Smart Edits

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. 

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Add-on Codes Smart Edit

Coordination of Benefits (COB) Smart Edit

Duplicate Claim Smart Edit

Modifier 25 Smart Edit

Ordering and Referring Smart Edits

Simple Pneumonia and Pleurisy Smart Edit

Smart Edits 101

Smart Edits: Always Therapy

Smart Edits: Bundling/Unbundling Smart Edits

Smart Edits: Clinical Laboratory Improvement Amendments (CLIA)

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 Codes 

Smart Edits: Professional/Technical Component Based on Place of Service

Smart Edits: Replacement Code Denials

Smart Edits: Types of Smart Edits

Telehealth Place of Service Smart Edits

Vitamin D Smart Edits

Workers Comp Smart Edit