Code Interceptor

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Code Interceptor was developed from client and stakeholder input to create a solution that would optimize revenue and staff. Utilizing advanced software and our coding specialists, we intercept the code capture your team has performed. We review these against our knowledge base of service line rules. Errors are identified and communicated to you and your team for modification or correction. This process decreases the chances of unnecessary denials, ensures compliance, and optimizes revenue.

 

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