OCE Home > Return to Provider Module
- Medicare
- RAC
- Interventional Radiology
- Return to Provider
- Carve Out
- Drug Administration
- User Defined
Return to Provider Issues
OCExaminer analyzes all claims to identify any items that would prevent them from being accepted and processed by the payer. Examples include the validation of data elements, such as
- dates
- HCPCS codes
- required fields
- and much more
Many RAC issues are addressed in this module. Occurrences of MUE's (Medically Unlikely Edits) and age appropriate procedures are validate within the RTP module. OCExaminer allows for the correction of reported issues prior to submission.