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RevenueCyclePro.com is an online, web-based subscription service that provides assistance in analyzing problems, resolving claim rejections, reviewing medical necessity issues and appealing rejection decisions. 123

Search across all 4 code sets at the same time using code book indexes or Optum360® CodeLogicTM search engine.

WHO

Inpatient/ outpatient hospital coders, hospital billers, hospital revenue integrity and case management consultants

WHAT

Complete reference source for coding, billing, reimbursement and compliance in a hospital setting

WHY

Assist your bottom line by enhancing accuracy, compliance and efficiency

WHAT MAKES IT UNIQUE

RevenueCyclePro.com uses Claims Manager logic to scrub UB-04 an CMS-1500 claims.

 


RevenueCyclePro.com now offers the Facility Encoder Module add-on. By leveraging Optum360 encoder knowledge components, the Facility Encoder Module add-on provides superior encoding capability and more.
  • BOTH Logic coding and book coding to meet every coder's preferred method:
    • Logic coding presents a sequence of questions or decision trees replicating the process coders would follow to locate a code using a code book and applying coding rules and/or guidelines
    • Book coding automates the coding process with a dictionary-based and phrase-driven approach
  • Code summary page provides
    • Real time DRG and APC grouping and calculations for payment validation and cost benefit analysis
    • Over 72,000 real-time edits facilitating clean claim submission the first time
  • Integrated with RevenueCyclePro.com to provide comprehensive, code specific and date specific content for research and look up
  • A subscription to the Facility Encoder Module add-on includes full access to:
    • AHA Coding Clinics for ICD
    • AHA Coding Clinics for HCPCS
    • Code Specific Guidelines
    • Clinical Documentation Improvement add-on content
    • Optum360 Specialty Articles
    • ZHealth Publishing Interventional Radiology Coding Reference

Request a demo today or gain access today to one of the industry's most powerful encoding tool by contacting Alex Poulos or Matt Clapham.
 
 
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