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CodeCorrect Announces RxCodeCheck for Drug Coverage Verification under Medicare Part B and Part D.


YAKIMA, Wash. -- CodeCorrect, the leading provider of coding, compliance and revenue intelligence tools, today announced that it has developed RxCodeCheck, the first Web-based solution to support both Part B and D coding and billing requirements.

RxCodeCheck is designed to validate codes, issue alerts and link to reference content in order to help payers and providers quickly check the prescribed drug against medical coverage policies and confirm if billable under Part B (through Medicare) or alternatively, determine if the drug is now payable by new Part D prescription drug prescription drug Prescription medication Pharmacology An FDA-approved drug which must, by federal law or regulation, be dispensed only pursuant to a prescription–eg, finished dose form and active ingredients subject to the provisos of the Federal Food, Drug,  plan (PDP (1) (Plasma Display Panel) See plasma display.

(2) (Policy Decision Point) See COPS and XACML.

(3) (Programmed Data P
) sponsors.

RxCodeCheck will provide the following benefits:

--Ability to search payer Part D formulary formulary /for·mu·lary/ (for´mu-lar?e) a collection of recipes, formulas, and prescriptions.

National Formulary  see under N.


for·mu·lar·y
n.
 to determine if drug is part of the payer's formulary,

--Check prescribed drug and associated diagnosis against medical necessity policies to determine if drug is billable under Part B (through Medicare),

--Access medical coverage policies to explore covered and non-covered services and other policy details, and receive timely notification of any policy changes, and

--Look up national drug codes (NDC NDC National Drug Code
NDC NATO Defense College
NDC National Documentation Centre (National Hellenic Research Foundation, Athens, Greece)
NDC National Dairy Council
NDC National Democratic Congress
), and their corresponding HCPCS HCPCS Healthcare Common Procedure Coding System  codes to promote billing accuracy.

"U.S. healthcare U.S. Healthcare is a now-defunct healthcare company. The logo had an apple. The merger with Aetna
In 1996, the company merged with Aetna, calling it Aetna U.S. Healthcare. The U.S. Healthcare apple logo was next to the Aetna name, and U.S. Healthcare under it. U.S.
 insurers process over five billion claims annually and the ability to accurately verify medical necessity coverage early in the process is expected to be a major benefit in expediting claims processing for providers and their patients," said Kerry Martin, CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board.  and president of CodeCorrect. "Now that Part D is a reality, insurers - in particular - will be eager to have a solution that can quickly and accurately integrate Part D requirements into their current workflow."

RxCodeCheck is the latest in a suite of coding, chargemaster, compliance and billing tools from CodeCorrect that provides revenue intelligence for continuous and compliant revenue improvement. Other revenue intelligence products include: KnowledgeSource,(R) Revenue Dashboard,(R) Integrated CodeCheck, CDM 1. CDM - Content Data Model
2. CDM - Code Division Multiplexing
 Manager,(TM) CDM Enterprise,(TM) and ABN Manager.(R)

About CodeCorrect

CodeCorrect, a United Communications Group, Inc. company, is dedicated to protecting the healthcare system by simplifying information and improving communication through the integration of products, knowledge and technology. With online, one-stop coding and compliance solutions, CodeCorrect gives healthcare organizations the tools and information they need to achieve and maintain fiscal health. CodeCorrect solutions have been peer reviewed by the Healthcare Financial Management Association and are trusted and used in nearly 650 hospitals and by thousands of physicians nationwide. It has been ranked for the second consecutive year on Inc. magazine's 2005 List of the 500 Fastest Growing Private Companies in the United States. For more information on CodeCorrect, visit www.codecorrect.com or call 877-937-3600.
COPYRIGHT 2006 Business Wire
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Copyright 2006, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Jan 16, 2006
Words:415
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