Capabilities and Functions
ClaimsEditor® is our medical claims scrubbing software. Medical software developers can integrate this software easily to an organization’s existing systems platform. It’s perfect for organizations with high-volume billing. Getting ready for ICD 10? This product can make your transition smoother.
If you have specific organizational requirements, ClaimsEditor® claims editing software allows for the creation of customized edits that meet your specific claim compliance requirements.
Medical Software Development Tools
- Integration – Common applications such as API, FTP, SaaS & VPN
- Communication – HL7 protocols for seamless communications
- Expert coding software technical support
- HIPAA Compliant
- Management reporting & Dashboard functionality
Read on or request more information today. See below for software capabilities and functions, which include a complete claims editing system that meets payer compliance guidelines and clinical editing that helps ensure proper bill codes.
Complete Coding and Regulation Editing
ClaimsEditor® is a claims editing software solution that features current coding rules, CMS regulations, and fees. These aspects help users to better identify errors and make necessary changes. Also, included are Recovery Audit Contractor (RAC), Local Coverage Determination (LCD) and National Coverage Determination (NCD) edits.
Clinical Coding Editing
Edits are specific to the clinical billing coding challenges of submitting claims. Examples include:
- Unbundling / rebundling
- ICD/CPT mismatches
- Global period violations
- Age determination policies
- Correct coding initiatives (CCI)
- Regulatory edits
- Utilization
- Durable medical equipment (DME)
To request technical reference or additional information, contact Context4 HealthCare today.
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