 
CODeXACT is a complete, end-to-end solution. From identifying individual providers or specific E/M codes for audits to obtaining
records to generating overpayment statements and providing education, Parses and CODeXACT handle it all. We extend and enhance your
audit capabilities and capacity without increasing staff and IT resources. CODeXACT Audit Programs can be tailored to meet specific
client requirements or objectives. The most popular programs include:
1. Recovery Program I – Auditing Outlier Physicians
Are your top 10% outliers accounting for 50% (or more) of your E/M overpayments? Parses Recovery Program I is a cost containment
program that helps you manage inappropriate use of high-level E/M codes among your outliers.
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2. Recovery Program II – Auditing High-Level Code Claims
Level 4 and 5 (high level) E/M claims may represent more than 80% of all E/M overpayments. Even non-outliers, physicians
who utilize codes as often as their peers, may code incorrectly. This broad network approach helps control the use of high
level E/M claim codes without targeting individual physicians.
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3. Educational Program
Looking for a proven ROI but concerned about the network noise created during recovery audits? An education review is the
answer. This non-recovery approach helps educate physicians on proper E/M coding without network noise and physician pushback
and continues to deliver value with improved coding by providers.
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4. Pre-payment Program
Pre-payment E/M reviews generate the highest ROI possible. And, when properly positioned, can meet all state, federal, and
settlement regulations.
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Contact Us for more information.
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