Compliance Review
Check the Claim Before the Payer Does
Documentation is read against the payer's criteria for the codes you are billing, and unmet requirements come back named while the claim is still yours to fix.
What it does
Criteria, not a confidence score
A number tells you something is wrong. Naming the unmet criterion tells your reviewer what to do next.
Policy engine, kept current
LCD and NCD criteria are maintained as payers publish changes, so a note is checked against the policy in force rather than a copy saved to a shared drive.
Criterion-level checks
Documentation is read against the specific requirements attached to the codes on the claim, and the result names which criterion is unmet rather than returning a score.
Your team decides
Findings are flags for a reviewer, not automatic edits. Nothing is changed or submitted on your behalf, and your staff makes the final call on every record.
How it works
A reviewable result in minutes
Every step is inspectable, because a compliance finding is only useful if a person can check its reasoning.
- 01
Resolve the codes
The check reads the HCPCS codes on the note and pulls the policies that govern them.
- 02
Check each criterion
Documentation is compared against the requirements for those codes, one at a time.
- 03
Review the gaps
Your reviewer sees which criteria are unmet and what the policy asks for.
- 04
Fix before submitting
Close the gap while the claim is still yours to change, not after it comes back.
Where the line sits
It reviews. You decide.
A tool that quietly edits clinical documentation is a liability. This one is built to stay advisory.
Runs in the background
Eligible notes can be checked automatically after generation, with the result waiting for a reviewer.
Policy versions retained
Past claims stay checkable against the policy that applied at the time.
No silent changes
The system suggests and explains. It never rewrites a note or files a claim itself.
Testimonials
What O&P teams say
“I absolutely am obsessed with O&P Assist. We have received no findings from insurances requesting audits on our Practitioner notes. O&P Assist gives exactly what Medicare is asking for when it comes t...”
“I love everything about this program! I can not tell you how much pressure it has taken from us as admin, and how much quicker it makes our job. As far as I'm concerned, this is a Godsend :-)”
“O&P assist is a game-changer for our practice and support has been outstanding!”
“THANK YOU!! What a fantastic tool this is for the orthotic and prosthetic field!”
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