EncoderPro.com for Payers

EncoderPro.com for Payers provides access to comprehensive code validation software online for fast search capability. Designed specifically for payer organizations, users can search for CPT® procedures, HCPCS supplies and services, and ICD-9-CM diagnosis and procedures codes based on descriptions on the provider and hospital claim forms, and better understand procedure and diagnosis codes using the Coders’ Desk Reference lay descriptions. Also, with EncoderPro.com for Payers users can correctly identify the services in question for outpatient and inpatient hospital services, invasive procedures, CT, MRI, and PET scans.

• Ingenix CodeLogic^™ search engine. Find and validate CPT®, HCPCS, and ICD-9-CM codes using lay terms, acronyms, abbreviations, and even the misspelled words found on outpatient and inpatient UB-04s and providers’ CMS-1500 claim forms.
• Featured Coders’ Desk Reference lay descriptions. Clearly understand CPT®, HCPCS, and ICD-9-CM codes using Coders’ Desk Reference lay descriptions—a one-stop resource, providing lay descriptions for surgical, laboratory/pathology, radiology, and medicine codes, eliminating the need for multiple resources and increasing productivity.
• Color-coded edits. Determine charges allowed by Medicare for capitation, fee-for-service, outpatient and inpatient hospital services, and provider payments. Know cost and reimbursement amounts by understanding whether a code carries an age or sex edit, is covered by Medicare, or contains bundled services.
• Medicare secondary payer coordination of benefits. Access the entire MSP Manual and understand assigning responsibility for first and second payer.

CPT is a registered trademark of the American Medical Association.

There are no product reviews at this time. Be the first to review this product.