Medical Code Auditing Software

Inpatient Auditing Software

IPPS


The IPPS (Facility Inpatient) auditing module is part of ReviewMate auditing suite and provides:

  • Accuracy rates for all elements including: MS-DRG, APR-DRG, SOI, ROM, Diagnosis, Principal Diagnosis, Secondary Diagnosis, POA, Discharge Disposition, Procedure (PCS), CPT/HCPCS (optional), Procedure Provider, Procedure date, MCC, CC, HCC and HAC.
  • Both MS-DRG and APR-DRG pricing and grouping
  • Code look-up
  • ICD-10-CM, ICD-10-PCS, ICD-9-CM and CPT/HCPCS code sets
  • Full suite of references including Coding Clinic, CPT Assistant, Clinotes, Principal Diagnosis Analysis, DRG Analysis, and the AHA Coding Handbook
  • Support for Pro Fee audit within the IPPS module
  • Identification on the screen of codes with MCC/CC/HAC/HCC value
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