Medical Necessity Portal

What The Product Is

IMO® Medical Necessity allows every clinician order to be checked, confirming the ICD-9-CM coded diagnoses justify the CPT® or HCPCS-coded orders, for reimbursement by Medicare. Our team of coders and physicians review each region’s updates, combined with the National Coverage Determinations (NCDs), to provide the most detailed level of coverage.

What You Are Looking At

The sample on the right is using our demonstrative Medical Necessity Portal to display how simply and quickly checks can be integrated into your workflow; especially combined with our easy to search IMO® Problem (IT) and IMO® Procedure (IT).

How To Test It

The best way to understand it is to use it! Contact our Sales Support for a personalized run-through:

1. A contractor is selected
2. A procedure or series of procedures are entered
3. Diagnoses are found and selected

The result of the Medical Necessity check is provided by Pass / Fail indicator.

For a detailed overview of Medical Necessity, Click Here

CPT® is a registered trademark of the American Medical Association.