AccuChecker OnLine is
an Internet subscription service consisting of a database with procedures (CPT,
HCPCS including DME, Orthotics and Supplies), diagnoses codes, coding techniques
and Medicare fee schedules. The system uses RBRVS for structuring fee
schedules
for physicians’ services and reviewing
your managed care reimbursement fees.
AccuChecker OnLine is changing, improving and adapting to
the new transition in claims reimbursement.
In a few years the FEE-for-SERVICE system will transcend
to using diagnosis codes to express how healthcare insurance claims will be paid.
We are aware of the new era and will keep you ready to meet
the challenge!
AccuChecker OnLine remains at LESS than a-Dollar-a- Day
AccuChecker OnLine contains:
- LCDs to prevent Medicare Denials
- PQRI (Physician Quality Reporting
Initiative) the initial stage of the transition to the methodology
for paying claims
by coding diagnosis codes properly
- Risk Management Reports to maximize
revenue from Medicare+ Choice HMOs by coding diagnosis codes expressing risk factors
- Coding techniques like
Corrective Coding Initiative (CCI) tables with their inclusive and exclusive procedures.
The CCI file is used to alert UNBUNDLING and exclusive procedures.
- Procedures matching diagnoses
that meet the criteria of Medical Necessity. This data file is updated constantly.
- Displays coding information
about modifiers affecting medical, surgical and diagnostic procedures. A great tool
for coding services and verifying claims denials.
- Alerts makes you aware
of what services are covered, bundled to other services or not covered by Medicare.
- Lets you know what is
reimbursable.
- You receive HOT-Line Support
included in the subscription. We answer any question regarding healthcare reimbursement
issues. Questions are submitted by email.
AccuChecker
OnLine is constantly updated to make sure that you will always receive the latest
pricing, coding and billing information. Navigational Buttons allow simplicity and
ease to operate the application. Exclusive and Inclusive procedures are used to
retrieve the Corrective Coding Initiative (CCI) information. UNBUNDLING is easily
detected.
The Medical Necessity and LCDs buttons when are clicked display
the matching diagnoses that meet the criteria of Medical Necessity.