Computer software, namely, computer software that pre-validates medical necessity of outpatient diagnostic tests and procedures under Local Medical Review Policy guidelines; generates Advanced Beneficiary Notices to alert hospitals or specialty healthcare facilities of the need to obtain signed Advanced Beneficiary Notices prior to treatment for billing the patient if claim denied by Medicare

'advanc':25,41 'alert':29 'beneficiari':26,42 'bill':48 'claim':52 'comput':1,4 'deni':53 'diagnost':14 'facil':34 'generat':24 'guidelin':23 'healthcar':33 'hospit':30 'local':19 'medic':10,20 'medicar':55 'name':3 'necess':11 'need':37 'notic':27,43 'obtain':39 'outpati':13 'patient':50 'polici':22 'pre':8 'pre-valid':7 'prior':44 'procedur':17 'review':21 'sign':40 'softwar':2,5 'specialti':32 'test':15 'treatment':46 'valid':9

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