Trusted by Healthcare Providers
MedCascade Medical Billing for Modern Practices
Streamline ICD-10 validation, RPL alignment, and PMB compliance checking. MedCascade helps healthcare teams code with confidence and submit claims faster.
14+ Medical Schemes
15 Report Types
9 Specialties
Note: MedCascade provides billing assist only. We do not submit claims to medical schemes. We help with validations, motivations, required documents, and flagging likely rejections.
95%+
Validation Accuracy
99.9%
Uptime SLA
14+
Medical Schemes
24/7
API Availability
Features
Built for Healthcare Providers
Everything you need to manage medical billing efficiently with support for local schemes, compliance, and specialty-specific coding
ICD-10 Validation
Automated validation of diagnosis codes with confidence scoring and scheme-specific compliance checking.
RPL Alignment
Automatic alignment of procedure codes with ICD-10 diagnoses, ensuring medical necessity and PMB compliance.
PMB Checking
Prescribed Minimum Benefit validation across all major South African medical schemes with real-time updates.
Specialty Coding
Discipline-specific coding support for 9 medical specialties with accurate modifiers and complexity factors.
Document Processing
OCR extraction and transcription conversion from clinical documents to structured billing codes.
API Integration
RESTful API with webhook support for seamless integration into your practice management system.
15 Report Types
Comprehensive Billing Reports
From general analysis to specialty-specific coding and document processing - we cover all your billing needs
General Reports
Sample
ICD-RPL Alignment
Comprehensive diagnosis-to-procedure alignment with PMB validation and coding recommendations.
Sample
Lumbar Review
Specialized procedural review with revalidated RPL sets, rejected codes analysis, and documentation guidance.
Sample
Full Analysis
End-to-end clinical and coding assessment with ICD alignment, PMB review, and risk checks.
Sample
Scheme Submission
Submission-ready packet with itemized codes, PMB indicators, and required documentation checklist.
Specialty Reports
Orthopedic
SpecialtyFractures, joint procedures, implants, and fixation coding with laterality modifiers.
Neurosurgery
SpecialtySpinal level coding, surgical approach validation, and complexity assessment.
Anesthesiology
SpecialtyTime-based units, ASA physical status, modifiers, and emergency coding.
Dental
SpecialtyFDI tooth numbering, surface coding, treatment plans, and lab documentation.
Psychology
SpecialtySession duration, therapy type, modality coding, and time-based calculations.
Psychiatry
SpecialtyConsultation types, medication management, and procedure justification.
Physiotherapy
SpecialtyModality coding, body part targeting, rehabilitation phases, and outcomes.
GP
SpecialtyConsultation levels, in-room procedures, acute medication, and time-based billing.
Specialist
SpecialtyGeneric specialist coding with complexity assessment and justification.
Document Processing
How It Works
Simple, Powerful Workflow
From clinical data to validated codes in four easy steps
01
Submit Clinical Data
Upload patient records, procedure notes, or clinical transcripts via API or dashboard.
02
Automated Processing
MedCascade analyzes ICD-10 codes, validates RPL alignment, and checks PMB compliance.
03
Get Recommendations
Receive detailed coding suggestions with confidence scores and compliance alerts.
04
Submit to Schemes
Use validated codes and generated documentation to submit claims with confidence.
Benefits
Measurable Impact
Real results that transform your medical billing workflow
70%
70% Time Saved
Reduce manual coding time from hours to minutes with automated validation and suggestions.
95%+
95%+ Accuracy
MedCascade validation ensures ICD-10 and RPL codes meet scheme requirements and medical necessity.
∞
Revenue Captured
Identify missed billing opportunities and ensure proper documentation for maximum reimbursement.