The Right Codes for Savings and Revenue

 

HealthHelp’s effective claims-review program, CodeRight™, ensures correct provider billing and payment.

 

CodeRight reviews claims for all diagnostic imaging, radiation oncology, cardiology, and interventional radiology procedures. It also incorporates local-area coverage decisions relevant to each of HealthHelp’s clients.

 

In addition, CodeRight provides policy recommendations for paying future claims that reflect changes in technology and medical practice. This helps payers develop sound payment policies and identify providers who bill outside established norms.

 

CodeRight offers a variety of flexible implementation options for retrospective and prospective claims review. For example, claims can be individually reviewed in real-time with instant feedback, or they can be batch processed with twenty-four-hour turnaround. And CodeRight can be quickly and conveniently run remotely through HealthHelp’s system.

 

Often, savings from CodeRight alone cover the entire cost of HealthHelp’s integrated specialty benefit management programs.