Today’s outpatient Medicare payment system is complex, with an increasing number of services that were once paid individually now packaged into a single payment. This challenging payment logic leads to larger outpatient denials, as packaging places a premium on key procedures. While no HIS-based solution can fully account for this logic while checking medical necessity, our web app goes beyond simple medical necessity code pairs—delivering a superior, world-class solution that dramatically reduces high dollar denials.
Watch What Sets Complete Check Medical Necessity Application Apart