Frequently Asked Questions
Everything you need to know about integrating SmartClaimAI into your wound care clinic.
Is this system HIPAA compliant?
Yes. SmartClaimAI is designed to process clinical data securely. We do not store protected health information (PHI) longer than necessary to perform the evaluation, and all data inflight and at rest is encrypted using industry-standard protocols.
Which LCD guidelines does this cover?
Currently, our engine is tuned to the stringent requirements of CMS Medicare LCD L35041 (Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities) and its associated billing articles.
Can I use this for non-Medicare patients?
Absolutely. While the rules are based on Medicare LCDs (which represent the gold standard for clinical documentation requirements), ensuring this level of detail usually guarantees coverage from commercial payers as well.
Does this replace my EMR?
No. Think of SmartClaimAI as an intelligent preamble or a final check before you lock your clinical note in your EMR. It ensures your narrative meets all criteria before you bill the claim.
What if the AI flags something incorrectly?
Our engine is deterministic and based on boolean logic tied directly to published guidelines. However, clinical judgment always supersedes the tool. If you believe a flag is incorrect in your specific clinical scenario, you can proceed, though we recommend reviewing the specific LCD guideline cited by the warning.
Still have questions? Let's put it to the test.
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