In this article, we'll focus on building search queries using procedure and diagnosis codes (see below for a quick reference guide on the available code groupings).
With Carevoyance you can target physicians and hospitals based on how they practice medicine.
Use the filters found in the menu in the right-hand search column to build a search query, drawing from a wide range of attributes.
In the search box for any code grouping, enter a full or partial description or the full or partial (alpha)numerical code. Click on the box next to the left of the description or click Add All to insert the codes into your query.
The search engine will find only providers who have billed at least one or more of any of the codes in the code grouping (i.e. set as "must" by default).
- If you want to make all the codes selected within the grouping optional, then select "should".
- If you want to exclude all the codes selected within the grouping then select"must not".
- You can exclude an individual code from the search query by selecting "exclude" from the already selected list of codes.
Keep in mind, you can combine multiple different codes across code grouping into your query and set the boolean criteria as needed (i.e. "must", "should", "must not").
Run the query by selecting the Search button (or select “Clear All” to start over).
A quick rundown on the different healthcare code groupings that physicians and hospitals use on the claims submitted to insurance companies for reimbursement. Most of these codes are structured so that similar services or diagnoses are grouped in sequential order.
The following are listed from most to least commonly used:
- CPT codes - capture services and procedures delivered in the outpatient and office setting
- DRG codes - represent a bundle of services delivered as part of an inpatient stay
- ICD 10 diagnosis codes - capture the diagnoses associated with any given claim in the inpatient, outpatient or office setting.
- ICD 10 procedure codes - capture a facility's reporting of inpatient procedures
- CCS codes - clusters of patient diagnoses and procedures grouped into a manageable number of clinically meaningful categories.
- APC codes - represent a bundle of services delivered in the outpatient setting
- Prescriptions - drugs prescribed in the outpatient setting, grouped by drug class
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