What if you could make your claims even more accurate?
Our proprietary editing software identifies coding errors related to unbundling, modifier appropriateness, mutually exclusive and incidental procedures, inappropriate billing, and questionable coding relationships. By utilizing a knowledge base containing more than nine million government and industry rules, regulations, and policies governing health care claims, the software gets a claim as accurate as possible for you – with no other human interaction necessary. It also edits across providers in the same group or specialty per Medicare guidelines. The editing rules are built upon current medical practice standards and nationally recognized and accepted sources, including guidelines by the American Medical Association, CMS guidelines, and the National Correct Coding Initiative.