BHW Provider — Claim Laundering

Claim Laundering — Documentation & Coding Review

One review for documentation and coding: ICD-10-CM specificity, diagnosis support, CPT/ICD medical-necessity match, duplicate services, NCCI PTP/MUE edits, modifiers, add-on rules, payer corrections, and E/M level support.

Encounter

Payer

Primary code (CPT/HCPCS)

Same-day procedure (optional)

Primary dx (ICD-10)

Modifiers

Units

Context

Telehealth Audio-only Seen in last 3y G2211 add-on

Patient history

Already performed for this patient

Days since last billed

Times billed in period

AWV code

Total time (min)

MDM level

E/M suggestion

Enter time and/or MDM

Findings

Enter an encounter and run the scrub.

Documentation checklist

To bill code X, the note must contain Y — add codes to see requirements.

Clinical note

Paste the visit note

Pulls the CPT/HCPCS + ICD-10 the scribe (e.g. Freed) put on the note into the encounter fields — always confirm before billing. Keyword-based decision support; each line cites its source standard.

Documentation readiness

Paste a note and it'll be checked against the entered codes.

Documentation coverage reference

The scrub engine covers every code with CMS data; this tracks the note↔code documentation map across the 137-code charge master. Codes without an entry still need a guide.