Tools

Medicare Compliance Assessment

ExamWorks Clinical Solutions’ Medicare Compliance Assessment is a complimentary tool that assists our Workers' Compensation customers in assessing their file based on answering a few questions. Our tool analyzes your claim and provides you a response within minutes indicating what may be required to remain in compliance. We will advise whether there is a need for Medicare Eligibility Inquiry, Conditional Payment Search, Medicare Set Aside, or in some cases, confirming that no additional action is needed.  

Click here to access the Medicare Compliance Assessment tool

ICD Lookup - Includes ICD-10 Codes

ExamWorks Clinical Solutions’ ICD Lookup is a complimentary web-based tool that assists our customers in looking up Medicare ICD codes for Mandatory Insurer Reporting. ICD Lookup contains all ICD-9 and ICD-10 codes currently accepted by Medicare for Mandatory Insurer Reporting, thus reducing potential exposure and penalties that could be incurred by a Responsible Reporting Entity (RRE).

To get started:

  1. Click here to access ICD Lookup search tool
  2. Select either ICD-9, ICD-10 Code lookup or Alleged Cause of Injury Code lookup
  3. Enter a key word (e.g., "tibia" or "fall from ladder") for an appropriate listing of codes

You can also do a reverse Search if a bill only documents a code.  Enter the code in the keyword section and if the code is acceptable for MIR, then the description of the diagnosis or alleged injury will show for that ICD code.

Resources

Useful Links

Acronyms

Unfamiliar with the acronyms used in the Medicare compliance and clinical services industry? The posted PDF will acquaint you with the industry's acronyms.

Download PDF