APIs

ICD Search (Sherpa) API          

• ICD Search (Sherpa) API uses Vitalware's Sherpa search engine for  ICD-10-CM and ICD-10-PCS code referential lookups.                                                 

CodeValidate API                   

• CodeValidate API validates procedure and diagnosis codes and responds with information on issues, messages, and exceptions associated with a claim.
• Checks code combinations for possible  Medicare medical necessity or bundling issues with verification of NCD, LCD and NCCI edits.

CCI/MUE API

• CCI API accepts procedure codes with optional modifiers, returns potential billing conflicts and evaluates whether modifiers resolve the billing conflict.