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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
Auto (e)claim Adapter
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
Automatic upload / download for your e-claims and approval requests
Integrated with Add-Vantage medical edits rules engine which DHA and HAAD complaint, based on the standard edits of (AR,CMS, AMA, etc.)
Automatic Update
User interface to validate before upload and download ( if needed)
SDK availableSupported databases: Oracle, MS SQL Server, DB2 etc..
API & Web Services
Standard Edits (AR,CMS, AMA, etc.)
DHA & HAAD complaint
Auto e-Claim
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
Auto e-Claim Adapter
DHA & HAAD complaint
Claim resubmission
Remittance AdviseClaim Submission
ALFMS -Features
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
Standard Edits (AR,CMS, AMA, etc.)
What Add-Vantage can add to you?
- Validate your claims before submission to DHA and HAAD to avoid rejections
- Validate your claims after downloading it from the payers or insurance companies
- Get alerts of your claim status with the payers! (downloaded, processed, paid,
rejected, and more)
- Mapping between ICD9CM and ICD10CM
- Mapping between your internal codes and the standard codes (ICDs, CPTs, HCPCS,
CDT, ASL, DSL, etc…)
- Validate agreed price list and mandatory tariff (if applicable)
- Automate the process, to run dynamically without any human interfere
- Get the edits Add-Vantage edits rules engine implemented which is equivalent to
CEED and more..
- Cross-Walk, CPTs X ICDs
- Medical necessity and edits and alerts
- Interactions
- Easy to manage
- Pay as you go with more control
- Auto/ SMS and email notifications with API for your system
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 Checks
ICD – CPT, ICD – HCPCS, ICD – CDT
Coding 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)
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)
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 Checks V8 and before
ICD – CPT, ICD – HCPCS, ICD – CDT (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 )
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 )
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,ACHI,ACS,ICD,CPT,HCPCS, ICD,CDT
Coding 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
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)
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 Checks - ICD-10-AM/ACHI/ACS (AR)
Medical Necessity/Cross Coding Checks - ICD-10-CM/CPT/HCPCS, 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 codes
Winsoft Solutions. P.O. Box: 98141, Dubai, UAE. All Rights Reserved.
Integrated with / Add-Vantage edits and CEED edits as follow:
Automate the claims upload and download without human interfare
Get a quote…
Choose your comfort option and request a demo
Validate your claims before submitting to DHA and HAAD
Secure your claims from rejections from payers
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.