MediCodes provides a comprehensive set of documentation rules to accurately verify and analyze medical necessity validation functionality. Delivered to users on a monthly basis, MediCodes provides current and precise codes that are easily uploaded into clients' systems. Used in hospitals, physician offices, labs, registration, pre-registration, compliance, scheduling, billing, and coding - or with any healthcare software used in areas where medical necessity is managed - MediCodes delivers the following:

  • Procedures (CPT) and diagnosis codes
  • Monthly add-ons and edit rules
  • Covered and non-covered diagnosis codes
  • Denial codes
  • Effective dates and expiration dates
  • Policies (as published by the contractors)
  • Commentary on rule changes with every update

Providing Essential Medical Necessity Criteria to Healthcare Organizations

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