Clinical Coding & Detection

Health Benefits Administration Software | Self Insurance Administration Software | Repricing Software | Claims Payment Software | Medicare Pricing Software | Benefit Plan Management software | Capitation Software | EDI software

DRG GROUPER

Integrated with Med-Assets

DRG Grouper MEDICAL CATEGORY CLASSIFICATION

VISOVA’S Medical category tool allows you to define specific medical classifications based on any combination of claim header detail such as Diagnosis, DRG, ICD Procedures, Bill Types, Patient Age ranges, Sex, In/Out patient with ranking and filters.

SERVICE CATEGORY CLASSIFICATION Identify specific types of claim services by looking for any combination of service level details such as: CPT, Revenue Code, Modifiers, Place of Service, ICD10 Diagnosis, Patient Age, Sex, funding account, dates and filters.

AUTO-DETECTION Define clinical criteria that would cause a specific claim to trigger an event for follow-up or reporting.