EMS Auto-Coder

Advanced Emergency Medical Services Coding System - AI-Powered ePCR Analysis & HCPCS Coding with NEMSIS Support

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EMS Auto-Coder Workflow

  • 1
    ePCR/NEMSIS Upload & Parse
    Upload ePCR/NEMSIS documents & extract DCHARTE
  • 2
    DCHARTE Breakdown
    Extract D/C/H/A/R/T/E elements systematically
  • 3
    Enhanced Narratives
    Generate medical necessity narratives
  • 4
    Service Level Determination
    BLS/ALS1/ALS2/SCT/Air assignment
  • 5
    Mileage & Modifiers
    Calculate A0425 & origin/destination codes
  • 6
    Procedures/Supplies/Drugs
    CPT/HCPCS/J-codes identification
  • 7
    Compliance & Clean-Claim
    NCCI validation & medical necessity
  • 8
    Final Review & Export
    Generate audit-ready JSON & reports
Workflow Progress 12.5%

ePCR/NEMSIS Upload & Document Parsing

Upload ePCR documents or NEMSIS XML files for comprehensive AI-powered EMS coding analysis and DCHARTE extraction

🚑
Drop ePCR/NEMSIS files here or click to browse
Supported formats: PDF, TXT, HL7, XML, NEMSIS XML | Maximum file size: 25MB per file
✨ NEMSIS XML files supported for direct data extraction

DCHARTE Analysis & Breakdown

Extract and structure Dispatch, Chief Complaint, History, Assessment, Rx/Treatments, Transport, and Exceptions/Narrative elements

Extracted ePCR/NEMSIS content will appear here...
1️⃣ DCHARTE Element Extraction
Systematic extraction of key EMS elements following structured documentation methodology
🚨 Dispatch
🎯 Chief Complaint
📋 History
🩺 Assessment
💉 Treatments
🚚 Transport
⚠️ Exceptions

Enhanced Narrative Generation

Create comprehensive medical necessity narratives for transport, refusal, or pronouncement scenarios

📝 Narrative Options
2️⃣ Medical Necessity Narrative Development
Generate legally defensible narratives that justify ambulance transport and service level
🚑 Transport Narrative
❌ Refusal Narrative
💔 Pronouncement
⚖️ Comparison

Service Level Determination & HCPCS Assignment

Determine appropriate ambulance service level (BLS/ALS1/ALS2/SCT/Air) and assign HCPCS codes

3️⃣ Ambulance Service Level Assessment
Clinical criteria-based determination of appropriate EMS service level and HCPCS coding
🚑 Service Level: Analyzing...
📊 Service Criteria
🏥 HCPCS Assignment
✅ Justification
🎯 Confidence

Mileage Calculation & Modifier Assignment

Calculate loaded mileage (A0425) and assign origin/destination modifiers with QM/QN validation

4️⃣ Mileage & Modifier Computation
Precise mileage calculation and modifier assignment following CMS guidelines
📍 Mileage Calculator
Calculating mileage...
🛣️ Mileage Calculation
📍 Origin/Destination
🏷️ Modifiers
🛑 Intermediate Stops

Procedures, Supplies & Drug Coding

Identify billable procedures, supplies, and medications with appropriate CPT/HCPCS/J-codes

5️⃣ Ancillary Services & Supplies Coding
Comprehensive identification of billable procedures, supplies, and drugs with bundling analysis
🔧 Procedures (CPT)
📦 Supplies (HCPCS)
💊 Medications (J-codes)
🔗 Bundling Analysis

Compliance Validation & Clean-Claim Analysis

NCCI validation, medical necessity verification, and comprehensive compliance checking

6️⃣ Compliance & Clean-Claim Validation
Comprehensive validation against NCCI edits, medical necessity, and regulatory compliance

Compliance Validation Results

⚖️ NCCI Validation
🩺 Medical Necessity
📋 Documentation Gaps
✅ Clean-Claim Status

Final Review & Export Results

Generate comprehensive EMS coding results with audit-ready JSON and professional reports

7️⃣ Final Review & Quality Assurance
Comprehensive final review with audit-ready EMS coding output generation
📝 Audit Note: Final EMS analysis pending...

🚑 Final EMS Coding Results

📄 JSON Output
🌐 HTML Report
📊 Summary
🎯 Quality Metrics
EMS JSON output will appear here after processing...
🚑 EMS Medical Coding Report
HTML report will be generated here...
Summary will be generated here...
Processing...
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