It started with a stack of appeals.
A medical practice manager, inundated with appeals. For a while that was all she was doing.
The downcoding was being done off the initial billing, straight from the EOBs, before anyone had looked at a medical record. One insurance company, one remit, downcoded every 99214 and 99215 the practice had done the previous month. Ninety-two claims. Then it happened again the next month, and the month after that. By late summer the follow-up spreadsheet for that one insurer held 1,099 claims for the year.
Each appeal, including the letter, took fifteen to twenty minutes. Many of them needed a doctor to stop what they were doing and help.
Under 2 min
to verify a code, by time or by medical decision making, with a report that shows the work.
3 minutes
from demographics, carrier, fax and claim number to a finished appeal letter.
Usually no doctor needed
for the appeal. The note and the report make the case.
So we built the thing she needed. CodeItRight reads the note and, in under two minutes, verifies the code and produces a three-to-six-page report that substantiates it, by time or by medical decision making. Enter the patient demographics, the carrier, the fax and the claim number, and it writes the appeal letter. Three minutes, done.
“Two months ago I required every first-level appeal to be done with CodeItRight. Of the 1,099 claims from that insurer this year, fourteen are going to arbitration because they refused to pay. Since the change, I have one denial.”
“It also helped us with the Medicare CERT program. We received 99%.”
Since then it has grown the way it started: someone in a practice said “I need this”, and we built it. Quick Check, for the code in seconds when you are not sure. Dictation, for the doctor who is tired of writing notes by hand. A free trial, and plans a small practice can afford.
Do not have what you need? Ask us. We listen to the people who use it, and if a feature is needed and appropriate, we add it. After all, that is how we got started.
Let your billing and collections team try it. That is where the revenue comes back.