winsoft solutions l.lwinsoftsolutions.net/presentations/add-vantagemedicaleditsrules... ·...

Winsoft Solutions L.L.CDo i.t professionally 2010 -2014

Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.

[email protected]

(+971) 4 289 69 55

Add-Vantage

Medical Edits Rules Engine

DHA & HAAD compliant

Standard Edits (AR,CMS, AMA, etc.)


Add-Vantage -Medical Edits Rules Engine

Highlighted Features

Based on standard edits of (AR,CMS, AMA, etc.)

Arabic, English web based portal

Easy payment / Pay as you go!

Automatic Update

SDK available

Database Integration Options Oracle, MS SQL Server, DB2 etc..

API & Web Services


Cross WalkChecks

AutoCodes Updates

ALFMS -Modules


Add-Vantage

Coding Alerts&

Medical Necessity


Multi Uses Check

Pairs Checks

DuplicationMedical

necessity Checks

ALFMS -Features


ICD10C,ICD 9 CM And ICD10AMCross walks

Contraindications

HCPCS,DSL and

ASL Checks

maximum allowed frequencies,

mutually exclusive coding

Coding Alerts


Add-Vantage is totally independent and is based on guidelines from

recognized bodies such as CMS, AMA, ADA, local authorities, and other

recognized societies.

Medical Necessity/Cross Coding Edits Checks - ICD-10-AM/ACHI/ACS

(AR)

Medical Necessity/Cross Coding Edits Checks - ICD-10-CM/CPT/HCPCS,

ICD-DRUGS, DSL and LONICS

Coding Alerts

CPT pairs checks, multi use alert


Australian Edits Cover

E-Claim Edits in Dubai covers

E-Claim Edits in Abu Dhabi covers

Update and Manipulate the standard codesWinsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.

About Add-Vantage


AV –ICD 9 -ICD10 (CM) cross walks CPTs

Winsoft Add-Vantage enables checking and alerting on potential mistakes and

reviews in medical coding.

Medical Necessity/Cross Coding Edits Checks

ICD – CPT, ICD – HCPCS, ICD – CDT, ICD - DDC, ICD - ADDC

Add-Vantage Coding Edits Checks

Bundling, mutually exclusive coding, duplications, maximum allowed

frequencies, services relationship errors, encounter related edits.

E-Claim Edits in Dubai covers:

Diagnosis Codes (ICD-10-CM)

Procedure Codes (CPT)

Disposable and Consumables (HCPCS)

Dental Codes (CDT)

Dubai Service List (DSL)

Dubai Drugs Codes (DDC)

E-Claim Edits in Abu Dhabi covers: Diagnosis Codes (ICD-9-CM)



Dental Codes (CDT) in 2014

Abu Dhabi Service List (ASL)

Abu Dhabi Drugs Codes (ADDC)


AV -ICD-10-AM/ACHI/ACS (AR)

Winsoft Add-Vantage enables checking and alerting on potential mistakes and

reviews in medical coding.

Medical Necessity/Cross Coding Edits Checks V8 and before

ICD – CPT, ICD – HCPCS, ICD – CDT, ICD - DDC, ICD - ADDC(First-Eighth Edition)

Coding Checks



E-Claim Edits in 10 Versions and

before covers:

Diagnosis Codes (ICD-10)

Australian Classification of Health

Interventions (ACHI)



Australian Coding Standards (ACS )


E-Claim Edits in 9 Versions and

before covers:







Abu Dhabi Drugs Codes (ADDC)


AV –Codes Mapping

Winsoft Add-Vantage has the mapping between all ICD9CM and ICD10CM and

ICD9-AM and ICD10-AM and CPT to ACHI and ACS.

Medical Necessity/Cross Coding Checks V8 and before

ICD – CPT, ICD – HCPCS, ICD – CDT, ICD - DDC, ICD - ADDC

Add-Vantage Coding Edits Checks



E-Claim Edits in 10 ICD AM V 1 to 8:








E-Claim Edits ICD CM 9 and 10

Versions:

Diagnosis Codes (ICD-CM)



Dental Codes (CDT)

Dubai Service List (DSL)

Abu Dhabi Drugs Codes (DDC)

Per Member Or Per Claim

Contact us for presentation or proposal

Choose your comfort option and request a demo

Cloud Web Services Integration

Online Public Portal


Add-Vantage – Implementation Options

Database Access / License


How Can Winsoft Solutions Help?

Improving distribution management with

collaborative customer knowledge

OPERATIONAL EFFICIENCY

CUSTOMEREXPERIENCE

DISTRIBUTIONMANAGEMENT

For further information please contact us

• U.A.E. Dubai

• +971 (4) 289 69 55

• [email protected]

Winsoft Solutions Contact us


winsoft solutions l.lwinsoftsolutions.net/presentations/add-vantagemedicaleditsrules... ·...

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