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Tracking since May 20, 2026.

Changelog

• May 26, 2026
  short_description

  Enterprise billing: NCCI+MUE+modifiers, E/M MDM, denials, HCC, NPI/Drug/LCD, EHR injectors, BYOK AI clinical-note inference.

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• May 26, 2026
  name

  MediCheck Pro — 2026 Billing Compliance

  Unknown

• May 26, 2026
  category

  productivity/developer

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• May 26, 2026
  permissions

  sidePanel, storage, contextMenus, scripting

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• May 26, 2026
  description

  THE 2026 BILLING COMPLIANCE TOOLKIT — CATCH DENIALS BEFORE YOU SUBMIT.
  
  MediCheck Pro is the only Chrome extension that combines real-time CPT/ICD-10 validation, NCCI edit checking, MUE limits, E/M MDM calculation, CARC/RARC denial decoding, HCC risk-adjustment flagging, AND BYOK AI clinical-note → code inference in a single tool. Used by independent billers, FQHC compliance officers, RCM agencies, and revenue-cycle teams.
  
  ⚡ INSTANT 2026 CODE VALIDATION
  Type any CPT, HCPCS, or ICD-10 code → 0.3-second lookup with the 2026 Medicare national rate, audit-risk score, common denial reasons, modifier requirements, and global surgery period.
  
  🛡️ DENIAL-RISK METER (0-100)
  Every code result shows a unified 0-100 denial-risk score combining audit risk + 2026 rule changes + NCCI conflicts + MUE strictness + unspecified-ICD penalty + HCC weighting. Click "Why this score?" for the full breakdown.
  
  🔍 RIGHT-CLICK ANY CODE ANYWHERE
  Highlight any code on any webpage → right-click → "Check with MediCheck Pro" → result appears in the side panel instantly. No copy-paste workflow.
  
  ✨ FLOATING TOOLTIP ON HOSTED EHR PAGES
  Opt-in to MediCheck on Epic / Cerner / athenahealth / Practice Fusion / eClinicalWorks / DrChrono / NextGen → a small launcher appears at the bottom-right with a live code-count badge for the current page.
  
  🎯 NCCI PTP + MUE CLAIM AUDIT (Pro)
  Build a 12-line claim → audit every pair for NCCI bundling conflicts, MUE unit limits, and missing bypass modifiers — BEFORE submission. Export the audit as a printable PDF for compliance documentation.
  
  📋 E/M MDM CALCULATOR (Pro)
  The 2021 AMA / 2026 leveling rules in three clicks. Pick problems, data, risk. We apply the 2-of-3 rule, compare against documented time, and recommend the higher-supported level (MDM-based or time-based) with full reasoning.
  
  🚫 CARC / RARC DENIAL DECODER (Pro)
  Paste any CO-50, PR-1, M81, N362, MA130 from an EOB → plain-English meaning + next-step action + severity. 75+ codes covering 90% of denial volume.
  
  🩺 HCC RISK-ADJUSTMENT FLAGGING
  Every ICD-10 lookup checks the CMS-HCC v28 mapping. See the HCC category, risk factor, and estimated annual MA payment impact — critical for Medicare Advantage and ACO settings.
  
  📎 CMS SOURCE CITATIONS
  Every alert links to the primary CMS or AMA source document. Compliance officers can audit our recommendations back to CMS-1828-F or AMA CPT 2026.
  
  🔎 NPI / DRUG / LCD LOOKUPS
  Built-in queries to public NIH and CMS APIs:
  ✅ NPI Registry — by 10-digit NPI or by provider name + state + specialty filter
  ✅ Drug / NDC — RxNorm name → RxCUI → all NDCs (or reverse)
  ✅ LCD / NCD coverage — "will Medicare cover CPT X for diagnosis Y under the active LCD?"
  
  🤖 BYOK AI CLINICAL-NOTE INFERENCE (Pro)
  Paste a clinical note → AI suggests CPTs + ICD-10s + modifiers + audit concerns with confidence scores. You bring your own API key for OpenAI / Gemini / Anthropic — nothing routes through PixelForgeHub. Clear HIPAA / BAA disclosure required before any send.
  
  👥 TEAM LICENSING + SHARED FIRESTORE AUDIT
  Single PFH-TEAM-XXXX-XXXX license unlocks Pro for the whole team. Lookups optionally sync to your team's Firestore database so the compliance officer sees what every member validated.
  
  🌍 INDIA + LATAM READY
  Full Hindi and Spanish UI translations (130+ keys each). Capture the offshore RCM workforce no other tool localizes for.
  
  📦 LOCAL-FIRST PRIVACY
  - Code lookups: 100% local — no server
  - NPI / Drug lookups: query public NIH / CMS APIs (no patient data sent)
  - AI inference: direct browser → your chosen LLM provider (BYOK, no PFH server)
  - Team sync: your own Firebase project (BYO database)
  - We have no servers, no telemetry, no analytics
  
  🎨 FREE FEATURES (no time limit)
  ✅ 100+ hand-curated 2026 codes (CPT/HCPCS/ICD-10)
  ✅ Denial-risk score, NCCI conflict callouts, MUE warnings, CMS citations
  ✅ Right-click context menu
  ✅ 20 lookups/day
  ✅ 2026 rule changelog
  ✅ Modifiers reference (35 codes)
  ✅ NPI + Drug + LCD lookups
  ✅ EHR launcher injectors
  ✅ History (local)
  ✅ 5-language UI (EN/ES/FR/DE/HI)
  
  💎 PRO FEATURES — $19/mo or $99 lifetime
  ✨ Unlimited lookups
  ✨ Claim Audit workspace + PDF/JSON/CSV export
  ✨ E/M MDM Calculator
  ✨ CARC / RARC denial decoder
  ✨ BYOK AI clinical-note inference
  ✨ Auto-detect on selection (any page)
  ✨ Watermark removed
  
  🏥 TEAM TIER — $79/mo · 5 seats, $249/year unlimited
  👥 Single team license for all seats
  👥 Shared Firestore audit log
  👥 BYO Firebase project (data stays under YOUR control)
  👥 Priority support
  
  PERFECT FOR
  • Independent billers & coding consultants
  • FQHC compliance officers
  • RCM agencies (especially offshore Indian operations)
  • Solo physicians + small group practices
  • Hospital revenue-cycle teams
  • Medical coding students & CPC/CCS candidates
  
  NOT AFFILIATED with CMS, AMA, or any specific payer. Numerical rates are illustrative national averages.
  
  PRIVACY POLICY: https://pixelforgehub.pro/privacy/medicheck
  SUPPORT: https://pixelforgehub.pro/support
  GET PRO: https://pixelforgehub.pro/pricing

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Permissions & access

Permissions

None declared

Host access

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