Real-Time Scrubber for CMS 1500

The Real-Time Scrubber for CMS 1500 is a valuable tool for healthcare providers looking to reduce rework time and costs associated with claim denials. This powerful tool helps identify and fix common denial triggers before claims are even submitted, saving providers time and money in the long run. Developed by experts at AAPC, the Real-Time Scrubber goes beyond basic CCI edits and combines them with a thorough review based on the Medicare Physician Fee Schedule, CPT® concepts, LCDs, NCDs, and more. This comprehensive approach ensures that claims are accurate and compliant with all relevant guidelines.

To access the Real-Time Scrubber for CMS 1500, follow these simple steps:

1. Log in to your AAPC account and navigate to the 'Coding Tools' tab.

2. Under the 'Coding Tools' tab, select the Real-Time Scrubber for CMS 1500.

3. Choose the appropriate diagnosis type, either 'ICD-9' or 'ICD-10'.

4. If you want to apply the Date of Service to all rows, click the designated button.

5. Select the date of service for the claim.

6. Enter the procedure code for the first service on the claim.

7. Enter the number of units for the first service.

8. If applicable, enter any modifiers for the first service.

9. Enter the diagnosis codes for the first service.

10. If there are additional services on the claim, repeat steps 6-9 for each service.

11. Once all services have been entered, click 'Submit' to run the scrubber.

The results of the scrubber will be displayed, providing an instant check of your data against more than 50 areas. The scrubber will also alert you to any top denial-causers, such as code combination errors or modifier misuse. Clear explanations of how to fix any issues will be provided, without the use of confusing jargon.

If desired, you can download the results to a PDF by clicking 'Download PDF'.

The Real-Time Scrubber is available with both Pro Fee and Complete Coder subscriptions from AAPC. These subscriptions provide access to a variety of valuable tools and resources to help healthcare providers stay up-to-date and compliant with coding and billing guidelines.

In conclusion, the Real-Time Scrubber for CMS 1500 is an essential tool for healthcare providers looking to reduce rework time and costs associated with claim denials. By catching and correcting common denial triggers before claims are submitted, providers can save time and money and ensure accurate and compliant claims. To learn more about the Real-Time Scrubber and other valuable tools and resources, consider an annual Pro Fee or Complete Coder subscription from AAPC.