An Intelligence Platform for Diagnostic Integrity
Every diagnosis is part of a decision network connecting clinical reasoning, documentation, and coding. Each decision must be grounded in evidence and accurately carried through downstream workflows.
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DxPrime connects evidence, reasoning, and actions within existing workflows, helping care teams identify and resolve gaps before they propagate. This maintains diagnostic integrity across clinical decisions, medical records, and codes.
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 point of diagnosis.
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 comprehensive DxPrime platform integrates the Care and Coding modules to build an end-to-end decision evidence chain. Within a single traceable framework, it accurately connects clinical evidence, physician decisions, documentation, and final DRG assignment.
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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 through the same core diagnostic capabilities. Its deployment settings can be tailored to different countries, healthcare systems, and insurance requirements, including setting-specific coding and risk-adjustment needs such as CC/MCC and HCC where applicable.
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Deploying DxPrime across both settings creates a consistent and traceable clinical foundation throughout the care continuum.
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For more information about local applicability and deployment options, please contact us.
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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