Flash Code is an electronic coding and compliance software solution specifically designed for the healthcare industry, including physicians, clinics, hospitals, government agencies, third-party payers, and health plans. Developed by Flash Code Solutions, LLC, a division of Practice Management Information Corporation (PMIC), the software is renowned for providing fast, simple, and accurate coding.
Key Features and Capabilities
The software provides comprehensive access to all official code sets and compliance information, which is updated quarterly to ensure accuracy. Key features include:
- Code Search & Reference: Instant look-ups for all official ICD-10-CM, ICD-10-PCS, CPT®, HCPCS, and CDT® codes, along with guidelines, coding notes, and alphabetic indexes.
- Compliance Edits: Includes all active National Correct Coding Initiative (NCCI) tables for intelligent unbundling information.
- Medical Necessity: Provides National and Local Coverage Determination (NCD & LCD) text with listings of medical necessity codes.
- Fee Schedules & Calculations: Access to Medicare RBRVS (Resource Based Relative Value System), DME (Durable Medical Equipment), and LAB fee schedules, with geographic (GPCI) based fee calculations and support for multiple custom fee calculation formulas.
- Specialty Modules: Offers specialized modules like Flash Code Anesthesia (includes ASA RVUs, Crosswalks, and a fee calculator) and Flash Code Dental (includes official CDT codes).
- Integration: Features an API that allows integration partners to access its coding data and intelligence, enabling seamless integration with enterprise solutions.
Target Users and Use Cases
Flash Code is utilized by a wide range of organizations, from single-user physician offices to large health plans with over 15,000 users. Its primary use cases include:
- Medical Coding: Coders and billers use it for fast, accurate code look-up and selection to ensure clean claim submission.
- Compliance Management: Physicians and auditors use it at the point of care or during review to check for medical necessity and NCCI compliance, significantly reducing claim denials.
- Revenue Cycle Management: Billing departments use the integrated fee schedules and calculation tools for accurate reimbursement estimates and billing/invoicing.
The software is available via a web browser (SaaS) or as a desktop installation, offering flexibility for various operational environments.