Procedure Codes, also known as HCPCS (Healthcare Common Procedure Coding System) codes, are codes used to identify medical procedures and services provided to patients. They are used for billing purposes and for tracking healthcare utilization. Procedure codes are standardized and maintained by the Centers for Medicare and Medicaid Services (CMS) in the United States. They provide a consistent way to describe and report the services and procedures provided to patients, and allow for accurate and consistent payment for services across different payers and healthcare organizations. The HCPCS system includes codes for medical, surgical, and diagnostic procedures, as well as codes for durable medical equipment and supplies.
Vim’s Prior Authorization solution leverages HCPCS Procedure Codes to assist care teams with prior authorization processes through direct connectivity to payer rulesets.
Vim’s Prior Authorization application provides an end-to-end prior authorization workflow without the phone-fax-portal push. Prior authorization information is delivered when it’s most relevant during the point of care. And instead of a start-stop workflow that delays action, Vim’s solution drives the process forward from required authorization to case submission with the ability to check on the status of a submission and update it from a single view.