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.

Product Overview

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

Features / Benefits
Add-on Modules
Competitive Advantage

"When it comes to Medicare and industry changes, we know VitalWare is on the cutting edge."

-Mad River Community Hospital

Shaw Building Mad River Community Hospital

Let us show you how VitalWare can help
your organization be more efficient.