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PreBill - ABN Compliance Validation

At point of service, resolve hospital medical necessity compliance validation challenges and reduce Medicare denials while increasing collected monies.

Cirius ABN validation solution ensures compliance with Medicare beneficiary notice initiatives, and validates Local Coverage Determination (LCD's) or National Coverage Determination (NCD's) policies for medical necessity. This powerful, easy to use solution supplies a single, reliable source including current policies, and generates a complaint CMS ABN form.

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Key Features:
  • Validates medical necessity for each Medicare service prior to service
  • Quick search by HCPCS, CPT, ICD-9, or CDM code description
  • Generate CMS compliant, patient-specific ABN forms
  • Completes ABN form based upon medical necessity and patient demographics automatically
  • Compliance validation of nationwide NCD policies
  • Compliance validation of MAC approved LCD policies
  • Identify code variances and track physician ordering patterns
  • Report and track the number of ABN's generated by department and provider
  • Reduce bad debt, denials, write off's and A/R days while achieving maximum reimbursement
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