Products and Services

nThrive offers a comprehensive platform of Billing & Coding Compliance solutions to include access to our robust Knowledge applications or unlocking our "knowledge engine" that drives our master repository of content, web services or data files.

Whether you are a payor, healthcare IT vendors, physician practice, consultant or a health system, leveraging our timely billing, coding and regulatory information, as well as our content portal can provide visibility into pitfalls, improve revenue performance and streamline business processes and efficiency.

Billing, Coding & Compliance Solutions
Did you know RAC recently recovered over $2 Billion in overpayments? Access comprehensive billing, coding & compliance tools, libraries, coverage and reimbursement solutions that provide visibility into major billing and reimbursement challenges that stifle revenue and expose you for audits. Enhance productivity by using our speed to efficiency solutions that helps navigate multifaceted regulatory requirements and the complex data relationships that expose your organization. Solutions include:

• KnowledgeSource
• KnowledgeSource Pro
• Coding & Billing Add-Ons

Billing, Coding & Compliance for Business-to-Business Integration

Application-to-application communication has presented challenges for businesses to maintain operational efficiency. Whether you are looking for APIs, web services and/or data files, our solutions support business needs such as verification, claim editing capabilities, data normalization, content management, or clinical/financial integrations to enhance your business. Our solutions are designed for organizations looking to integrate one or more of these functions into their internal systems via an industry-standard method of interoperability between software applications running on a variety of platforms and frameworks. Solutions include:

• APIs
• Web Services
• Mastered Content Database
• Clinical Integration Services
• Data Files (Proprietary and Standard)

    • Products At-A-Glance
    • Features
    • Single Online Reference Source
    • Code Lookup
    • Advanced Search
    • Advanced CPT Features
    • Advanced ICD-10 Features
    • Code Builders
    • Pharmaceutical Data search
    • Medicare Fee Schedules & RVUs
    • Correct Coding Initiative CCI (Pro only)
    • CodeChecker (Professional edits only)
    • Medical Necessity Checks Professional
    • Direct Links to Compliance References
    • CodeChecker (All Edits)
    • Peer & Provider Pricing Analyzer
    • Medical Necessity Checks (All providers)
    • Revenue Code Crosswalks and Catalogs
    • Correct Coding Initiative References & Edits (All)
    • Outpatient & Ambulatory
    • Advanced Data Crosswalkers
    • IPPS Data
    • APC Grouper
    • MSDRG Grouper
    • AMA CPT Assistant
    • AHA Coding Clinic ICD-10
    • AHA Coding Clinic HCPCS
    • KnowledgeSource PRO
    • Single Online Reference Source
    • Code Lookup
    • Advanced Search
    • Advanced CPT Features
    • Advanced ICD-10 Features
    • Code Builders
    • Pharmaceutical Data search
    • Medicare Fee Schedules & RVUs
    • Correct Coding Initiative CCI (Pro only)
    • CodeChecker (Professional edits only)
    • Medical Necessity Checks Professional
    • Direct Links to Compliance References
    • CodeChecker (All Edits)
    • Peer & Provider Pricing Analyzer
    • Medical Necessity Checks (All providers)
    • Revenue Code Crosswalks and Catalogs
    • Correct Coding Initiative References & Edits (All)
    • Outpatient & Ambulatory
    • Advanced Data Crosswalkers
    • IPPS Data
    • APC Grouper
    • MSDRG Grouper
    • AMA CPT Assistant
      Optional
    • AHA Coding Clinic ICD-10
      Optional
    • AHA Coding Clinic HCPCS
      Optional
    • Professional

      Fee schedule may vary based on number of licenses and add-ons selected

    • KnowledgeSource ADV
    • Single Online Reference Source
    • Code Lookup
    • Advanced Search
    • Advanced CPT Features
    • Advanced ICD-10 Features
    • Code Builders
    • Pharmaceutical Data search
    • Medicare Fee Schedules & RVUs
    • Correct Coding Initiative CCI (Pro only)
    • CodeChecker (Professional edits only)
    • Medical Necessity Checks Professional
    • Direct Links to Compliance References
    • CodeChecker (All Edits)
    • Peer & Provider Pricing Analyzer
    • Medical Necessity Checks (All providers)
    • Revenue Code Crosswalks and Catalogs
    • Correct Coding Initiative References & Edits (All)
    • Outpatient & Ambulatory
    • Advanced Data Crosswalkers
    • IPPS Data
    • APC Grouper
    • MSDRG Grouper
    • AMA CPT Assistant
      Optional
    • AHA Coding Clinic ICD-10
      Optional
    • AHA Coding Clinic HCPCS
      Optional
    • Advanced

      Fee schedule may vary based on number of licenses and add-ons selected

Products Descriptions

Access comprehensive coding and compliance content, all major code bundling and edit checks, and KnowledgeSource billing and coding research tools.

  

KnowledgeSource Pro

Physician practices and ancillary providers can maintain compliance and identify missed revenue by finding correct HCPCS, modifier and ICD codes. KnowledgeSource Professional uncovers coding problems, provides critical regulatory source information, and help providers submit accurate claims to capture correct reimbursement for services rendered.

Pricing Fee Schedule may vary based on number of licenses.

KnowledgeSource

Maintain compliance and identify missed revenue opportunities by easily uncovering coding problems and receiving the information to resolve them. Comprised of an extensive database of frequently updated healthcare information, KnowledgeSource facilities more accurate coding and billing to increase clean claim rates. The management of regulatory information is simplified with a single source to access publication data and proprietary insights from our team of coding and compliance experts. In addition, peer hospital pricing data provides valuable information to inform strategic pricing decisions.

Pricing Fee Schedule may vary based on number of licenses.

Compliance Add On Options

  BUY NOW

AMA CPT Assistant**CPT© Assistant provides you with coding insight straight from the source of CPT, the American Medical Association. Quickly find the supportive CPT© data to:

* Appeal insurance denials

* Validate coding and audits

* Train staff

CPT© Assistant is part of our robust library which easily delivers guidance to our users with a simple click instead of having them dig for details. Add CPT© Assistant to your subscription today to help enhance your insight and mitigate coding and billing pitfalls!

AHA Coding Clinic ICD-10** is the KnowledgeSourcePro version of the American Hospital Association's (AHA) award-winning quarterly newsletter. Access is available to Coding Clinic information going back to 1984.

AHA Coding Clinic HCPCS** is the KnowledgeSourcePro web version of the American Hospital Association's (AHA) coding clinic on HCPCS. Access is available to Coding Clinic for HCPCS going back to the first issue released in March 2001.