Claims Editing System (iCES) for Facility Claims Features

• Powerful claims editing platform for inpatient and outpatient facility claims
• Unique Rules Creation Manager enables customization of the software’s editing logic to support user-defined rules and contractual reimbursement policies and methodologies
• Integrates with published CMS regulations and guidelines to provide transparency into edit rationale
• Customize the application by facility, employer and payment methodology
• Catch potential overpayments before an APC or DRG is assigned and payment is rendered