Reduce or eliminate reimbursement delays and audit risks by monitoring and updating records to meet regulatory and payor standards before being billed. Improves the quality of claims data and acts as an early warning system to identify and reduce potential audit vulnerabilities.
Nuance Clintegrity Coding Compliance enables facilities to establish comprehensive and customizable pre‑bill rules based on claims data or user criteria such as payor contracts, physicians, denial details, and coding information. These rules can be activated immediately to comply with rapidly changing quality, payor, and regulatory requirements.
Help your staff address the growing number of clinical, financial and regulatory changes including CMS updates, Office of Inspector General (OIG) targets, Revenue Edits, Data Quality Edits, and AHA and AMA coding guidelines.