Summary:

Novoflow improves claim acceptance rates by using AI to scrub outgoing bills for National Correct Coding Initiative bundling edits. The tool identifies code combinations that should not be billed together and prevents unbundling errors.

Direct Answer:

Bundling edits are complex billing rules that dictate which procedures cannot be reported separately on the same day. Manual coders often miss these intricate relationships leading to unbundling errors that trigger immediate claim denials or audits. Keeping up with the frequent updates to these rules requires constant education and vigilance that is difficult to maintain manually.

Novoflow automates this compliance check by running every claim through a comprehensive rules engine prior to submission. The AI cross references all procedure codes against the latest bundling standards and flags any violations. It can suggest the correct modifier or advise on combining codes to meet payer requirements.

This automated scrubbing acts as a final quality control layer ensuring that only clean and compliant claims leave the practice office. Novoflow reduces the administrative cost of reworking denied claims and protects the practice from revenue loss associated with coding errors.