Medical Necessity

YEI works with vendors to support and improve their medical necessity processing activities. Our streamlined, AI-based medical necessity tools and documentation options can provide:

• Medicare data for every FI and carrier in the U.S. and territories
• Commercial payer data for most insurers (Aetna, Anthem, Blue Cross/Blue Shield, CareFirst, Empire, Excellus, Highmark, Horizon, Medicaid, Premera, Regence, United Healthcare, Wellmark, Wellpoint; call us to check on availability of other payers)
• Custom datasets
• Data for updating your current edit system on a one-time basis
• Ongoing support and maintenance services
  
  

Data is formulated specifically to your requirements, and can include cross-referenced fields from an array of data sources. Using our affordable and personalized service provides the following benefits, allowing you to concentrate on managing your software functionality, expansion and sales efforts:

• Ongoing CPT, HCPCS, and ICD-9 code updates and crossovers provided automatically
• Policies published directly to your server, download-ready, query-based, or electronically distributed to clients
• More timely updates to clients (within 1 business day of the change)
• A full coding team available to answer your clients' questions and research payer issues
  
  

Our company is dedicated to supporting your operational needs, and providing customer service that is unsurpassed. We offer fast turnaround, unlimited customization, and the flexibility to meet almost any need. Our team wants you to succeed, and to help you ways that you may not have even imagined yet - but when you're ready, we'll be ready.

Coding Data

YEI provides CPT, HCPCS, ICD-9 and related information in custom formats with ongoing updates. Additional coding and claims scrubbing files are also available, including CCI, RVUs, pricing, modifier applicability, coding guidelines, and more. We continually monitor all data sources so that you don't have to, and we accuracy-check every line of data before it reaches you. Data is available as a one-time upload or with ongoing maintenance and updates.

Custom Data Preparation and Management

Other data that you need? Migrations between systems? Data manipulation for extraction or retroactive review purposes? Our custom data files and data programming services can be a fast and affordable solution. Contact us with your project for a no-obligation quote.

Request More Information

Contact us, with no obligation, for more information about how we can help you!