Improve your ability to code and bill correctly with claimWizard claim-scrubbers
One of the main benefits of our claim scrubber is that it helps users select more precise codes by applying the many built-in medical edits. Our software helps you eliminate coding oversights and ensures accurate coding. It also ensures your claims meet all nationally-accepted coding guidelines and standards. Frequently, this results in less denials and a higher reimbursement level.
Another benefit of claimWizard code scrubber is the cross-walk feature which automatically matches the ICD-9 diagnosis codes with the appropriate CPT/HCPCS codes within your encounter thus showing the medical necessity for procedures performed. Very often it is difficult for the medical records staff to find the CPT code that accurately corresponds to ICD-9 coding. Staff members may spend valuable time flipping from one book to the other, searching indexes, only to select matching codes with mixed results. With claimWizard claim scrubber errors stemming from mismatched codes have been virtually eliminated, and the time to match codes has been significantly reduced.
Another big plus, according to the users, are timely upgrades. Medical records departments estimate reimbursements increase because they are now sure the diagnosis is being coded accurately all the time, leading to the highest reimbursement level allowable for each case. The time to code a typical patient record has also been reduced by 10% and as a result the physicians are getting proper reimbursement for their services.
claimWizard's claim scrubber can substantially increase reimbursements by simplifying the coding process, helping to identify overlooked diagnoses and alerting coders to possible missing procedures. Studies have shown that 15% to 20% of cases marked for review are re-coded for higher reimbursement. Factors such as patient gender, age, diagnoses, procedures and discharge status are used to fine tune the data.
Benefits of using claimWizard claim-scrubber
claimWizard "scrubs" your medical claims before submitting to the payers.
Make sure physicians submit only compliant claims and minimize claim rejection.
Help medical coders to bill more accurate and in timely fashion.
Reduce claim denials.
Find missing charges from your encounter.
Optimize RVUs in your medical encounter.
Receive real time results.
Accelerate reimbursement cycle and increase cash-flow.
Reduce submission costs.
Always up-to-date with the updates from the government agencies.
Include all medical specialties (except Anesthesia).
User-friendly interface.
Low cost per user.
No additional software or hardware required.
Extremely secure, HIPAA compliant.
Provide services 24/7. 365-days a year.
Does not require a long-term contract.
Here is a list of features included with claimWizard claim-scrubber:
International Classification of Diseases ICD-9 Volume I - Tabular listing
International Classification of Diseases ICD-9 Volume II - Index to Diseases
Current Procedural Terminology CPT codes
CPT Code Modifiers
HCPCS Level II Codes
HCPCS Level II Modifiers
All medical specialties except Anesthesia
Medical Necessity crosswalk matches your diagnosis codes to the procedures they justify
List of codes on the denied list for each diagnosis or procedure code
NCD/LCD Coverage
NCCI Bundling/Unbundling Edits
National Physician Fee Schedule - RVU, Global Surgery, etc.
Medicare contractors by state
Hundreds of claim-scrubbing edits
Five levels of medical coding edits:
Encounter-wide Edits - Verify the demographic data of your Encounters
Code Specific Edits - Check wether each code exists and is valid
Automatic Crosswalk Edits - Match the Procedures and the Diagnoses in your Encounters
Procedure to Diagnosis Edits - Check each Procedure against each Diagnosis in your Encounters
Procedure to Procedure Edits - Check each Procedure against each other Procedure in your Encounters
Security and availability:
HIPAA compliant. Highest level of security.
Provides service 24/7. 365 days/year
Claim-scrubbing with claimWizard - version comparison
| claimWizard | claimWizard Lite | claimWizard Pro |
|---|
| Type of claims | Physician | Physician |
| Claim form | CMS 1500 | CMS 1500 |
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| Web-Based claim editor | Yes | Yes |
| User-friendly interface | Yes | Yes |
| Automatic updates | Yes | Yes |
| Can interface to any EMR/EHR or a Practice Management System | Yes | Yes |
| Available 24/7 | Yes | Yes |
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| Show CPT code descriptions | No | Yes |
| Accept CPT Modifiers | No | Yes |
| Auto-complete CPT Codes | No | Yes |
| Auto-complete CPT Modifiers | No | Yes |
| Show HCPCS Code Description | No | Yes |
| Accept HCPCS Modifiers | No | Yes |
| Auto-complete HCPCS Codes | No | Yes |
| Auto-complete HCPCS Modifiers | No | Yes |
| Show ICD-9 Code descriptions | No | Yes |
| Auto-complete ICD-9 codes | No | Yes |
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| CCI Edits | Yes | Yes |
| claimWizard© proprietary edits | No | Yes |
| Medical Necessity Edits | No | Yes |
| Calculate RVU | No | Yes |
| Sequencing by highest RVU edit | No | Yes |
| Identifies deleted codes | No | Yes |
| Accommodates global fee periods | No | Yes |
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| Hundreds of other code edits including Ultimate Specificity, Gender, Age, and Service Type specific, Add-On Procedure, etc. | No | Yes |