Code Interceptor

Code Interceptor was developed from client and stakeholder input to create a solution that would optimize revenue and staff. Utilizing software and our experts we intercept the code capture your team has performed. These codes are reviewed against our knowledgebase of service line rules. Errors are identified and communicated to you and your team for modification or correction. This decreases any chances of unnecessary denials, ensures compliance, and optimizes revenue.

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Audits


Payers perform a prepay or a post pay audit on almost all Oncology claims. This process ensures accuracy and necessary documentation is present in the event of an additional documentation request.


Staff Optimization


Code Interceptor can be used to ensure continuity of coding accuracy. There is no ramp up period, so if there are gaps in staffing or increased volumes there is no delay. Many have adopted Code Interceptor as a secondary check against the manual processes to eliminate back-end denials, which can result in over $250 per denial staff working time. Increasing claims accuracy is imperative in the high spend/cost oncology service line.

Scalability


The cost of Code Interceptor adjusts to your utilization and volumes so you will not pay for what you don’t use.

Top Certainty Features


  • CPT® Coding
  • ICD-10 Accuracy
  • Modifiers
  • Zero Software Installs
  • Role and Rule Based Hierarchy
  • Coding analytics and dashboards available
  • Physician and facility coding
    • Hospital- OPPS
    • MPFS
      • Professional
      • Global
      • Technical

Areas of Expertise


  • Medical Oncology
  • Radiation Oncology
  • Infusion
  • Asthma and Allergy
  • Diagnostic Radiology
  • Interventional Radiology