CodeCheck

CodeCheck allows you to preview potential issues such as bundling, code validity, and medical necessity before you code claims. These tools will greatly reduce the number of denied claims received by your facility.

This table describes each tool in the CodeCheck menu.

Tool	Description
CodeCheck CPT/CCI	Checks for Correct Coding Initiative (CCI) bundling edits.
CodeCheck CPT/Rev	Checks the appropriateness of CPT/revenue code combinations for facility billing.
CodeCheck Fac Part B	Checks full UB04 claims for CCI edits, modifier and revenue code applicability, and medical necessity.
CodeCheck Pro Part B	Checks full CMS 1500 claims for code validity, CCI edits, and medical necessity.
CodeCheck MSDRG Grouper	Predict approximate reimbursement and resource consumption based on procedure, diagnoses, gender, and discharge status.
CodeCheck MSDRG Calculator	Calculate reimbursement for a single MSDRG or to calculate and compare year-to-year reimbursement.
CodeCheck APC Grouper	Check CPT/HCPCS grouping and pricing based on your facility's wage index.
CodeCheck DMERC	Check code validity, diagnoses, and medical necessity for durable medical equipment codes.
Pricer	Claimshop users validate claim grouping, pricing, and edits.