An Intelligence Platform for Diagnostic Integrity
Every diagnosis emerges from a decision network. This decision network is driven by interconnected decision tasks, including analyzing clinical evidence, constructing diagnostic reasoning, documenting clinical complexity, and translating that complexity into standardized medical coding formats used in downstream workflows.
DxPrime makes this intertwined decision network clearer, more traceable, and more actionable. It supports accurate, complete, and aligned decision-making across diagnosis, medical documentation, and coding.
Traditional CDI tools focus on improving documentation and coding, while retrospective chart review finds problems after the encounter is completed.
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DxPrime addresses medical record discrepancies at their source, before they create downstream problems across care, documentation, coding, and reimbursement. Instead of correcting the record after the fact, it helps establish a more accurate and consistent clinical foundation from the beginning.
DxPrime Care and DxPrime Coding support different decisions across the diagnosis-to-coding workflow.
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DxPrime Care helps physicians determine whether a condition should be confirmed, updated, resolved, ruled out, or followed up based on the patient's clinical evidence.
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DxPrime Coding helps coders determine how physician-documented diagnoses and procedures should be coded by evaluating CC/MCC status, combination codes, applicable coding rules, and DRG implications.
The full DxPrime platform integrates DxPrime Care and DxPrime Coding to create a complete decision evidence chain from diagnosis to coding, linking clinical evidence, physician diagnostic decisions, documentation, coding, and DRG finalization within a single traceable framework.
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Organizations can also start with either module based on their immediate priorities and expand over time.
DxPrime supports both inpatient and outpatient care with the same core diagnostic capabilities, while addressing setting-specific coding and risk-adjustment needs, including CC/MCC and HCC.
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Deploying DxPrime across both settings creates a consistent and traceable clinical foundation throughout the care continuum.
For Healthcare Providers
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Freemium plan: Patient-level decision support
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Paid enterprise plans: Workflow automation, system integration, data analytics, and customization services.
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For Payers
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Paid enterprise plans: Data analytics and customization services.
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