As current rules and regulations continue to change and new ones are introduced, today's Mid-Revenue Cycle is more complex than ever. Untangling healthcare revenue's sophisticated ecosystem can be next to impossible making accuracy and continuity in your documentation, charge capture, chargemaster, and code assignment essential to rightful reimbursement.

Until VitalWare. We have a solution; here's a quick breakdown.

(Looking for more information on our content offerings for hospitals and vendors? Click here to view VitalIntelligence.)

What are others saying?

“VitalWare’s OPPS Calculator is an incredible time saving tool giving us immediate benefit. With our new OPPS calculator, we are twice as productive, cutting our processing time in half. Consequently, we are also much more accurate at identifying underpayments, catching billing errors, and keeping our AR (Accounts Receivables) in balance.”

Deana DeSalvatore, CRCS-I
Patient Account Analyst, Managed Care
Hackensack Meridian Health, Tinton Falls, NJ

1. Documentation

VitalWare provides the ability to analyze documentation on the front end, identifying what is missing by using Natural Language Processing and our proprietary, patent-pending Sherpa engine. When reviewing the documentation we identify the clinical concepts and determine if all the necessary terminology is present to get to the level of specificity required under ICD-10. The process can be added to the physician's documentation sign off process or as part of the case review by the CDI department.

2. Coding

VitalWare provides the ability to capture, research, group and validate codes on an individual or claim level. With over 175 public and proprietary data types, we have the most comprehensive and up-to-date coding content in the industry. Depending on where in the coding process you are, we deliver critical information on professional, inpatient and outpatient coding and reimbursement for code assignment, review and reconciliation.

3. Billing

VitalWare provides the ability to manage your organizations chargemaster and charge capture, assisting with accurate pricing, code assignment and regulatory compliance for ensuring rightful reimbursement. Whether you use VitalWare's corporate standards, best practices or workflow, you can benefit from a platform that tightly integrates with your current HIS vendor.

4. Auditing

VitalWare provides the ability to audit documentation, coding and charge capture for the professional, inpatient and outpatient settings. Audit information concurrently or retrospectively to identify risk and opportunities for educational and/or reimbursement improvements within your organization. In a process where outsourcing and spreadsheets are prevalent, VitalAuditor empowers consolidation of audit results so that the entire organization can benefit from its findings.


Take the next step.

Contact one of our world-class Product Specialists to schedule a live demo.

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