Medical Code Validation
Vital365 - Validate™
Simple, smart code validation tool that gets it right the first time.
Claim and code level validation for CCI, LCD/NCD, OPPS and DRGs grouping.
The Most Robust Regulatory and Referential Content Available
Innovative book based and logic based Code-Look up capability with the industry’s most robust regulatory and referential content. Pair that with an I/OCE editor, a medical necessity engine, and payment grouping capabilities, VitalWare™ can provide an organization with a flexible tool that works the way coders and billing specialists work—allowing direct coding for routine procedures, yet employing consistent rules and expert logic to assist in getting a correct patient bill the first time every-time.
A Single Data Submission Validates
NCCI (PTP) edits, Medical necessity edits, Integrated Outpatient Code Edits (I/OCE) Coding Guidelines. These edits guide coding and billing in identifying the correct codes, and code pairs to send out a correct claim. Submission will also validate APC/EAPG Calculator for outpatient visits, MS-DRG/APR-DRG Calculator for inpatient visits, DRG Optimization for inpatient visits.
Coding Reference Add-On’s
AHA Coding Clinic for ICD and HCPCS, AMA CPT® Assistant, Lay Description by Coders’ Desk Reference by Optum, Dr. Z’s Interventional Radiology Coding Reference
"When it comes to Medicare and industry changes, we know VitalWare is on the cutting edge."
-Mad River Community Hospital
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