For Billing Departments & Medical Coders
Catch Coding Errors Before Payers Do
Pre-submission compliance checker that validates claims against 3.3 million NCCI bundling rules, MUE quantity limits, and 2026 Medicare rates.
3.3M NCCI code pairs
13,800 MUE thresholds
2026 PFS rates
NCCI Bundling
Detect code pairs that shouldn't be billed together
MUE Limits
Flag quantities exceeding CMS maximums
Global Periods
Identify surgical global period conflicts
Medicare Rates
2026 PFS with locality adjustments
Pre-Submission Compliance Check
NCCI Bundling Advisor →Why Pre-Submission Validation Matters
$25-30
Cost Per Reworked Claim
Every denial costs your practice time and money. NCCI edits are the #1 cause of preventable denials.
90%
Denials Are Preventable
Most claim denials come from coding errors that could have been caught before submission.
60s
Time to Check
Run a compliance check in under a minute. Compare to hours spent on appeals and rework.
Compliance Rules We Validate
| Rule Type | Coverage | Source |
|---|---|---|
| NCCI PTP Edits | 3.3 million code pairs | CMS NCCI Quarterly Updates |
| MUE Limits | 13,800 thresholds | CMS MUE Files |
| Medicare Fee Schedule | 18,866 procedure codes | 2026 PFS with GPCI adjustments |
| Global Surgical Periods | All surgical codes | CMS Global Days Indicator |
| Drug Pricing (ASP) | 1,000+ J-codes | CMS Average Sales Price |
Want Automated Compliance Checks?
OrbDoc integrates directly with your EHR to validate coding in real-time. Generate audit defense packages in 60 seconds with evidence-linked documentation.