Imaging & Diagnostics: Medical Necessity & Flow

We wire order sanity checks, LCD/NCD prompts, auths, and QA to keep studies moving and claims clean.

Why Carenox

  • Order checklists & medical necessity prompts (LCD/NCD)
  • Auth criteria & document capture
  • Coding QA; modality-specific edits
  • Appeals templates with evidence

Lanes We Run

  • Order checks & LCD/NCD
  • Prior auth
  • Scheduling & access
  • Claim scrub & rejections
  • Payment posting
  • AR & denials
  • Coding QA
  • Dashboards & definitions
  • Change control

Cut avoidable denials

Lock LCD/NCD prompts and auth evidence up front.

Start a Pilot