• New Feature—Ingenix Edge—Severity of illness alerts. All the new classes of PDx and SDx that will dramatically affect reimbursement are identified.
• Ingenix Edge—CC condition alert with principal diagnosis exclusions and Complete CC Code List. Quickly identify comorbidities that affect DRG assignment.
• Ingenix Edge—AHA’s Coding Clinic for ICD-9-CM references. Provides the official coding advice that every coder in the health care setting must follow for ICD-9-CM.
• Ingenix Edge—Color-coded symbols and alerts. Identifies major cardiovascular condition, additional digit, adjunct code, DRG, HIV major related diagnosis, major complication, complex diagnosis and Medicare as secondary payer.
• Diagnosis Medicare Code Edits (MCE) Alerts. Includes unacceptable PDx, nonspecific PDx, questionable admission PDx, age, sex, CC and manifestation codes.
• Procedure Medicare Code Edit Alerts. Notates valid OR procedures, nonspecific OR, noncovered, limited coverage, nonoperating room procedures affecting DRG assignment, procedures, bilateral edits and sex edits.
• Coding efficiency and accuracy. Definitions, illustrations, hallmark color coding and intuitive symbols integrate coding and reimbursement into a single task.
• HIPAA code set compliance. Official code set, complete coding guidelines and AHA’s Coding Clinic for ICD-9-CM references improve coding accuracy, work efficiency and HIPAA compliance.