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Coding Compliance
Description
The Coding Compliance tool brings together all of the coding information
and rules necessary to ensure proper coding and reimbursement.
At the point of scheduling, registration, or ordering of services,
use this tool to validate medical necessity, ensure proper diagnosis
coding and complete ABNs prior to services rendered. This online
service gives hospitals, clinics, laboratories, diagnostic imaging,
and ambulatory surgery order-entry staff the ability to rapidly
determine whether an Advanced Beneficiary Notice is required based
the client's Local Medical Review Policies.
At the point of claims submission, use this tool to ensure that
claims are clear of errors (medical necessity, coding specificity,
CCI) prior to billing Medicare. Reducing denied submissions can
significantly improve reimbursement and reduce the risk of audits.
Features
Easy-to-use interface
Search ICD and CPT by keywords, phrases or partial
words
Search by code
Validates codes and level of specificity
Validates Medical Necessity via Local Medical Review
Policies for all Carriers
Retired policies and extended medical necessity checks
Carrier's policies are linked for reference
Correct Coding Initiative validation
Customizable "Quick Lists", for frequently
used codes
Rapid ABN completion
The entire program is online, with no installation
or periodic upgrades necessary.
Immediately available to streamline your coding and
billing process!
URL API interface available for Vendors wishing to
quickly incorporate compliance checking into their systems
Subscription
Pricing
Screen Shots
Complaince Check Screen
Click to Enlarge
Quick List - Diagnosis
Click to Enlarge
ABN Completion Form
Click to Enlarge
Information & Orders: Call (520) 529.5515
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