600 S. Magnolia Ave, Suite 250, Tampa, Florida 33606  |  info@protolytic.com

ProtoLytic, LLC offers an application programming interface that connects the industry’s most powerful analytics engine to instantly give you recommendations about state rules covering medical treatment and reimbursement. This was a 5-year R&D effort to create proprietary algorithms that evaluate thousands of complex rules and regulations. The new Proto-Link™ API is available to license for your users and clients through your current systems.

  • State mandated provider specialty and licensing requirements for specific products and services to prevent unqualified medical treatment
  • State mandated coding requirements for products and service as well as provider specialties to ensure proper coding
  • State mandated non-reimbursable codes to reduce flag improper billing
  • State mandated maximum reimbursement allowances to reduce costs
  • State mandated reductions in maximum allowable reimbursement based on modifiers/provider specialty for proper billing
  • State mandated facility-specific coding and billing requirements to ensure proper treatment/billing
  • State mandated pharmacy limits/restrictions to reduce unnecessary/over drug prescriptions
  • Incorporates the CMS National Correct Coding Initiatives (NCCI) to reduce excessive/incorrect products/services
  • Adjudicates health care treatment for drug utilization, diagnostic testing, physical medicine, and surgery, among others
  • Tackles the treatment of physical conditions which occur with the greatest frequency, or which require the most expensive treatments
  • Covers all phases of injury; acute, subacute, and chronic to ensure the proper treatments during the correct stage of injury
  • Identifies red flags that may suggest the presence of serious underlying medical conditions
  • Encompasses all aspects of patient stage recovery: diagnosis, education, informed decision making, treatment parameter duration, active interventions, positive patient response, and surgical interventions
  • Provides clinical reasoning for medical decisions that foster communication to resolve disputes among provider, payer, and patient

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Office:

ProtoLytic, LLC
Suite 250
600 S. Magnolia Avenue
Tampa, FL 33606