Strivamed

Quality Control
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StrivaMed provides coding and claim-quality decision support. Results are indicative and must be reviewed against the clinical record, applicable coding guidance and payer/TPA policy. Validation does not guarantee claim approval or payment. Coding Guidance, Methodology & Disclaimer
Developed by
IT Fort — Technology Solutions Provider
S

Strivamed

Quality Control · upload the Bill Charge report to begin

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QC rules applied on load: Grand Total footer ignored · consultation follow-up window 7 days (9/10/11 vs 9.01/10.01/11.01) · NCCI admin-code edits · mandatory observation labs 82947, 80061, 82565, 82465, 83721, 84478, 83036 · repeat-lab monitoring (HbA1c & Lipid panel within 3 months, Glucose/RBS 82947 within 1 month) · complaint vs diagnosis validation with code suggestions and Clinician Query tagging · CPT↔ICD medical necessity, non-covered diagnosis & incorrect primary-diagnosis (manifestation / external-cause / secondary-only) checks · same-day GP + SP visits · blank Pri. Claim No report · claim-wise value bands 0-50 / 51-100 / 100+.