Medical Billing Optimization

High Performance Billing Features

CCI Code Validation

Clean claims are the cornerstone of your medical billing, and automated CCI Edits are how you get them. having the right tools can bring your billing up to the highest level of performance. Many PracticeSuite clients, some with very high claim volumes, consistently produce 99% clean claims quarter after quarter. This level of billing performance requires knowhow and the right software.

Cleaner Claims & Faster Payments

Medical billing is already complex and difficult, but with features like PracticeSuite’s all-payer NCCI Edits that update continuously, your claims are validated prior to submission and your billing processes result in faster, more accurate claims and quicker payments, leveling-up your medical billing performance.

#1 Feature: CCI Code Validation

Accurate code validation helps prevent overpayments and underpayments, and speeds up your overall time to payment. It allows for better operational insight that helps your clinical, financial, and administrative areas work together more efficiently.

Code correction during charge capture helps eliminate the future need to hunt down rejection causes, contact payers, submit appeals, or monitor payer rules. Embedded CCI Edits ensure proper claim preparation and improve overall medical billing results.

What You'll Get

Real-time Alerts on Coding Conflicts

Quicker and Easier Claim Corrections

Reduce A/R Time

Increase Correct Coding Compliance

Expert support from experienced billers

Reduced Denials, and easy denial management

Coding Edits We Maintain:

CMS 1500 and UB04

Diagnosis Code Validation

Local Coverage Determination

National Coverage Determination

Gender & Age Edits

Advance Beneficiary Notice of Non-Coverage

Outpatient Code Edits

Medically Unlikely Edits

Correct Code Initiatives

CPT Edits

RVU Edits

Modifier Edits

Did You Know: CMS has over 14,000 edits in its National Correct Coding Initiative that update quarterly, whereas other payers may publish coding changes at any time. Only an automated medical billing tool with real-time coding edits can insure accurate claims for quicker payments. PracticeSuite gives you the features and the tools you need to bill at the highest level.

At a Price You Can Afford

The AAPC puts it mildly: “Getting a clean claim out the door is not an easy process for any type of practice. The coding rules are diverse, and it takes a village to keep up with an ever-changing landscape. ..many policies and rules must be considered just to get an office encounter billed. In addition to evaluation and management services there are modifiers, procedure documentation, split shared, incident-to, diagnosis coding and many other factors that must be reviewed for correctness before billing any service.”

8 software features that will take your practice to the next level

The revenue cycle is everything that affects payment before, during, and after the patient visit. Having the right tools helps get the job done well. Here are eight medical billing and coding software features guaranteed to take your practice to the next level.

CCI Edits: Clean claims are the cornerstone of your medical billing efficiency.
Batch Eligibility: know patient responsibility before the patient arrives.
e-Payments: Take balances over the phone when patients call for appointments.
Scheduler: Reduce costly no-shows with reminders and online rescheduling.
Reports. Reports. Reports: Track KPIs by role and department, 140 operational, billing and financial reports.
Integrated EDI features: Clearinghouse features operate seamlessly within the billing software.
Collections Manager: Work claims and denials with ease.
e-Statements: Electronic statements are much faster, cheaper than paper, and patients prefer them.