Audit & Revenue Resource Center

The coder's one-step reference spot for HCPCS, CPT®, ICD-9-CM, ICD-10-CM, ICD-10-PCS, APC, MS-DRG, state Medicaid manuals, and much more.

View the MediRegs Audit & Revenue Resource Center Demo

An advanced code explorer tool, fee calculators and a robust coding and regulations archive are at your fingertips with the internet based Audit & Revenue Resource Center (ARRC)—the professional's one-step reference spot for HCPCS, CPT®, ICD-9-CM, ICD-10-CM, ICD-10-PCS, GEMs, APC, MS-DRG, state Medicaid manuals, and much more. Whether you are a revenue and/or chargemaster specialist, fraud specialist or work in denials management, ARRC will provide you with real-time updates that you need to ensure program and revenue integrity, and proper audit trail documentation to minimize your claim denials and increase your bottom-line.

Coding Tool Features:

• Advanced Code Explorer allows users to search across multiple code sets by code, description or key terms for instant coding instruction (Code Notes)outpatient and physician payment rates and coding guidance including local coverage determinations and critical coding guidance.
• ICD-10 Explorer allows users to key word or code search to find ICD-10 codes and guidelines, as well as translate ICD-9 to ICD-10 codes using GEMs mapping scenarios.
• NCCI Code Pair Checking tool demystifies code bundling issues. Now with Medicaid edits!
• MS-DRG Grouper makes classifying inpatient claims easy, with either ICD-9 or ICD-10 codes.
• CCH Coding Comply gives you complete code lists and descriptions, with archives and a simple way to custom export codes from our database.
• E-Code sets and E-Books integrate with Code Explorer to allow you to significantly reduce your coding orders and subscriptions.
  • CRRC includes complete code set content for HCPCS, CPT®, APC, ICD-9-CM, ICD-10-CM, ICD-10-PCS, GEMs, Physician Fee Schedule (RVU), MS-DRG, NCCI, MUEs, PQRI Cross Coding, and Drugs (NDC).

Coding Guidance Resources:

• WK Coding Compliance Advisor, AHA Coding Clinic for ICD & HCPCS, CPT® Assistant, CPT Changes - An Insider Guide archives are included for no additional fee.
• A medical dictionary, select CMS Manuals, and Medicare coding and billing guides further expand the list of reference material you can access before a code is assigned.
• Customizable daily and weekly alerts, stored search alerts and personal bookmark folders have WK working for you; you tell us what you want to see and when you want to see it.

Compliance Resources:

• WK Week In Review Newsletter keeps you abreast of regulatory, legislative and enforcement activities across Medicare.
• CMS Transmittals, MLN Matters, Job Aids and CMS Frequently Asked Questions are updated daily to keep you apprised of real-time coding changes and discussions as they are released in one easily accessible place.
• RAC Tracking tool helps you stay abreast of codes being investigated by government investigators.
• Full versions of All of the CMS Manuals are icnluded. CMS Claims Processing Manual (Pub 100-04), Benefit Policy Manual (Pub 100-02) and National Coverage Manual (Pub 100-03) provide you with detailed instructions to comply with Medicare, and outstanding archives for audit and appeal work.
• Payment system final rule e-books including: inpatient PPS, outpatient PPS, physician fee schedule and ambulatory surgical centers make understanding changes simple.
• Specialty libraries for Health Reform, HIPAA, Part D, Stark, EMTALA, MMA and PPS.
• State health care regulations, legislation and Medicaid manuals for all states.

Medical Necessity Resources:

• Quick and easy access to LCDs, NCDs, RACs, and contractor bulletins provide effective validation of the medical necessity of ordered outpatient procedures and services.
• User can choose by contractor: All Medicare Administrative Contractor (MAC) LCDs and bulletins are included for specific local guidance.
• Robust archives included. 

Fee and Payment Tools:

• Easily reference the adjusted Medicare reimbursement rate for your region via the MediRegs® quick calculators for APC, RVU and MS-DRG.
• Demystify bundled codes with the NCCI Code Pair checking tool, which is integrated automatically into the APC & RVU calculators.
• CCH Coding Comply gives you complete code lists and descriptions, with archives and a simple way to custom export codes from our database.
  • Understand the complexity of Medicare claims payment with real-time adjusted Medicare case calculstors: the CCH® Reimbursement Toolkit calculators for OPPS, IPPS, SNF, LTCH, IPF, IRF and Physician Fee Schedule.

Download the Audit & Revenue Resource Product Sheet

Request a product tour on how to streamline your lookup for medical billing and diagnosis codes: MediRegs Coding Suite