Medical Necessity

Medical Billing and eClaim Processing

XML codes auto generating and claims submitting

Fulfill your requirements and rules from international regulators ( DHA & HAAD )

Payers & Providers Solutions

Whole solutions for claims processing

Claims Editing, Submission & resubmission

Easy Integrations & Less time

Save you time and money

Regulators Complaints

International medical classification compliant with WHO

Medical codes meets the requirements for each regulators

Covers over 36 countries

Claims Management

eClaim processing

Generating XML

Submission and Resubmission

Nano-MIS Medical Necessity Main Features

To try the most advanced business

ICD-9-CM & ICD -9-AM

Medcial Diagnosis Codes ( Australian & American Codes )

The International Statistical Classification of Diseases and Related Health Problems (commonly known as the ICD) provides alpha-numeric codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease.

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ICD-10-CM & ICD-10-AM ( Australian & American Codes )

Medical Diagnosis Codes

The ICD-10-CM& AM diagnosis classification system developed by the Centers for Disease Control and Prevention for use in all U.S. & Australia health care treatment settings. Diagnosis coding under this system uses a different number of digits and some other changes, but the format is very much the same as ICD-9-CM& AM.

ICD-9 To ICD-10 Crosswalk Check

For each ICD-9-CM code you can now view the ICD-10-CM equivalents and possibilities. NANO MED also includes the FULL ICD-10-CM and ICD-10-PCS codes sets. You can view crosswalks from ICD-9 to ICD-10 or "reverse" crosswalks from ICD-10 back to ICD-9. Find-A-Code puts it all at your fingertips in a simple and easy to understand format.

CPT Codes

CPT® - Current Procedural Terminology® Medical Code Set The Current Procedural Terminology (CPT)

code set is maintained by the American Medical Association & the Australian Medical Association through the CPT Editorial Panel. The CPT code set accurately describes

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HCPCS Codes

HCPCS Codes - Procedures, DMEs, Supplies

HCPCS - Level II is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office.

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ICD-10-PCS Procedure Codes

The ICD-10 Procedure Coding System (ICD-10-PCS) is a system of medical classification used for procedural codes. The National Center for Health Statistics (NCHS) received permission from the World Health Organization (WHO), the body responsible for publishing the International Classification of Diseases to create the ICD-10-PCS

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ICD-9 Procedure Codes

NANO MED is totally independent and is based on guidelines from recognized bodies such as CMS, AMA, ADA, local authorities, and other recognized societies.
• Medical necessity, Cross Coding Edits Checks - ICD-10-AM/ACHI/ACS (AR)

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DRG Grouper

DRGs are assigned by a "grouper" program which gathers claim information based on ICD diagnoses, procedures, age, sex, discharge status and the presence of complications or comorbidities. All these factors are used to determine the appropriate DRG on a case by case basis.

Payer Denials Management

Changing health care rules and regulations focused on medical necessity are a continual source of confusion for Payers, Providers and other health care providers. To stay on top of the latest news and strategies regarding medical necessity compliance and appeals management, NANO MED has created The Compliance Library

Scrub-A-Claim - Medical Claim Scrubber

Scrub-A-Claim™ clean claims = fewer denials

NANO MED is a comprehensive medical claim scrubber and validation tool for medical claim forms. Scrubbing and validation of your medical claims has never been easier.

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Regulators compliant DHA, HAAD, UAE, KSA,and others

Based on the Standard edits of (AR,CMS, ANA, ALIMA etc.)

• ICD – CPT
• ICD – HCPCS
• ICD – CDT
• ICD - DDC
• ICD - ADDC
• NANO MED Coding Edits Checks
• Bundling, mutually exclusive coding, duplications, maximum allowed frequencies, services relationship errors, encounter related edits.

Easy to integrate to any healthcare solution

The NANO MED Knowledge Base provides all healthcare information systems Insurance management, ePrescriptions, codes edits and more - with the medical edits, medical necessity and drug data, and SDK necessary to integrate medical and drug data in a way that best meets clinician's needs for maximum functionality and usability.

Nano Health suite welcomes any other ways of integration by clients

Provide up-todate drugs data and medical edits

Our international medical edits, cross walk coding edits are continuously updated and reviewed by the International and local authorities, Our drug database contains 35,000 drug names from 30 different countries Our drug monographs contain:

The most extensive drug information database on the market today,

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Working with International Drugs data knowledge

Our international drug database contains 35,000 drug names from 30 different countries Our drug monographs contain: The most extensive drug information database on the market today, our drug database contains both US and Canadian drug names plus over 30 different courtiers, all the drugs in the AHFS and our authoritative drug data is continuously updated

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Clinical content and drug monographs

Clinical content

Our specialty-focused clinical information easily transforms any HIT system into a comprehensive reference tool for healthcare professionals.

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Claims Reports & Integration

NANO MED provide the best tools for all kind of claims reports

• Submitted claims
• Resubmitted claims
• Approved claims & Non approved claims

Try it for free

Our Great Team

Development & Support

Our highly experienced Developers consultants will work with you, advising you on how you can harness the power of IT to overcome your problems and meet your business objectives. We will introduce you to the wide range of solutions that we offer and inform you of how they can benefit your organization. Our IT consultants will talk with you to ascertain your actual requirements, help determine the IT resources you need define network/software requirements for your organization and develop and implement the agreed IT solutions.

To provide a TURN KEY SOLUTION by:

  • Analyzing and finalizing System requirements.
  • Providing a smooth and easy-to-use system.
  • Networking: all sub-systems operate on the different network systems to provide the largest possible amount of data.
  • Protecting customer investment by maintaining the system to work over the years.
  • Maximizing security for multi users.

Blogs

All
NANO MED Medical Necessity
Our Mission
Our Vision
Our Values

Benefits

  • Nano Health suite LLC expertise with customized software development.
  • Highly technical man power working on the latest cutting edge technologies.
  • Development Centre is available in UAE with State-of-art infrastructure.
  • Strategic alliance with Microsoft Gold Certified Partner and Oracle Partner.
  • Products are Quality check passed using Mercury Quick Test Professional.
  • Highly user friendly
  • Cost effective
  • Uninterrupted support after installation.
  • On time and on budget delivery.
  • Excellent back record
  • Experience is similar line.

Pricing Table

Per Claim

Based on annual claims
  • Unlimited number of lives
  • Free Integration
  • Free Update

Per Live

Annual subscription
  • Unlimited number of claims
  • No hidden cost
  • Free Updates

Onetime

Onetime Payment

  • Database License
  • Installed locally in your servers
  • Optional Updates

Annual

Fixed Annual Subscription
  • Unlimited number of claims
  • Unlimited lives
  • Free Updates