The Analyzer Express helps makes sure your medical practice is receiving accurate compensation
for your medical services. Our software technology gives you accuracy and control over HMO denials
caused by new medical regulations and guidelines.
Powerful Flexibility and Accurate Validation
• Validates procedures, diagnoses, modifiers, place of service, date of service, units, etc.
• Flags undercharging and identifies duplicates lines on claim.
• Tailor your system to payers’ guidelines, by turning on and off rules by payer.
• Alerts of errors in hundreds of combinations of procedures and modifiers.
• Performs medical necessity analysis against our table of Procedures Matching.
• Diagnoses when dealing with Medicare claims against the LCD tables for the state.
• Checks for unbundling with CCI (Corrective Coding Initiative) tables.
• Follows rules for add-on procedures and uniqueness to gender and age group with procedures and diagnoses.
• Regular output report easily identifies claims ready-for-submission from claims that require changes.
• System provides automatic alert messages explaining the erroneous conditions.
• System is ready to adapt to the ICD10 transition when the time comes.
Maximum Efficiency.
The backbone and core strength of the Analyzer Express is our constantly maintained
and updated database. As changes occur to diagnoses codes and regulations, our Web Services keeps
your Analyzer Express sharp and accurate every time. Your database application runs locally on
your computer for fast and accurate access.
Win the HMO Challenge
Powerful Analysis Tools for accurate claims and meeting the challenge of HMOs.
HMO regulations and guidelines by their very nature are in a state of constant flux.
Analyzer Express keeps your system up to date on the latest information so your claims
are completely accurate, and timely.
Underpayments are easily detected. In addition, payments received must meet the percentage
amount stipulated in the agreement with the HMO. Medicare denials and rejects due to Local
Coverage Determinations (LCD) are eliminated. The Analyzer Express system keeps the latest
LCD for every Medicare area in the nation.
Multiple Fee Schedules? No Problem.
• Accounts for Percentage of Medicare Allowable just as most Managed Care plans do.
• Workers Compensation and Medicaid fee schedules.
• Unique fee schedules to insurance carriers.
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