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PAYERS
interfacing our technology to their systems, will control:
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Overpayments
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Underpayments
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FRAUD
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ABUSE
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Implementation of Medicare
or unique fee-schedules for re-pricing claims
Utilization of correct
technology in adjudicating the most controversial rules like
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Bilateral procedures and Multiple surgeries
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Medical necessity including Medicare LCD criteria
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Modifiers 24, 25, 57, 59 and anatomical modifiers
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All numeric modifiers
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All alpha-numeric modifiers
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UNBUNDLING, Inclusive and Exclusive procedures
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RBRVS and OPPS ruling in diagnostic services
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Rules re-pricing the 11 family of radiology services
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Re-pricing endoscopies
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Adjudicating Clinical Lab, DME and Orthotics
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Complete analysis of E&M procedures including relationship
to places of service
Capability to program
advanced adjudication techniques to control FRAUD and ABUSE
PAYERS can develop their
own claims scrubbers using our ADJUDICATOR technology>
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We provide the data files required to adjudicate claims according
to Medicare and AMA guidelines.
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We provide the BLUE PRINT that simplifies step-by-step the
design and implementation of integrated adjudication scrubbing capabilities
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We provide consulting services and on-going support to keep
the Private Label ADJUDICATOR with the latest data and coding guidelines
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PAYERS will always have available the most-up-to-date information
needed to meet the industry standards.
For a FREE Consultation please contact us at:
WWW.ACCUCHECKER.COM,
LLC
9460 Fontainebleau Blvd Suite 523
Miami, FL
33172Phone: (305) 227-2383
E-mail:
sales@accuchecker.com
Website: www.accuchecker.com