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1 Winsoft Solutions L.L.C Do i.t professionally Standard Edits (AR,CMS, AMA, etc.) Add-Vantage Medical Edits Rules Engine DHA & HAAD compliant (+971)

2 Add-Vantage -Medical Edits Rules Engine Standard Edits (AR,CMS, AMA, etc.) Highlighted Features Based on standard edits of (AR,CMS, AMA, etc.) Arabic, English web based portal Easy payment / Pay as you go! Automatic Update SDK available Database Integration Options Oracle, MS SQL Server, DB2 etc.. API & Web Services

3 ALFMS -Modules Standard Edits (AR,CMS, AMA, etc.) Add-Vantage Coding Alerts & Medical Necessity Cross Walk Checks Auto Codes Updates

4 ALFMS -Features Standard Edits (AR,CMS, AMA, etc.) ICD10C,ICD 9 CM And ICD10AM Cross walks Coding Alerts Contraindications Multi Uses Check Pairs Checks Medical ecessity Checks HCPCS, DSL and ASL Checks maximum allowed frequencies, mutually exclusive coding Duplication

5 About Add-Vantage 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 Edits Checks - ICD-10-AM/ACHI/ACS (AR) Medical Necessity/Cross Coding Edits Checks - ICD-10-CM/CPT/HCPCS, ICD-DRUGS, 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

6 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 Edits Checks ICD CPT, ICD HCPCS, ICD CDT, ICD - DDC, ICD - ADDC Add-Vantage Coding Edits 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) Dental Codes (CDT) Dubai Service List (DSL) Dubai Drugs Codes (DDC) E-Claim Edits in Abu Dhabi covers: Diagnosis Codes (ICD-9-CM) Procedure Codes (CPT) Dental Codes (CDT) in 2014 Abu Dhabi Service List (ASL) Abu Dhabi Drugs Codes (ADDC)

7 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 Edits Checks V8 and before ICD CPT, ICD HCPCS, ICD CDT, ICD - DDC, ICD - ADDC (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) Dental Codes (CDT) in 2014 Australian Coding Standards (ACS ) Dubai Drugs Codes (DDC) E-Claim Edits in 9 Versions and before covers: Diagnosis Codes (ICD-9) Australian Classification of Health Interventions (ACHI) Dental Codes (CDT) in 2014 Australian Coding Standards (ACS ) Abu Dhabi Drugs Codes (ADDC)

8 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 CPT, ICD HCPCS, ICD CDT, ICD - DDC, ICD - ADDC Add-Vantage Coding Edits 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 ) Dental Codes (CDT) in 2014 Dubai Drugs Codes (DDC) E-Claim Edits ICD CM 9 and 10 Versions: Diagnosis Codes (ICD-CM) Procedure Codes (CPT) Dental Codes (CDT) Dubai Service List (DSL) Abu Dhabi Drugs Codes (DDC)

9 Add-Vantage Implementation Options Standard Edits (AR,CMS, AMA, etc.) Cloud Web Services Integration Database Access / License Per Member Or Per Claim Online Public Portal Choose your comfort option and request a demo Contact us for presentation or proposal

10 How Can Winsoft Solutions Help? Improving distribution management with collaborative customer knowledge OPERATIONAL EFFICIENCY CUSTOMER EXPERIENCE DISTRIBUTION MANAGEMENT

11 Winsoft Solutions Contact us For further information please contact us U.A.E. Dubai +971 (4)

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