Medical Necessity Data & Dictionaries for Healthcare Compliance

Today’s healthcare systems face growing challenges in achieving medical necessity compliance—especially under Medicare Advantage plans that are also bound by LCDs and NCDs. OnTarget Revenue delivers purpose-built Medical Necessity Data and Dictionaries designed to meet these challenges head-on.

Our weekly-updated coverage data aligns with CMS policies and enables real-time medical necessity checking within your HIS. We provide millions of CPT/HCPCS procedure codes accurately mapped to supporting ICD-10 diagnosis codes, making our solution ideal for EPIC, Meditech, and other EMRs.

• Expertise: 24+ years of experience delivering responsive support and service.
  
  
• Innovation: Proprietary AI-enhanced queries convert CMS’s coverage database into accurate, code-for-code data aligned with Medicare policies, reducing denials and patient scheduling-registration issues.
  
  
• Timeliness: We provide weekly updates to ensure end-user decisions are always aligned with the latest CMS data. Updates are available via our portal—schedule them weekly, monthly, or on-demand.
  
  
• Compatibility: Data formats for all systems, including EPIC and Meditech.
  
  
• Cost Savings: Our efficient operations and AI-driven approach allow us to offer competitive rates. We provide volume-based rates for small systems and multiple hospital discounts for large systems, ensuring significant annual savings.