The cheapest denial is the one that never leaves your desk
Most denial management software helps you work denials after they arrive: queues, worklists, appeal letters. Medical Coding & Billing Pro attacks the problem one step earlier — it catches the coding errors that cause the denial before the claim is submitted, which is the only intervention that costs nothing to make.
Or don’t take our word for it — paste a claim into the free scrubber and see what it finds. No signup.
A denial you prevent costs nothing. A denial you work costs $25 to $118.
Every denial you appeal consumes staff time, delays cash, and sometimes loses anyway. The industry has built an entire software category around working that queue faster. That is a real problem and there is real software for it — but it treats the symptom. The coding errors that generate a large share of those denials are detectable in the seconds before submission, from data that is free and public.
The four coding errors that generate denials, checked before you submit
Excludes1 conflicts, where two codes can never coexist. Non-billable header codes submitted as if they were specific. Codes missing a required seventh character, which are simply not valid codes. And diagnoses that your Medicare contractor does not accept as supporting medical necessity for the service. Paste the diagnosis set and all four are checked at once.
It tells you why, not just that
Every finding quotes the ICD-10-CM note or names the coverage policy behind it. That matters twice: it lets you disagree with us when we are wrong, and it gives you the language for the appeal when the denial happens anyway.
And when a denial does arrive, we explain it
We publish plain-English explanations of the denial codes you actually see — CO-16, CO-97, CO-45, CO-50 — covering why you got each one, what to do about the one on your desk, and what would have stopped it. Free, no signup, and written by people who have coded rather than copied from a standards document.
What this is not
This is not a denial workqueue. We do not ingest your 835s, we do not track appeals, and we do not integrate with your clearinghouse. If you need to manage the denials you already have, buy something else. We are trying to stop you having them.
We would rather lose the click than sell you a trial that disappoints you on the first afternoon.
Questions
- Is this a replacement for denial management software?
- No, and it would be dishonest to say so. Denial management software works the denials you already received; this prevents a category of them from happening. They are complementary, and if you have to choose, prevention is cheaper.
- What causes most coding-related denials?
- In ICD-10-CM: invalid or incomplete codes (missing seventh characters, header codes billed as specific), Excludes1 conflicts, and diagnoses that do not support medical necessity under the applicable coverage policy. All three are detectable before submission.
It is all one product
There are no modules and no tiers. Everything below is the same $390.
Try it on a claim you already coded.
Paste a diagnosis set you submitted last week and see what comes back. That is the fastest way to find out whether this is worth anything to you.
$390/yr flat · 7-day free trial · no card required