The one-move software test
Try to over-book this authorization.
Medicaid clawbacks come from hours delivered outside an authorization, and most software happily books them. Here is our actual booking gate. Keep booking sessions for M.C. and watch the calendar itself refuse. Then try the staff member whose credential lapses mid-July.
Live authorization: M.C., CPT 97153
45 units free (675 billed, 0 booked ahead of 720) • window 2026-05-01 to 2026-10-31
Demo data, simplified rules: this widget runs a small sample of the product's preflight checks (auth window, auth units, credential dates, panel enrollment) so you can feel how the gate thinks. The product's full gate runs many more, and in production it also requires a signed compliant note, EVV, and an original narrative before any claim can exist.
Ask your current vendor to pass this test on a screen share. If the hour books anyway, the audit finds it in two years and extrapolates it across every claim you filed.