What does eMEDIX claim scrubbing do?
Clinical code scrubbing includes:
- HCPCS Validity – checks claim information for the most current
- Level I (CPT-4) and Level II (HCPCS) procedure codes.
- ICD-9 Specificity – compares the diagnosis codes on the claims to the ICD-9 revision guidelines.
- Medical Necessity – compares claim information to LMRP policies.
- Correct Coding Initiative (CCI) – compares claim information to CCI edits developed by CM