Access Integrity Medical Transaction Analyssis

Frequently Asked Questions

Q: What kind of product is Medical Claims Compliance® and who is it for?

Q: What does Medical Claims Compliance include?

Q: Will I need to buy additional equipment like a server or desktop computer to use your product?

Q: Why should I use Medical Claims Compliance and how can it help me with my medical claims?

Q: We use a medical billing and claims management product that has a claims scrubber. Can I still use Medical Claims Compliance and why should I use both?

Q: How does Medical Claims Compliance protect patient health information during the online processing of the health care transaction?

Q: Can Medical Claims Compliance help our coding process? That is to say can it give our coders suggestions while they are reviewing the patient medical record?

 

Q: What kind of product is Medical Claims Compliance® and who is it for?

A: Medical Claims Compliance is a web-based solution for medical transaction processing which seamlessly searches and analyzes medical records and narrative notes as part of the transaction workflow prior to claim submission. Our product targets medical providers who want to make sure their medical claims are always correct and compliant. Utilizing the patented ICD Tagger, CPT® Tagger, and HCPCS Tagger technologies to review all information, relevant medical codes are extracted for correct and compliant medical coding.

Q: What does Medical Claims Compliance include?

A: Our annual subscription fee includes real-time updates of all government agency datasets to make sure your medical claims are always compliant. In addition, your subscription fee will give you 24/7 online access to all your medical transactions via Cloud storage. No additional fees for storage, installation, or transaction volume.

Q: Will I need to buy additional equipment like a server or desktop computer to use your product?

A: Because Medical Claims Compliance is 100% web based, all you will need is an Internet connection. Our server analyzes electronic medical records and provides highly relevant medical coding suggestions, which increase the likelihood of compliance with current medical billing regulations.

Q: Why should I use Medical Claims Compliance and how can it help me with my medical claims?

A: Our team at Access Integrity® delivers advanced technology solutions (via the ICD Tagger, CPT® Tagger, and HCPCS Tagger technologies) for full processing of medical transactions. Our product plays a critical role in providing an advanced solution for medical coding compliance. This process produces a highly accurate claim that has been thoroughly reviewed prior to submission, resulting in a significant reduction in claim denial and review, and increased cash flow and staff productivity.

Q: We use a medical billing and claims management product that has a claims scrubber. Can I still use Medical Claims Compliance and why should I use both?

A: Most claim scrubber/checkers only check the submission form for errors and inconsistencies. Our patented ICD Tagger, CPT® Tagger, and HCPCS Tagger applications search and analyze patient medical records and procedure notes. Because we are a web-based product, all claims can be analyzed as part of the transaction workflow prior to submission.

Q: How does Medical Claims Compliance protect patient health information during the online processing of the health care transaction?

A: Medical Claims Compliance is an advanced technology solution providing complete and compliant processing of medical transactions. Healthcare information we receive is encrypted to our secure web server where it is authenticated prior to being processed, reformatted as necessary to verify medical claims integrity. We do not view privacy-protected data and continue to monitor programs to ensure compliance with transaction standards and privacy and security requirements as required under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). In order to achieve the highest HIPAA standards, we constantly conduct exhaustive audits to make sure our clients' data is safe and secure.

Q: Can Medical Claims Compliance help our coding process? That is to say can it give our coders suggestions while they are reviewing the patient medical record?

A: Yes. Our ICD Tagger technology, which is a natural language, rule-based software application, analyzes medical records and suggests diagnosis and procedure codes. The recommendations may then be selected or an alternative code may be chosen.