Code Review
Premier Prizm Solutions has Certified Coders on staff that reviews specific Current Procedural Terminology (CPT) codes, selected by our clients for appropriate coding. We continually monitor usage of codes, provider billing trends and provide recommendations to our clients.
Our Code Review solution entails:
- Clients are provided a suggested list of codes that can be selected for review
- Identified codes can be flagged in our system for review or referred to the adjuster
- A Certified coder or nurse reviews identified codes for correct coding initiatives
- Modification of code(s) as needed with resulting EOB reflecting changes
- In-depth documentation of coding recommendations can be provided based upon client need
