OCEActive™
Enterprise Code Editor DLL
(for Non-OPPS
Medicare claims)
Overview:
With the
increased use of HMO’s, ambulatory surgicenters, preferred provider
organizations, emergency rooms, and hospital outpatient departments,
accurate coding for ambulatory care is a necessity.
The
OCEActive™
Enterprise Code Editor DLL (for Non-OPPS claims)
was
developed to ensure accurate coding by detecting potential problems in
the coding of claims data according to CMS specifications. Diagnoses are
coded in ICD-9-CM classification; procedures are coded in HCPCS
classification. OCEActive™
screens each procedure code against a list of approximately 2500 ASC
procedures, a list of Out of Scope
procedures,
and the entire CPT code list, including all recent releases. OCEActive™
also summarizes whether or not the bill is subject to the ASC limitation
and which edit conditions apply.
Software developers and system integrators!
The OCEActive™
Enterprise Code Editor DLL (for Non-OPPS claims)
is the
easiest way to add complete CMS-compliant data validation
to your systems or applications. By simply incorporating the
OCEActive™
Enterprise Code Editor DLL into your application,
setting the input property values, and executing the
CodeEdit method you can easily validate your input
claim data
elements. The editing performed by OCEActive™ is 100% compliant
with CMS specifications. These 32-bit ActiveX components allow you to add
data validation to your systems and applications built for the Windows95/98/NT/2000/XP
client environment.
The OCEActive™
Enterprise Code Editor DLL (for Non-OPPS claims)
is an ideal solution for claims processing
applications, data warehousing and data analysis, claim review, compliance auditing, and
much more.
Availability:
- The OCEActive™
Enterprise Code Editor DLL
utilizes Microsoft SQL Server
2000/2005 data components for high-performance in large-scale
enterprise
and web-based
applications. This module covers five fiscal years
(FY03-07) of data validation specifications.
Features include:
Plug-in compatibility with all
ActiveX capable development environments
100% CMS compliant data validation including:
|
1. Invalid Diagnosis or Procedure Code |
11. Diagnoses allowed for females only |
|
2. Invalid Age |
12. Procedure allowed for females only |
|
3. Invalid Sex
|
13. Non-Covered Procedure |
|
4. E-Code as Principal Diagnosis
|
14. Questionable Covered Procedure |
|
5. Diagnoses for Newborns and Neonates |
15. Conflict Cataract Procedure |
|
6. Pediatric diagnoses for children up to17 |
16. ASC Procedure |
|
7. Maternity diagnoses |
17. Out of Scope Procedure |
|
8. Adult diagnoses for age > 15
|
18. Non-reportable Codes |
|
9. Diagnoses allowed for males only |
19. Unlisted Procedure |
|
10. Procedures allowed for males only |
20. Non Subject To Limitation
|
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 OCEActive™
Enterprise Code Editor DLL (for Non-OPPS claims)
is licensed based upon usage.
- For a single site installation, like a
health plan, hospital, or university, OCEActive™
is licensed for internal use
based on the size of the installation.
- For a Software Developer including OCEActive™
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 OCEActive™ component.
Send e-mail to salesinfo@microdynmed.com or call for more information and pricing.
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