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.

Smart Edits Overview & Best Practices

Add-on Codes Smart Edit

Always Therapy Smart Edits

Anatomic Modifiers for Surgical Procedures (uAMSP)

Bundling/Unbundling Smart Edits

Clinical Laboratory Improvement Amendments (CLIA)

Coordination of Benefits (COB) Smart Edit

Discarded Drug Modifier

Evaluation and Management Level Review/Reconsideration Smart Edits

Expanded Exact Match Duplicate Smart Edits

ICD-10 CM Excludes 1 Code Pairs

Inappropriate Modifier

Inappropriate Primary Diagnosis Coding (IPDDN)

Invalid Procedure Diagnosis Smart Edits

Laboratory Smart Edits

LCD Part B Missing or Invalid Diagnosis

Managing Smart Edits using the TrackIt Rejected Claims tab

Missing Rendering Taxonomy or NPI

Missing Taxonomy Code (Texas Medicaid Only)

Molecular Test Z-Code Program (DEX)

National Drug Code (NDC)

New Patient Visit Smart Edits

Non-Covered Codes 

Ohio Nextgen Wrong Payer ID

Ordering and Referring Smart Edits

Preventive Service Included in Primary Procedure

Professional/Technical Component Based on Place of Service Smart Edits

Replacement Code Denials

Telehealth Smart Edits

Vitamin D Smart Edits