Medcodelink Pty (Ltd)
The key to clinically appropriate coding and claims management

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Clinical Validity
The clinical validity of the MedCodeLink API is entrenched by the fact that the link between surgical, medical and ultrasound codes (Local as well as CPT®) to ICD-10 diagnostic codes corresponds closely to data as contained in the Surgical Cross Coder, Medical Services Cross Coder and Radiological Cross Coder currently published by OptumInsight in the USA.

These Cross Coders contain comprehensively coded links between CPT® codes and ICD-9-CM diagnostic codes, updated and refined in the USA from claims data collected over many years and amended from time to time.

Since 2005 the Medcodelink database has been thoroughly put to the test in SA by Medcodelink clients, with significant financial and other benefits in their battle against spiralling medical inflation, particularly in the area of hospital and PMB costs.

In order to meet the requirements of clinical validation of coding for healthcare services provided to members of medical schemes due to be implemented in January 2014, no medical scheme, administrator or managed healthcare company can afford not to have the coding intelligence of the MedCodeLink API at their disposal from that date.