Today’s healthcare systems face increasing challenges in achieving medical necessity compliance. Even Medicare Advantage plans must follow Local and National Coverage Determinations (LCDs and NCDs). At OnTarget Revenue, we understand these challenges and we are here to support you.
Our Medical Necessity Coverage Data, derived from Medicare and/or Medicare Advantage policies, enables your health information system’s medical necessity checking capabilities. This data contains millions of CPT™/HCPCS procedure codes mapped to supporting ICD diagnostic codes.
Watch What Sets Our Medical Necessity Coverage Data Apart
Expertise: 24+ years of experience delivering responsive support and service.
Innovation: Proprietary AI-enhanced queries convert CMS’s coverage database into accurate, code-for-code data aligned with Medicare policies, reducing denials and patient scheduling-registration issues.
Timeliness: We provide weekly updates to ensure end-user decisions are always aligned with the latest CMS data. Updates are available via our portal—schedule them weekly, monthly, or on-demand.
Compatibility: Data formats for all systems, including EPIC and Meditech.
Cost Savings: Our efficient operations and AI-driven approach allow us to offer competitive rates. We provide volume-based rates for small systems and multiple hospital discounts for large systems, ensuring significant annual savings.
