Coding Reviews:

IMEDECS provides coding review services for health care providers and managed care organizations. Using Certified Professional Coders (CPCs) trained in a variety of disciplines and with medical specialty expertise, as appropriate, we can help you maximize your health care billing or assess over-billing. IMEDECS reviews clinical, billing, and reimbursement documentation as well as nationally accepted and payor-specific standards in making determinations.

Review services are available on professional, outpatient facility, and inpatient charges and can be conducted on a case-by-case basis or as part of an audit, in conjunction with your compliance program.

An IMEDECS Coding Review may address any of the following:

  • CPT and ICD-9 coding validation and linkage
  • Appropriate use of modifiers
  • Medical record documentation
  • Bundling/unbundling
  • Usual and customary review

To see a sample Coding report, click here.






                   
Disclaimer: Due to varying state and health plan requirements, this website may not be used to initiate an independent medical review. To request a review, contact your health plan or your state insurance or health department.
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