MCEActive Code Editor Components
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Overview:
The MCEActive™ 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 components allow you to add Medicare data editing functionality to your systems and applications built for the Windows client environment.
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 is available in .Net format and utilizes Microsoft SQL Server 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.
Features include:
Versions available for plug-in
compatibility with .Net or ActiveX capable
development environments
100% CMS compliant DRG data validation including:
| 1. Invalid Diagnosis or Procedure Code | 14. Procedures allowed for males only |
| 2. Invalid Age | 15. Manifestation code as Principal Diagnosis |
| 3. Invalid Sex | 16. Non-Specific Principal Diagnosis |
| 4. Invalid Discharge Status | 17. Questionable Admission |
| 5. E-Code as Principal Diagnosis | 18. Unacceptable Principal Diagnosis |
| 6. Duplicate of PDX | 19. Non-Specific O.R. Procedure |
| 7. Diagnoses for Newborns and Neonates | 20. Non-Covered Procedure |
| 8. Pediatric diagnoses for children up to17 | 21. Open Biopsy Check |
| 9. Maternity diagnoses | 22. Bilateral Procedure |
| 10. Adult diagnoses for age > 15 | 23. Limited Coverage |
| 11. Diagnoses allowed for females only | 24. Wrong Procedure Performed |
| 12. Procedure allowed for females only | 25. Procedure inconsistent with length of stay |
| 13. Diagnoses allowed for males only | |
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.
Compatible with the leading Windows development environments including:
- Microsoft Visual Studio
- Microsoft .Net Core (.Net, 6, 7, 8)
- Microsoft .Net Framework 4.6.2+
- Microsoft SQL Server
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.