CODeXACT accurately identifies upcoding across the scope of the entire health benefit plan to recover overpayments and/or provide corrective action education across large numbers of providers and claims.

Audit results are captured by nurses, physicians, and certified coders on a comprehensive audit trail that thoroughly explains the findings associated with the professional review of the actual medical record.

As a third party, the process provided by CODeXACT is completely neutral to the results. Our auditors are given no incentive which allows us to provide outcomes, which are free of bias.

During its mass review of documentation, CODeXACT forwards suspect claims for investigation. Our client's Fraud & Abuse departments leverage our resources so they may accomplish more and expand their results.

We provide clear, concise online and peer based education and resources to providers in order to correct their coding and to reduce future upcoding.

With the ability to audit hundreds of thousands of claims each month, CODeXACT creates a broad sentinel effect across an entire network.

Our process quantifies the results of the audit process and produces metrics for measurable outcomes.

CODeXACT runs independently of your IT system (other than initial claims data). We do not impact your development work or system conversions, and we do not require ongoing IT resources.