The features you won't want to miss:

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.

Validation Results

National and Local Coverage Determinations policies

Make monitoring changes a snap and avoid medical necessity errors with policy-specific ICD codes and full policy access.

Find the ICD-10 equivalent

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.

ICD-10 Quick Map

ICD-10-PCS, ICD-9 V3, DRG, APC, UB04 Revenue/ Condition code sets in one place

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.

search tabs

ICD-10-PCS procedure descriptions

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!

ICD-10 Quick Map

Date of Service Search Tool

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.

Date of Service Search Tool
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1Verify decision making


Navigate CCI bundling edits

Simple bundling instruction and validation tools easily show you pairings that can be unbundled, including code-specific eligible modifiers.





Searchable code-to-code crosslinks

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.

code-to-code crosslinks

Customized
reimbursement rates

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.


1Accelerate Coding

Search across all code sets simultaneously

Search 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.

code search


1Simplify Compliance

PCS-to-DRG Crosslinks

Determine 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.





Audit E/M charts with ease

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.

E/M Chart Auditor



Audit DRG Grouper logic

Protect yourself from downgrade and ensure correct DRG assignment by validating best primary diagnosis, procedures and complications, and co-morbidities.

DRG Grouper



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