Smart Edits is a claims optimization tool that identifies billing errors within a claim and allows care providers the opportunity to review and repair problematic claims. These courses provide more details on each of the edits.
Featured Course: Smart Edits 101
Discover more about Smart Edits which auto-detects claims with potential errors. Learn about where Smart Edits are found, the timeframe for responding and how to respond.
Smart Edits 101
Smart Edits: Always Therapy
Smart Edits: Clinical Laboratory Improvement Amendments (CLIA)
Smart Edits: Custom Therapy Procedure to Modifier (CTPM)
Smart Edits: Inappropriate Primary Diagnosis Coding (IPDDN)
Smart Edits: Inappropriate Modifier
Smart Edits: Missing Taxonomy Code (Texas Medicaid Only)
Smart Edits: National Drug Code (NDC)
Smart Edits: Non-Covered Supply Code
Smart Edits: Professional/Technical Component Based on Place of Service
Smart Edits: Replacement Code Denials
Smart Edits: Types of Smart Edits