Diagnostic, surgical, chronic and DME revenue all run through the same panel, and the same modifier logic.
History, symptoms and prior treatment captured for medical necessity.
Screening versus diagnostic sequencing confirmed for Medicare rules.
Prior authorization cleared before the study is scheduled.
Findings and any same-session biopsy captured at the level performed.
Diagnosis coded to the specificity the workup actually supports.
Planned procedure checked against payer coverage policy in advance.
Modifier sequencing and global period rules applied before submission.
Payer-specific bundling edits cleared pre-submission.
What actually lands in the account after modifier-aware review.
Automated CPT mapping, bundling conflict checks and payer-specific edits, before a claim is ever built.
Significant, separately identifiable E/M confirmed against the same-day procedure note.
Bilateral procedures billed correctly instead of split into duplicate lines.
Procedures ranked and sequenced to the payer's multiple-procedure fee logic.
Separately identifiable procedures confirmed against NCCI bundling edits.
Follow-up visits inside a procedure's global window correctly bundled or exempted.
Every claim checked against current NCCI edits before submission, not after denial.
Our -50/-51/-59 sequencing arguments with the payer just… stopped.
Global period tracking used to live in someone's memory. Now it's just correct.
Lithotripsy and urodynamics finally bill the way the operative note actually reads.
