ChartGuard
ChartGuard Logo ChartGuard
HIPAA-Ready · EMS Documentation AI

Your EMS narratives are
costing you money.

ChartGuard analyzes your PCR narratives and patient assessments — flags billing-risk deficiencies, missing documentation, and medical necessity gaps before your claim gets denied.

No EHR integration required · No long contracts · BAA included
ChartGuard — PCR Analysis Live Demo
Billing Readiness
72/100
Needs attention before submission
QA/QI Score
84/100
Above agency average
!
Missing Vital Signs
No vitals documented after initial assessment. Required for ALS level billing.
!
Medical Necessity Unclear
Transport justification not explicitly stated. Review CMS 42 CFR 410.40.
!
No Reassessment Documented
Patient condition change post-intervention not recorded.
Signature Complete
eSignature captured, credentials confirmed.

Every deficiency that kills a claim,
identified in seconds.

01

Missing Vital Signs

Vital signs absent or incomplete after initial assessment. A top cause of ALS denial.

02

Medical Necessity Gaps

Transport justification not clearly stated. The #1 reason Medicare denies ambulance claims.

03

Reassessment Alerts

Patient condition change post-intervention not documented. Required for extended transports.

04

Missing Documentation

PCS forms, signatures, or treatment justifications absent. Triggers audit flags immediately.

05

Billing Risk Trends

Pattern analysis across your entire run history. See which crews, codes, or shifts are generating risk.

06

ALS/BLS Level Risk

Identifies when documentation supports ALS interventions but billing is submitted at BLS rate — or vice versa.

07

QA/QI Trend Tracking

Longitudinal QA scores by provider, shift, and crew. Track improvement over time, not just snapshots.

PCR Analysis › Run #2024-1847
Jun 11, 2024 BLS Emergency CMS Medicare

Narrative Analysis

Processed in 2.4s
Submitted Narrative
"Dispatched to 72yo female, chief complaint chest pain. Found patient sitting on edge of bed, alert and oriented. IV established right AC with 18g. Nitro 0.4mg SL administered. Patient rate relief from 8/10 to 3/10. Transported ALS emergent to ED."
72
Billing Readiness Score
84
QA/QI Score
Missing Reassessment — Vitals Post-Nitro

Patient reassessment vitals after nitro administration not documented. CMS requires documented response to treatment. Ref: CMS IOM 100-04, Chapter 15, 210.2.

Medical Necessity — Transport Level Unsupported

Narrative does not explicitly state why ambulance transport was required vs. alternative transport. "Emergent" stated but no condition indicators documented beyond initial finding.

Signature and Credentials — Complete

eSignature captured. NREMT-P credentials confirmed. Timestamp within 24hr window.

Treatment Documentation — Supports ALS

IV establishment and medication administration documented. Supports ALS level of service.

HIPAA-first architecture.
Nothing invented. Ever.

ChartGuard does not generate documentation. It does not suggest facts that did not occur. It flags what is missing from what you already wrote — nothing more.

HIPAA Business Associate Agreement

Full BAA with every customer. AWS Bedrock HIPAA-eligible infrastructure. Zero PHI leaves your environment.

Complete Audit Trail

Every analysis logged with timestamp, user, and document hash. Hash-chained records for regulatory and legal defensibility.

No Hallucination Architecture

AI grounded in submitted text only. No training on customer data. Citation of the exact source sentence for every flag.

Role-Based Access Control

Provider, QA Officer, Billing Manager, Administrator. Each sees only what they need. Minimum necessary standard enforced.

HIPAA
BAA with every customer
AWS Bedrock HIPAA-eligible
AES-256 encryption at rest
TLS 1.3 in transit
Immutable audit logs
Multi-factor authentication
Zero model training on PHI

Three steps. From narrative to audit report.

01

Paste your PCR narrative

Provider pastes the completed EMS narrative and patient assessment into the secure form. No EHR integration required — works with whatever documentation workflow you have today.

Narrative Input
Dispatched to 72yo female, chief complaint chest pain. Found patient sitting on edge of bed... [continue]
02

AI analyzes in seconds

ChartGuard’s AI reviews the narrative against CMS billing requirements, QA/QI standards, and medical necessity criteria. Every flag is grounded in the actual submitted text.

Analyzing against 47 CMS billing criteria...
03

Get scores, flags, and guidance

Instant Billing Readiness and QA/QI scores. Specific deficiency flags with cited source sentences. Suggested areas for clarification — not invented facts, just gaps you can address.

Billing 72
QA/QI 84
Flags 3

Straightforward pricing.
No surprises on your claim denials.

Start free. Scale as your agency grows. Every plan includes a BAA, HIPAA-eligible infrastructure, and unlimited audit log history.

Starter
$0/mo

Perfect for solo medics and small crews getting started.

  • 20 analyses per month
  • Billing Readiness Score
  • QA/QI Score
  • Up to 5 rule-based flags
  • Audit log history
  • Email support
Get started free
Enterprise
$399/mo

For multi-station agencies with compliance and billing teams.

  • Everything in Professional
  • Multi-user RBAC (up to 50 seats)
  • Custom rule engine training
  • API access (full documentation)
  • Dedicated compliance reporting
  • SLA + phone support
  • Custom integrations
Contact sales

Common questions

What counts as an "analysis"?
One analysis = one PCR narrative submitted for review. Narratives up to 100,000 characters each.
Is there a free trial for Professional?
Yes — 14 days free, no credit card required. You can export your data anytime during the trial.
How does BAA work?
A Business Associate Agreement is included with every paid plan. Sign digitally during onboarding — takes about 3 minutes.
What if I exceed my monthly analysis limit?
We'll notify you before you hit the limit. You can upgrade anytime or purchase analysis packs as add-ons.
Can I cancel anytime?
Yes. Monthly plans cancel at end of period. Annual plans receive a prorated refund. No long-term contracts.

“The AI does not invent facts. It does not suggest documentation for care that was not performed. It identifies gaps in what you wrote — nothing more. That is the only way this tool earns trust from medics, QA officers, and billing managers.”

Core design principle, ChartGuard

Stop losing revenue to
documentation gaps.

Every denied claim started as a narrative that didn’t tell the full story. ChartGuard catches the gaps before the payer does.

Start your free trial

No credit card required. BAA included. HIPAA-ready on day one.

Not ready to sign up yet?

Leave your contact info and we'll reach out when you're ready — or as we add new features your agency cares about.