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SoftCompliance
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SoftCompliance provides automated Medical Necessity Checking during SoftLab order entry. SoftCompliance automatically matches ordered test and diagnosis codes according to Local Medical Review Policy (LMRP)/National Coverage Decision (NCD) rules.
The order level diagnosis section allows up to 20 diagnosis codes. When all ordered diagnosis codes are entered, medical necessity checking is executed with just one keystroke.
SoftCompliance automatically matches allowed diagnosis codes (per LMRP/NCD) to each ordered test. An Advanced Beneficiary Notice (ABN) can be printed for patient signature. Automatic matching of allowed diagnosis codes, ABN, and GA modifier capabilities increase laboratory revenue by having fewer denials and recapturing lost revenue by billing patients for denied tests which have signed ABNs.
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