The MCEActiveÔ
Enterprise Code Editor DLL takes inpatient claim information
including patient age, sex, and discharge status along with detail
diagnosis and procedure code data and validates against specific
criteria prior to DRG assignment and reimbursement calculation to assure
correct grouping and reimbursement.
Software developers and system integrators!
The MCEActive™
Code Editor DLL is the
easiest way to add CMS-compliant inpatient claim data
validation logic to your systems or applications. By
simply incorporating the MCEActive™
Code Editor DLL into your application,
setting the input property values, and executing the
CodeEdit method you can validate all the input
claim data
elements. The data validation performed by MCEActive™ is 100% compliant
with CMS specifications. These 32-bit ActiveX components allow you to add DRG
functionality to your systems and applications built for the Windows95/98/NT/2000/XP
client environment.
The MCEActive™
Code Editor DLL is the ideal solution for claims processing
applications, data warehousing and data analysis, claim review, compliance auditing, and
much more.
Availability:
There are two types of MCEActive™
Code Editor DLLs to match your system
architecture:
- Desktop versions of the MCEActive™
Code Editor DLL utilizes Microsoft
Access databases for fast and efficient in-line processing.
- The MCEActive Enterprise™
Code Editor DLL utilizes Microsoft SQL Server
2000/2005 data components for high-performance in large-scale
enterprise
and web-based
applications.
The MCEActive™
Code Editor DLL validates inpatient claim data for
five fiscal years of Medicare specifications (FY05-09).
Features include:
Plug-in compatibility with all ActiveX capable development environments
100% CMS compliant DRG data validation including:
|
1. Invalid Diagnosis or Procedure
Code |
12. Procedure allowed for females only |
|
2. Invalid Age |
13. Diagnoses allowed for males only |
|
3. Invalid Sex |
14. Procedures allowed for males only |
|
4. Invalid Discharge Status |
15. Manifestation code as Principal Diagnosis |
|
5. E-Code as Principal Diagnosis |
16. Non-Specific Principal Diagnosis |
|
6. Duplicate of PDX |
17. Questionable Admission |
|
7. Diagnoses for Newborns and Neonates |
18. Unacceptable Principal Diagnosis |
|
8. Pediatric diagnoses for children up to17 |
19. Non-Specific O.R. Procedure |
|
9. Maternity diagnoses |
20. Non-Covered Procedure |
|
10. Adult diagnoses for age > 15 |
21. Open Biopsy Check |
|
11. Diagnoses allowed for females
only |
22. Bilateral Procedure |
Scalable:
The MCEActive™
Code Editor DLL comes in versions suitable for desktop applications as well as Enterprise Versions designed
for high-performance large-scale applications that utilize Microsoft SQL Server
2000/2005.
Compatible with the leading Windows development environments
including:
Microsoft
Visual Studio .Net/2005
Microsoft Visual Studio 6.0
Microsoft Visual Studio 97
MS Access
Borland Delphi V4.0+
Powersoft PowerBuilder V6.0+
Licensing:
The MCEActive™
Code Editor DLL is licensed based upon usage.
- For a single site installation, like a
health plan, hospital, or university, the MCEActive™
Code Editor DLL is licensed for internal use
based on the size of the installation.
- For a Software Developer including the MCEActive™
Code Editor DLL in a software
package for distribution to an end user, a distribution agreement is required. Terms: an
initial license fee and a per-site fee for each MCEActive component.
Send e-mail to salesinfo@microdynmed.com or call for more information and pricing.
