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Info-X Delivers First Web-based 'Medical Necessity' Solution; Proven Product Opens Medicare Regulatory Compliance To Any Care Setting.


Business/Health & Technology Editors

NORTHVALE, N.J.--(BUSINESS WIRE)--May 15, 2001

Info-X, Inc., the leading source for medical coding and compliance intelligence for the healthcare industry, today announced the availability of the first, fully web-enabled system to insure Medicare compliance and proper reimbursement Reimbursement

Payment made to someone for out-of-pocket expenses has incurred.
. The MedicalNecessity.com(TM) product has been implemented and proven in hospitals systems in 14 different states. Medicare is targeting medical necessity issues as a way to drastically reduce "improper payments" to providers, which were estimated at more then $5 billion in 2000.

Info-X's unique product delivers critical coding and compliance intelligence via a standard browser browser

Software that allows a computer user to find and view information on the Internet. The first text-based browser for the World Wide Web became available in 1991; Web use expanded rapidly after the release in 1993 of a browser called Mosaic, which used
 to any care setting with Internet access See how to access the Internet. , eliminating the need for additional IT systems or costly interfaces. Info-X's team of coding and regulatory compliance experts continually refreshes content with the government's latest changes in Local Medical Review Policies (LMRPs). MedicalNecessity.com(TM) also produces and stores requisitions and Advance Beneficiary Notice (ABN ABN Advance beneficiary notice, see there ) for non-covered services, as required by Medicare regulation.

`Medical necessity' is the criteria Medicare uses to determine whether specific tests or procedures qualify for reimbursement by the government. The improper coding of procedures costs providers billions of dollars annually. Each Medicare contractor publishes these code requirements in numerous manuals and bulletins that vary on a state-by-state basis and are constantly being updated. A policy can contain tens of thousands of data elements and are virtually impossible for providers to translate into their care processes without expert technical support. Using standard Internet technology in an innovative way, MedicalNecessity.com(TM) simplifies this complex process of validation See validate.

validation - The stage in the software life-cycle at the end of the development process where software is evaluated to ensure that it complies with the requirements.
 for medical necessity, saving valuable time, ensuring compliance and improving reimbursement for hospitals.

"We are delighted to offer a solution that provides medical necessity compliance in any care setting," said Info-X's President Jerry Baker. "MedicalNecessity.com(TM) will enable providers to focus on patient care. Critical coding and compliance issues should be delegated to the technology designed to address them."

MedicalNecessity.com is only one of Info-X's suite of solutions for medical necessity compliance. Another front-send solution is Medical Necessity Dictionaries(TM), sophisticated data files that are embedded Inserted into. See embedded system.  into existing hospital information systems (HIS) and invoked during the outpatient registration and order entry process. Veri-Claim(TM), a back-end medical necessity compliance solution, edits claims prior to submission to Medicare, identifies obsolete codes and documents code usage.

Info-X has compiled medical necessity coding data from LMRPs from all 50 states. Currently, the states with hospitals systems using MedicalNecessity.com(TM) are: Florida, Georgia, Illinois, Idaho, Montana, New Jersey, New Mexico New Mexico, state in the SW United States. At its northwestern corner are the so-called Four Corners, where Colorado, New Mexico, Arizona, and Utah meet at right angles; New Mexico is also bordered by Oklahoma (NE), Texas (E, S), and Mexico (S). , North Carolina North Carolina, state in the SE United States. It is bordered by the Atlantic Ocean (E), South Carolina and Georgia (S), Tennessee (W), and Virginia (N). Facts and Figures


Area, 52,586 sq mi (136,198 sq km). Pop.
, North Dakota North Dakota, state in the N central United States. It is bordered by Minnesota, across the Red River of the North (E), South Dakota (S), Montana (W), and the Canadian provinces of Saskatchewan and Manitoba (N). , Ohio, Oregon, Vermont, West Virginia West Virginia, E central state of the United States. It is bordered by Pennsylvania and Maryland (N), Virginia (E and S), and Kentucky and, across the Ohio R., Ohio (W). Facts and Figures


Area, 24,181 sq mi (62,629 sq km). Pop.
 and Texas.

About INFO-X, Inc.

Info-X is the leading source of medical coding and compliance intelligence for US healthcare providers. Info-X's primary goal is to deliver products that simplify compliance regulations and reimbursement issues. Info-X solutions combine state-of-the-art technology with the latest medical coding and government program compliance information. The company's offerings can be seamlessly integrated into existing systems utilized by hospitals, physicians and diagnostic service providers. Website: www.MedicalNecessity.com Corporate website: www.Info-X-Inc.com
COPYRIGHT 2001 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2001, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:May 15, 2001
Words:501
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