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Flash Code VALIDATION Overview

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The Access Points for VALIDATION of codes

Flash Code can VALIDATE a set of codes in the following two ways:

1) Codes that have been copied into the Flash Code Clipboard

2) Codes that have been placed into the ENTRY screen

 

The current validation edits check for:

1) Nonspecific ICD codes (which result in automatic claim denial on medicare claims)

2) Unbundling (the NCCI edit pairs, which can carry fines of $10,000 per incident)

3) Medical Necessity code pairs (NCD/LCD code pairs, which must be present in order to be paid by medicare for testing)

 

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