Wolters Kluwer MediRegs Master Suite is a web-based regulatory, coding, reimbursement, and audit/denials research platform intended for healthcare revenue integrity and compliance teams to research primary sources, validate medical necessity (e.g., LCDs/NCDs), and perform payment analysis (e.g., DRG/APC/RVU tools), with alerts and archives to support audit trail documentation. The vendor describes it as a comprehensive "coding, payment and compliance audit" bundle aimed at advanced users.
Key components and capabilities described by Wolters Kluwer include:
- Code Explorer to search across multiple code sets and related guidance in one place.
- NCCI code pair checking (including Medicaid edits).
- Broad archives (CMS manuals, federal regulations, coverage determinations) and coding guidance library content (e.g., CPT/HCPCS codebooks and other coding supplements).
- RAC tracking and frequent updates/alerts across CMS transmittals, MLN Matters, job aids, and FAQs.