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  • Medicare CodeReview


Processing Medicare Claims Effectively

Improve claims adjudication of Medicare claims with Medicare CodeReview® and align their policies with the Centers for Medicare and Medicaid Services (CMS) guidelines.

As an add-on module to CodeReview®, Medicare CodeReview provides further flexibility, allowing payors to apply the most appropriate edits to accounts requiring reimbursement.

Ensuring Current Requirements and Codes

McKesson's team of Medicare clinical coding and policy experts constantly reviews and updates the Medicare CodeReview knowledge base to ensure content accuracy.

The knowledge base contains CMS requirements detailed in a range of sources, including:

  • CMS National Correct Coding Initiative (NCCI) Policy Manual
  • National Physician Fee Schedule (NPFS) Relative Value File

Interfacing with CodeReview

Medicare CodeReview may be integrated into payors' existing claims processing environments through a single interface with CodeReview.

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