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Home > Products > MDCodeWizard API > Features and Updates

MDCodeWizard API

Here is a list of modules included with our claim-scrubbing software:
 Medical Claim-Scrubber for Professional (CMS-1500) Claims
 Medical Claim-Scrubber for Facility (UB-04) Claims
 Medical Necessity Verification
 Evaluationi And Management Wizard
 Medicare Fee Schedule and RVU calculation
 Keyword and code search
 Medical Coding Reference
 ICD-10 Crosswalk

Here is a list of features included in MDCodeWizard claim-scrubber and their latest updates applied to the system:
 Current Procedural Terminology CPT
 CPT Modifiers
 Healthcare Common Procedure Coding System HCPCS Level II
 HCPCS Level II Modifiers
 International Classification of Diseases ICD-9 Volume I - Diseases Tabular listing
 International Classification of Diseases ICD-9 Volume II - Index to Diseases
 International Classification of Diseases ICD-9 Volume III - Procedures
 International Classification of Diseases ICD-10-CM - Diseases Tabular listing
 International Classification of Diseases ICD-10-PCS - Procedures Tabular listing

 All medical specialties except Anesthesia
 List of codes on the denied list for each diagnosis or procedure code
 NCD/LCD Coverage
 Medicare contractors by state
 NCCI Bundling/Unbundling Edits
 OCE Edits
 National Physician Fee Schedule - Relative Value Units, Global Surgery

Five levels of medical coding edits:
 Encounter-wide edits verify the demographic data of your encounters and file/field formats
 Single code edits check whether each code is valid and appropriate for the demographics of the patient
 Automatic Crosswalk matches the Procedures to 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

Download Free CMS claim form template 1500 (08/05) NPI
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CPT codes, descriptions and other data only are copyright of American Medical Association (AMA). All Rights Reserved
ICD-9 and HCPCS Level II codes, descriptions and other data only are copyright of Centers for Medicare Services (CMS). All Rights Reserved