Wiki Compliance Checker Software-Encoder Pro

ollielooya

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Just how "trustworthy" is this program? In general, I've become a bit wary of some of these programs and realize a solid coding/blling knowledge background is one's best asset. However, would appreciate some input as to their usefulness.

THE TEST: I input one line CPT code 64612 with modifier 50 (Bilateral surgery indicator = 1), and 2nd line with 64613 (no modifier due to bilateral payment indicator = 2) and this Palmetto MCR claim was flagged with modifier edits? Verified the dx code thru the Palmetto website along proper billing submission and came up against this. Am I in error, or software glitch?

---Suzanne E. Byrum CPC
 
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