to upload to their clearinghouse.
- Audit packets bundle the note, the data behind it, and the audit trail for a single request.
- Cadence is not a full-service revenue-cycle system: there is no managed claim submission, ERA posting, or denial workflow.
Platform, security & data
HIPAA-baseline security, role-scoped access, an append-only audit trail, and your data on the way in and out.
- Client PHI is encrypted at the field level with AES-256-GCM; model calls carry a de-identified token, never a client's name.
- Role-based access for RBTs, BCBAs, directors, and auditors, with RBTs scoped to their assigned clients.
- Custom roles clone a base role and override individual permissions.
- Every PHI read and write, and every agent proposal and commit, is written to an append-only audit log that can be exported.
- SAML single sign-on for organizations that require it.
- Bring your history: CSV migration imports clients, targets, and past session data with column mapping and row-level validation.
- Take your data out: a public REST API (clients, sessions, notes, authorizations, plus opt-in session and authorization writes) documented by an OpenAPI spec at /api/v1/openapi.json.
- Retention and discharge workflows, so a client's record has a defined end state.
Capability information reviewed September 2026.
Across the whole product, Cadence’s AI only ever drafts, flags, and suggests. A clinician reviews and signs: nothing clinical or billable reaches a record or a claim without a person behind it.