Product Sheet
EncoderPro.com Expert
Now Powered by ClaimsManager
Simultaneously Search Across All Three Code Sets
Prepare more accurate claims faster with this comprehensive, feature-packed online
coding application. Complementary updates let you code confidently throughout
the year. Plus, a compliance editor helps you review your code selections and a fee
calculator computes the Medicare reimbursement rate for your region.
ßEliminate
ßImprove
ßReduce
Item Number: 1127
Available: Now
Price: $949.95 single user
time-consuming code lookup in multiple books
productivity with efficient claim preparation
claim denials
Key Features and Benefits
EncoderPro.com Expert provides online access to a powerful search application
for all CPT®, HCPCS and ICD-9-CM code sets plus Ingenix and Medicare coding
guidelines to ensure coding accuracy, improve billing performance and reduce
rejected claims.
n New
Enhancements Expert
Exclusive—Compliance Editor.
Check your work by running your
selected codes through an edit check
to ensure proper unbundling, correct
modifiers, complete diagnoses and
more. Includes an 18-month historical
content database for use during claim
adjudication. See next page for
more details.
n Expert
Exclusive—Fee Calculator.
Calculate the adjusted Medicare
reimbursement rate for your area.
n Expert
Exclusive—Complete LCD/
NCD Policy View. Reference all of
the local and national coverage
guidelines in addition to the code
edits for Part B policies issued by
your carrier.
n Plus
all of the valuable features of
Encoder Pro Professional.
CPT is a registered trademark of the American Medical
Association.
Ingenix | Intelligence for Health Care | www.shopingenix.com | 1.800.INGENIX (464.3649), option 1
100% Money Back Guarantee If our merchandise ever fails to meet your expectations, please contact our Customer Service Department toll-free at 1.800.INGENIX (464.3649), option 1,
for an immediate response. Software: Credit will be granted for unopened packages only.
Product Sheet
Ingenix EncoderPro.com Expert now
powered by ClaimsManager
EncoderPro.com Expert has integrated ClaimsManager coding compliance rules
into our compliance editor. As a result, you’ll see a significant improvement in code
relationship review functionality. Ingenix ClaimsManager is a rules-based, front-end
clinical editing tool that offers one of the most powerful rules engines in the industry.
As a result, claims will be more complete and compliant, reducing denials and
accelerating speed to revenue. It features some of the most robust database editing
functionality in the marketplace, and it can help attain financial insights that contribute
to better business decisions.
Enhancements
We’re integrating ClaimsManager coding compliance rules into the Expert edition
to replace the existing rules so that you will have:
n More
code checks to review more code relationships
n Approximately
60 more rules than the previous compliance editor
(including both Medicare and commercial rules)
n Future
ability to clean a batch of 837 claims prior to submission
Benefits
Adding coding compliance rules to our code lookup software will help you check
claims for correct coding prior to submission to achieve faster reimbursement.
As a result, you’ll benefit from:
n Enhanced
code checking functionality
n Significant
n Improved
n Fewer
increase in the rules set
compliance and increased accuracy
denials and more appropriate reimbursement
Ingenix | Intelligence for Health Care | www.shopingenix.com | 1.800.INGENIX (464.3649), option 1