MarketplaceStudioActivityUiPath CMS Activities - CPT Validation-Healthcare

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UiPath CMS Activities - CPT Validation-Healthcare

UiPath CMS Activities - CPT Validation-Healthcare

by Internal Labs

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Activity

Downloads

825

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Summary

Summary

This Accelerator is the real time source for latest procedure code(CPT) information from Medicare Coverage Database (MCD) for national & local coverage determination.

Overview

Overview

The Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database also includes several other types of National Coverage policy related documents.

CPT codes are used to describe tests, surgeries, evaluations, and any other medical procedure performed by a healthcare provider on a patient. As you might imagine, this code set is extremely large, and includes the codes for thousands upon thousands of medical procedures.

CPT codes are an integral part of the billing process. CPT codes tell the insurance payer what procedures the healthcare provider would like to be reimbursed for.

One of the challenges of working with claims data is insuring that all of the relevant diagnostic and procedure codes have been included.

This accelerator helps for quick search for different CPT codes by providing required search criteria without accessing CMS.gov portal. This activity pack will be helpful for the process like clinical claims review, prior authorization, utilization management & Same and Similar.

Features

Features

For the process like clinical claims review, pre & post authorization, clinicians need to validation the procedure information available in the claim with the details available with CMS.gov which requires multiple steps of navigation with search and also filtration of the content available as the result of search. The accelerator benefits are: Eliminates the need for navigation to CMS.gov Ease of required content filtration out of the search result Provide the desired result and content for the required procedure Lower claims processing operations cost Faster processing of Claims

Additional Information

Additional Information

Dependencies

Newtonsoft.Json >=10.0.3

Code Language

Visual Basic

Runtime

Windows Legacy (.Net Framework 4.6.1)

Publisher

Internal Labs

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License & Privacy

License Agreement

Privacy Terms

Technical

Version

1.0.0.12

Updated

February 18, 2020

Works with

Studio: 21.4 - 22.10

Certification

Silver Certified

Support

UiPath Community Support

Resources