Validate code bundles to assure payment
Simple bundling instruction and validation tools easily show you pairings that can be unbundled, including code-specific eligible modifiers.
Simple bundling instruction and validation tools easily show you pairings that can be unbundled, including code-specific eligible modifiers.
Make monitoring changes a snap and avoid medical necessity errors with policy-specific ICD codes and full policy access.
Convert any ICD-9 code to its ICD-10 equivalent in seconds. See the CMS GEMs, plus the full set of choices within the mapped code family so you don't overlook more specific code options.
Quickly find and validate all facility codes using lay terms, acronyms, abbreviations found on outpatient and inpatient UB-04s and providers’ CMS-1500 claim forms.
Gain confidence in code selection and eliminate guesswork with each element of a procedure delivered in a single code detail page. No more cheat sheets!
Search 60 months of codes, fees, guidelines, edits, and LCD and NCD policies and rules by an exact date of service. In a single click, correctly identify any Medicare Part A and Part B service with nearly 24 filtered references per code that would take you hours to find archived in CMS and carrier websites.
Verify decision makingSimple bundling instruction and validation tools easily show you pairings that can be unbundled, including code-specific eligible modifiers.
Ensure hassle-free reimbursement with a clear view of code-to-code relationships. See at-a-glance common pairings so you never leave a dime on the table.
Manage cash flow and validate procedural payments with Medicare fees and dollars pre-calculated for your GPCI and easily adjustable for private payer contract terms.
Accelerate CodingSearch across all professional and facility code sets using a single search field to simplify your efforts and pinpoint decision-making content you need right away.
Simplify ComplianceDetermine the connection between procedures and DRG codes with code-to-code crosslinks. Never leave money on the table with a clear view of code relationships.
Walk step-by-step through the 3 stages of proper E/M chart documentation to instantly validate the correct code. The easy to read, professionally formatted E/M Audit Results Report facilitates physician review.
Protect yourself from downgrade and ensure correct DRG assignment by validating best primary diagnosis, procedures and complications, and co-morbidities.
Verify decision making
Accelerate Coding
Simplify Compliance
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