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Medigistics has developed and maintains an
innovative software solution for electronic data exchange (EDX).
This software running on a Microsoft Windows based Server enables us to edit
all data before posting to the billing system for accuracy and
completeness. The system has been designed so that it can be
customized for each client and improves the quality of the
information coming from those clients’ different locations.
Some of the Features of EDX
are:
The
EDX system checks each service to make sure the necessary fields
are completed before releasing it into the billing system.
EDX can also be
programmed for unique billing requirements such as global
billing agreements by CPT, Invoice billing and capitation
contracts.
Medigistics
has built into the EDX system a database of Medicare LMRPs and
approved diagnostic codes and uses this information to screen
services that are entered into the EDX system.
The key to getting paid for medical
services in today’s environment is accurate and complete
information on the claim. Equally important is the requirement
for compliance and that the data can be substantiated in the
patient’s medical record. The EDX system keeps track of patient
admission signs and symptoms. With this medical history we can
more intelligently assign a diagnosis code that relates to the
procedure preformed and know that it can be proven from the
clinical indications.
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