Medical coding is one of the most important challenges healthcare professionals face today. Errors in coding can mean lost revenue, audits, and legal penalties. In healthcare, coding equals money – the average physician practice loses $50,000 a year due to incorrect coding. With the implementation of the Correct Coding Initiative/Policy by the Centers for Medicare & Medicaid Services (CMS), errors in coding can have significant financial ramifications. EHS has embedded the Alpha II CodeWizard into CareRevolution to address these issues.

Scrutinizes Each Encounter

Alpha II scrutinizes the coding per encounter on a real time or batch mode. The Alpha II CodeWizard will help:

• Identify applicable and mandatory modifiers for selected CPT codes
• Check for medical necessity by justifying the ICD-9 code to the CPT code
• Sequence ICD-9 codes based on acuity and severity
• Make edits for ICD-9 codes that do not support a selected CPT code

Scrutinizes Like an Insurance Carrier

The CodeWizard scrutinizes an encounter just like an insurance carrier does helping to:

• Eliminate any potential delay in reimbursement caused by coding errors.
• Ensure clean claims submission
• Reflect a more accurate picture of the EHR record

Accurate E&M Code

Using the CodeWizard tools allows CareRevolution to generate the E&M that providers need to escape the under-coding or over-coding dilemma. Without some form of E&M system, organizations tend to under-code to avoid the inherent dangers of over-coding. Through careful calculation of the ICD-9 and CPT code mixes, CodeWizard is able to produce accurate E&M billing components.