ASC Bravo / Coding reviewer / Overview
Start Shift Review

Coding reviewer

Am I coding this encounter correctly?

Next-best action: Review encounter ENC-502 for possible modifier 59 bundled procedure exclusion.
Pending Coding Review
18 encounters
Missed Implant Charges
$42,500
Coding Accuracy Rate
98.6%
Today's priorities
urgent priority

Stale Followup

AR Follow-Up · $4,100.00 · Resolution

Evidence: 3 items · Owner: Terrence Cole

Open drill-down
urgent priority

Missing Implant Supply Charge

Missing Implant Supply Charge · $1,320.00 · Payer Review

Evidence: 2 items · Owner: Nina Patel

Open drill-down
high priority

Appeal Deadline Risk

Appeal · $4,100.00 · Resolution

Evidence: 3 items · Owner: Terrence Cole

Open drill-down
high priority

Ar 120 Plus

Ar 120 Plus · $4,100.00 · Payer Review

Evidence: 3 items · Owner: Marcos Vega

Open drill-down
high priority

Medical Necessity

Medical Necessity Denial · $4,100.00 · Appeal

Evidence: 3 items · Owner: Terrence Cole

Open drill-down
high priority

Documentation Missing Medical Necessity

Documentation Missing Medical Necessity · $1,800.00 · Payer Review

Evidence: 3 items · Owner: Nina Patel

Open drill-down
Evidence-backed next actions
  • Coder should validate whether modifier 59 or XS is supported by separate-site documentation before claim release, for human review.Potential bundled procedure risk because modifier review is needed for CPT 45380 based on synthetic policy guidance; coder should validate whether separate-site documentation exists for human review. Current state: Coding Review. Dependency: Waiting on Coding Review.
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