Medical Necessity Data

Eliminate the task of gathering LMRP, LCD, and NCD data yourself.

Medical Necessity Data Tables for your HIS are comprehensive tables containing thousands of CPT™/HCPCS procedure codes with corresponding ICD diagnostic codes. These tables can integrate with many existing Hospital Information Systems (HIS) that already have basic medical necessity checking capabilities, simply requiring the necessary Local Coverage Determinations and Laboratory National Coverage Decisions rules to become fully functional.

Our Medical Necessity Data Tables feature:

• Competitive Pricing - Maximize your budget. Contact us for a quotation.
• Weekly or Monthly Updates - Your choice.
• Audit Trail - Track changes with each update.
• Matched Data - Data Tables are extracted from our Medical Necessity Applications database.
• Custom Formatting - Compatible with all HIS that have upload utilities.
• Accountability - We are not resellers. Our support is unparalleled because all work is done in-house.
• Experience - Over 20 years of providing reliable medical necessity data.

Examples of companies whose systems incorporate some form of Medicare medical necessity checking include:

MEDITECH
EPIC
Cerner
McKesson
Most Laboratory Systems

We can format Medical Necessity Data so that these and other systems can utilize them effectively.