Obtain accurate net reimbursement information and identify line items that are subject to denial or payment reduction based upon I/OCE specifications.
∙Identify expected net reimbursement for outpatient facility claims in real time,
∙Identify issues that may result in claim-level or line-item denials before the claim is submitted.
∙Provide detailed and easily understood explanations of all reimbursement variances.
∙Readily gauge the impact of coding changes prior to claim submission.