Prior Auth CPT Mismatch
Tackling No Authorization Write Offs
Decimal Code uses machine learning models to Assign CPT codes at time of prior auth and Review brief op notes the day of surgery to catch deviations from planned procedures.
Health Systems Write Off Millions in Denied Claims Due to Prior Authorization CPT Mismatches
The CPT codes projected at time of prior authorization are not always accurate, and providers are unable to quickly identify issues and resubmit claims within the allotted window.
“How do we get this everywhere, yesterday?”
– Health System ACFO
Pricing: $5 / case
Price includes output at time of prior auth and day-of-surgery. You get 13x ROI.