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 32-bit or 64-bit components allow you to add Medicare data editing functionality to your systems and applications built for the Windows client environment.
There are two types of MCEActive Code Editor DLLs to match your system architecture:
The MCEActive Code Editor DLL validates inpatient claim data for five fiscal years of Medicare specifications.
Versions available for plug-in
compatibility with all .Net or ActiveX capable
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|
The MCEActiveCode 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:
Studio (32-bit or 64-bit)
Microsoft Visual Studio 6.0
The MCEActive Code Editor DLL is licensed based upon usage.
Send e-mail to email@example.com or call for more information and pricing.