EDITS+ Coding Quality
EDITS+ is designed with built-in tools to increase coding accuracy, resulting in more reliable and efficient claims settlement.
Rules
EDITS+ Rules check for compliance with coding and payer requirements. Rules can be activated for each practice. When a visit is completed, Rules are executed. All Rules assigned “critical” status by your system administrator must be resolved before a visit can be completed. If a Rule is not resolved, an error message appears. Simply click on the error message and you’re taken to the location of the error, for quick resolution.
Quality Assurance Auditing
Visits can be selected for routing to an over coding queue, prior to billing. A Quality Assurance reviewer can then examine and correct the visit as needed. Level assignment, diagnosis and CPT error correction is captured and scored. Reports summarize the QA results.
Wizards
Wizards for professional coding accurately determine the E/M level based on government or non-government guidelines. Wizards for facility coding can be tailored according to facility guidelines, in either a points-based model or an intervention-based model.
EDITS+ is an excellent resource for new coders, or for establishing new guidelines for a practice.
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