Winsoft Solutions L.L.C Do 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.)
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Winsoft Solutions L.L.CDo i.t professionally 2010 -2014
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
(+971) 4 289 69 55
Add-Vantage
Medical Edits Rules Engine
DHA & HAAD compliant
Standard Edits (AR,CMS, AMA, etc.)
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
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
Standard Edits (AR,CMS, AMA, etc.)
Cross WalkChecks
AutoCodes Updates
ALFMS -Modules
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
Add-Vantage
Coding Alerts&
Medical Necessity
Standard Edits (AR,CMS, AMA, etc.)
Multi Uses Check
Pairs Checks
DuplicationMedical
necessity Checks
ALFMS -Features
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
ICD10C,ICD 9 CM And ICD10AMCross walks
Contraindications
HCPCS,DSL and
ASL Checks
maximum allowed frequencies,
mutually exclusive coding
Coding Alerts
Standard Edits (AR,CMS, AMA, etc.)
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
Standard Edits (AR,CMS, AMA, etc.)
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
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
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)
Procedure Codes (CPT)
Disposable and Consumables (HCPCS)
Dental Codes (CDT) in 2014
Abu Dhabi Service List (ASL)
Abu Dhabi Drugs Codes (ADDC)
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
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
Bundling, mutually exclusive coding, duplications, maximum allowed
frequencies, services relationship errors, encounter related edits.
E-Claim Edits in 10 Versions and
before covers:
Diagnosis Codes (ICD-10)
Australian Classification of Health
Interventions (ACHI)
Disposable and Consumables (HCPCS)
Dental Codes (CDT) in 2014
Australian Coding Standards (ACS )
Dubai Drugs Codes (DDC)
E-Claim Edits in 9 Versions and
before covers:
Diagnosis Codes (ICD-9)
Australian Classification of Health
Interventions (ACHI)
Disposable and Consumables (HCPCS)
Dental Codes (CDT) in 2014
Australian Coding Standards (ACS )
Abu Dhabi Drugs Codes (ADDC)
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
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
Bundling, mutually exclusive coding, duplications, maximum allowed
frequencies, services relationship errors, encounter related edits.
E-Claim Edits in 10 ICD AM V 1 to 8:
Diagnosis Codes (ICD-10)
Australian Classification of Health
Interventions (ACHI)
Australian Coding Standards (ACS )
Disposable and Consumables (HCPCS)
Dental Codes (CDT) in 2014
Dubai Drugs Codes (DDC)
E-Claim Edits ICD CM 9 and 10
Versions:
Diagnosis Codes (ICD-CM)
Procedure Codes (CPT)
Disposable and Consumables (HCPCS)
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
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
Add-Vantage – Implementation Options
Database Access / License
Standard Edits (AR,CMS, AMA, etc.)
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
Winsoft Solutions Contact us
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
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