Streamlining Medicare NCD & LCD Edits with MediQuant Integration

HealthEdge Source™ integrates seamlessly with MediQuant to apply Medicare NCD and LCD edits to claims, reducing rework and streamlining claims processing. The MediQuant edit library includes a wide range of medical necessity edits, such as procedure and diagnosis codes, add-on procedures, denied codes, effective dates, and primary/secondary diagnosis edits. Policies are fully customizable, allowing health plans to enable or disable them, monitor compliance, adjust dispositions, or carve out exceptions. Additionally, the audit trail provides detailed insights into all applicable edits for each claim line, with live links to policy documents for transparency and support during audits. This integration simplifies clinical policy maintenance, enhances efficiency, and helps ensure compliance for health plans. Check out our resources to learn more: https://learn.healthedge.com/healthedge-sources-third-party-ecosystem