How to use Verbatim

Getting started

Verbatim answers questions about the public rules behind a Medicare or Medicaid claim: the regulations, the correct-coding edits, what is covered, how a line is paid, and how a denial is handled. You ask in everyday language, the way you would ask a colleague.

Ask a good question

• Be specific about the situation: the service, the setting, and what you are trying to confirm. "Is there a frequency limit on this lab for a Medicare patient?" beats "lab rules."
• One question at a time gets the cleanest, most traceable answer.
• If you are working a denial, paste the situation and ask what the governing rule says and what the appeal path is.

Reading an answer

Every answer is built to be defensible, not just fast.

The citation is the point

Each answer carries a permanent, hash-verified citation tied to a snapshot of the source text at the moment it was retrieved. It does not move, rot, or quietly change, so the answer you relied on today still resolves to the exact text months later, in an appeal or an audit file.

Primary vs supplemental

Material drawn from the official primary rules is labeled as audit-grade. When a question reaches past those, an optional supplemental search brings back supporting background and labels it clearly as supplemental, so you always know which part of an answer is primary source and which is context.

A note on how to use it

Verbatim shows you what the rule says. It does not tell you what to do on a specific claim. Treat answers as a sourced reference to inform your own judgment, not as billing or legal advice.

What Verbatim covers, and what it does not

Carried The public regulatory backbone: federal regulations and program manuals, correct-coding edits and limits, national coverage rules and New York local coverage, the public payment schedules, and the public claims-processing and appeals rules.

Cited, not served Copyrighted works that your encoder or reference library already licenses: the CPT code descriptions, the curated institutional master tables, and the canonical denial-reason code lists. Verbatim points you to these by reference but does not reproduce them.

Local coverage is the New York jurisdiction today. If a question lands outside what Verbatim carries, it will say so rather than guess. See the full coverage map on the home page.

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