Audit-defensible Medicare answers for billers

Look up the Medicare billing rule, word for word, with a permanent citation for your audit file.

Verbatim is a Medicare billing rules lookup: our AI navigates CMS and returns the governing rule word for word, with a permanent, hash-verified citation you can keep in your audit file. It finds the rule, it never writes it.

20 seats total · $100 once · ~500 questions/month fair use · full 30-day refund, no questions asked · $399/mo is the planned launch price

30,349
Rules, policies, and fee entries in the library
5
Process domains every claim moves through
6+
Publishing organizations behind one claim
7
Source families
The problem

Five domains, five publishers, one claim.

A single denial can send you into four tools at once, with no record of which version of which rule said what.

Regulatory

What are the rules? CMS / Federal Register

Coding & billing

How do I describe it? CMS / CDC

Coverage

Will it be paid at all? CMS / MACs

Payment

How much, on what basis? CMS

Adjudication

What happened to the claim? CMS / X12

“I read it somewhere on CMS.gov last spring” is not a defense.

See it answer

A real question, the governing rule, the citation that keeps.

Example answer
How do I know which surgical codes carry a 90-day global period?

Field 16 of the Medicare Fee Schedule Data Base (MFSDB) provides the postoperative periods that apply to each surgical procedure. The payment rules for surgical procedures apply to codes with entries of 000, 010, 090, and, sometimes, YYY. Codes with “090” in Field 16 are major surgeries. Codes with “000” or “010” are either minor surgical procedures or endoscopies.

Medicare Claims Processing Manual, Pub. 100-04, Ch. 12, § 40.1 -- Definition of a Global Surgical Package
PublishedRev. 11287, 03-02-2022   Captured2026-07-02
sha256:144116c2…b2e32329  ·  Archived snapshot ↗

Questions are used to answer you and to improve the product. No patient information belongs in a question.

The rule, word for wordQuoted from the source, not a paraphrase.
Published, Captured, content hashThe citation your audit defense rests on. Captured is never backdated.
Archived snapshotResolves in six months, or six years.
How it fits

Five domains in. One cited answer out.

Our AI navigates all five so you do not stitch them together by hand. It finds the governing rule and hands you the source text, cited. It finds the answer, it never writes it.

Regulatory Coding & billing Coverage Payment Adjudication Verbatim. One cited answer The rule, word for word Published + Captured stamps sha256:144116c2… Archived snapshot
The rules, manuals, coverage policies, and fee schedules the government publishes are public. Verbatim assembles them into one answer you can pull up again, unchanged, years later. The few proprietary pieces are ones your encoder already licenses -- your encoder keeps its job.
Coverage

What a Medicare billing rules lookup has to cover: five process domains

Public domain -- carried and served Copyrighted -- cited, never served

Regulatory

What are the rules?
Federal Register CMS manuals (Pub 100-02 / 100-04 / 100-08) Transmittals MLN

Coding & billing

How do I describe it?
NCCI edits + MUEs HCPCS Level II ICD-10-CM / PCS POS codes Institutional code facts CPT NUBC

Coverage

Will it be paid at all?
NCDs (nationwide) LCDs + ArticlesNY

Payment

How much, on what basis?
MPFS OPPS / APC IPPS / MS-DRG ASC DMEPOS CLFS

Adjudication

What happened to the claim?
Claims-processing rules Appeals pathway CARC / RARC

Local coverage is the New York jurisdiction (the regional Medicare contractors, MACs) today; national sources are nationwide. The rust chips cost little in practice: billers search the CMS manuals for how to bill, and your encoder already holds the licensed descriptor sets.

What you actually get

The capability, stated plainly

Personalized changelog newsletter

A monthly edition filtered to your setting, payer focus, specialty, and role, rather than the full firehose everyone else receives.

One-off questions, any context

Ask a question for a different setting or payer without changing your saved profile.

Priority support

A direct line for Founding Members during the beta.

Fair use, stated honestly

One working biller's normal day, about 500 questions a month. The cap exists to stop automated or resale use, not to ration you.

The cost of doing it by hand

What a biller already spends to keep these domains close

Today's fragmented reference stack  $3,000-$4,000 / yr
Encoder $95/mo you keep this Coding reference $386-$566/yr cited, not served Generic newsletter $699/yr Specialty newsletters $248-$358/yr each
Verbatim, the connective layer beneath the stack  $100, once

Stack prices are current market prices. The $399/mo Master figure is the planned launch price -- no one pays it yet. Verbatim does not replace any of these; it assembles the public rulebook underneath them.

Founding-member results will appear here when real members report them. We do not fabricate proof.

If you manage the practice rather than work the claims

This is a $100 one-time purchase, refundable for 30 days, that gives your billing team one place to pull the governing Medicare rule word for word, with a citation you can drop into an appeal or audit file and still verify years later. Consider the hours spent reconstructing rules across four tools, and the audit review where nobody can prove which version of a rule was relied on. One overturned denial typically covers the seat many times over. A practice with two or three billers buys a seat per biller.

Founding Member round

When subscriptions open, Master is planned at $399/mo. Founding Members lock that tier in for $100, once, for the life of the product.

Master tier, personalization and all, at the ~500-questions-a-month fair-use cap, for as long as the product runs.

  • Rule retrieval, word for word
  • Permanent, hash-verified citations
  • Personalized changelog newsletter (Master)
  • Per-inquiry context override
  • Priority support during the beta
  • Grandfathered into the subscription when the beta ends
20 seats, then the page comes down. No countdown theater -- the scarcity is real.
Full 30-day refund, by email, no questions asked. You keep the answers you already pulled.
Claim a Founding seat -- $100 once

20 seats total · $100 once · ~500 questions/month fair use · full 30-day refund, no questions asked · $399/mo is the planned launch price

Privacy notice: we use your email only to create your Founding seat and send product updates. See our Privacy Policy. Refunds: billing@cmslookup.com.

Questions

Founding Member FAQ

Why is this so cheap? What is the catch?

There is no catch, there is a trade. We are building Verbatim with real billers in the loop, and the first 20 seats buy us that. You get the Master tier for the life of the product at a one-time price; we get founding users whose questions and feedback shape the product before it goes to general subscription. The price reflects what you are giving us, not a discount we will repeat.

What happens after the beta?

When the beta ends -- expected around September 2026 -- Verbatim opens as a normal subscription, with planned prices of Solo at $79/mo, Pro at $179/mo, and Master at $399/mo. Founding Members are grandfathered in: you keep access for the life of the product at the ~500-questions-a-month fair-use cap, with no monthly bill. September is an expectation, not a commitment; the Founding terms hold whenever the beta closes.

What does "for the life of the product" cover, and will the fair-use cap bite me?

It means access to the Master tier for as long as Verbatim runs, under the Founding fair-use terms of about 500 questions a month -- sized well past what one biller runs in normal work. You are not re-billed when subscriptions open. The cap exists to stop automated or resale use, not to ration a working professional; during the beta it is not enforced as a hard stop.

How is this different from asking a general chatbot, or reading the free CMS bulletin?

A chatbot tells you what it thinks the rule says. Verbatim shows you what the rule actually says, and gives you the receipt.

The free CMS bulletin delivers raw Medicare changes for $0, and you should keep that subscription. Verbatim filters the changes to your setting, payer focus, specialty, and role, and pairs each item with a permanent, hash-verified citation a free email does not.

General-purpose AI answers from a broad read of the open web; its citation is usually a live link that can change or break, and the answer is often a paraphrase. our AI works the other way: it navigates a curated index of primary sources only and returns the governing text as written, pinned to a permanent snapshot for your file. It finds the answer, it never writes it.

Where do my answers and citations live?

Inside Verbatim. Every question you run is saved to your history, and the answers that matter go into an audit file in the product, with room for your own note and ready to export when someone asks you to produce it. The record builds itself as you work, instead of you filing screenshots by hand. And because each citation also resolves to the public primary source on its own, your file is never locked inside the tool.

What does Verbatim cover, and what is outside it?

Federal Medicare sources across all five domains: the regulatory spine, correct coding, coverage, payment, and the public adjudication and appeals rules. Local coverage is the New York jurisdiction today. It cites but never serves CPT descriptors, NUBC UB-04 tables, CARC/RARC lists, state Medicaid manuals, and commercial-payer policies. The full table is on the coverage page. If your question lands outside what Verbatim carries, it will not be the right tool for it, and we would rather you know that up front.

Can I put my whole office on one seat?

A Founding seat is a single-biller seat under fair use. A practice with two or three billers buys a seat per biller. If you run a bureau and want several billers covered, reply when you claim your seat and we will talk about it directly -- we would rather get that right than sell you the wrong thing.

Claim one of the 20 Founding seats.

The planned Master price is $399/mo. For the first 20 billers, it is $100, once, for the life of the product at the ~500-questions-a-month fair-use cap.

Claim my Founding seat -- $100

20 seats total · $100 once · ~500 questions/month fair use · full 30-day refund, no questions asked · $399/mo is the planned launch price

Not ready for a seat? Get the launch note.

Leave an email and we will tell you when subscriptions open.

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