How Does CareSwift Work?

In the demanding world of EMS operations, accurate documentation is key to compliance, reimbursements, and smooth workflows. CareSwift is an AI-powered platform that simplifies patient care reporting. Founded by an experienced EMT and backed by Y Combinator, our Narrative Assist tool fits right into your existing ePCR system. It uses voice dictation and real-time AI to help providers build compliant reports, acting like a virtual QA supervisor. As teams dictate, it asks smart questions to guide them toward top-notch documentation. This boosts frontline efficiency and cuts back-office work, saving time and costs. Plus, CareSwift includes ready-to-use settings that your agency can adjust to fit your protocols and needs.

Here's a clear, step-by-step breakdown of how it works, designed to help EMS operations pros like you improve productivity and reduce risks.

Step 1: Easy Data Capture On-Scene

CareSwift starts right where the action is. EMTs and paramedics use our simple mobile or web app to begin documenting.

Voice or typing options: Dictate hands-free during transport, or type if you prefer. Our transcription engine turns speech into structured text instantly.
What it captures: Vitals, interventions, observations— all gathered without pulling focus from patient care. You speak naturally into the system as if an expert scribe is instantly filling out the chart, listening to your every word.

This setup keeps things flowing smoothly, setting the stage for guided documentation.

Step 2: AI-Guided Report Building with Real-Time QA

Once data starts coming in, Narrative Assist steps in like an experienced QA supervisor. It uses the full context from your ePCR (like entered vitals and protocols) to ask targeted questions—no repeats or off-base prompts.

Example questions: If a dictation misses details on treatment response, it might ask, "Can you elaborate on the patient's response to the intervention, including any changes in vital signs?" Or, "What specific assessment findings support the chosen protocol here?"
How it builds the report: These questions guide providers to create complete, CMS-compliant narratives. The AI pulls everything together—patient history, assessments, treatments, and decisions—automatically filling in all fields, including vitals, billing codes, and signatures.
Built-in QA: Live checks happen right here, spotting issues as the report forms. This ensures "perfect" documentation from the start, optimized for reimbursements and reviews.

The result? The entire process—from start to full report—takes just three minutes on average. It teaches best practices on the fly, cuts errors early, and saves your back-office team tons of review time.

Step 3: Final QA Check in the ePCR

Our live QA is embedded directly in the ePCR, like having a QA pro watching every step.

What it does: After the guided building in Step 2, it runs a quick, overall scan for any missed spots—like vitals, signatures, protocol gaps, or billing details.
Why it's often minimal: Since Step 2 handles most QA in real time, this final check is usually just a safeguard. It's rarely needed because the report is already spot-on.
Key benefits: Backed by secure controls (RBAC) and audit logs, it ensures HIPAA and CMS compliance. This means fewer denied claims, easier QA/QI, and instant proof for audits—plus major cost savings by lightening back-office loads.

It's your last line of defense to lock in accurate payments and reimbursements.

Step 4: Complete ePCR Field Population

CareSwift wraps up by automatically filling every field in your existing ePCR using the information captured and guided through earlier steps.

How it works: It connects directly inside the ePCR to populate all sections— from demographics and narratives to billing and signatures—ensuring the full report stack is complete and ready for submission.
No extra integrations needed: This stays within your current ePCR system, streamlining the process without adding complexity.
Agency-wide wins: With everything auto-filled accurately, you get faster turnarounds, better compliance, and more time for your team to focus on operations. This simple completion step makes the entire documentation seamless, scalable for private fleets, municipal teams, and more.

In short, CareSwift's Narrative Assist transforms ePCR documentation with AI guidance and live QA, like a QA supervisor in your pocket. It speeds up frontline work, slashes back-office costs, and ensures reports that protect your finances and raise care quality. With over 1,000 EMTs already using it in pilots and plans for more features like billing help and CAD integrations, CareSwift is built to be the backbone of modern EMS.

Interested in seeing it in action for your team? Book a demo or learn more today .

Updated on: 15/07/2025

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