med necessity

accurate outpatient compliance

Verify medical necessity quickly and easily before services are provided. Achieve accurate, real-time outpatient medical necessity compliance checks at pre-service and point-of-access areas in your hospitals and physician practices. Detect coding problems and issue CMS-compliant ABN forms as needed. Generate reports by procedure, patient and physician for audit and training purposes. Achieve visibility to potential issues based on CMS policies, and identify procedures that have no matching diagnosis or CMS policy existing for the specific procedure code. Make coding changes before the claim is billed with work-lists. Schedule a demo.


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