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Coding Validation Software

Finetune your billing department

The Value-Add

 PracticeSuite’s all-payer NCCI Edit solution continuously updates so your claims are validated properly prior to submission resulting in faster, more accurate claims processing and quicker payments. 

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 endless payer rules. 

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

Note: CMS alone has over 14,000 edits in its National Correct Coding Initiative that update quarterly, while other payers may publish coding changes at any time. Only an automated solution can insure accurate claims and quick payments.


8 Steps to Billing Success

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