HealthEdge Source: Data Reference Module

Data Reference is an essential tool accessed through your instance of HealthEdge Source™ (Source), offering unparalleled insights into both current and historical fee schedules, rates, payment policies, and provider-level data. This comprehensive resource ensures healthcare professionals have access to critical information needed for informed decision-making.

Key Features

• CMS Rates: Research Medicare rates and prospective payment data, including Diagnosis-Related Group (DRG) and Ambulatory Payment Classification (APC) statistics for all participating areas.
• CMS Policies: Investigate policy statistics, such as Medically Unlikely Edits (MUE) and National Correct Coding Initiative (NCCI) by provider, region, and payment system.
• CMS Providers: Look up essential rates and statistics, including Disproportionate Share Hospital (DSH) payments, wage index, and other Medicare-related ratios.
• Codes: Access date-sensitive statistics on ICD-9, ICD-10, and HCPCS (Healthcare Common Procedure Coding System) coding systems used for claims processing.

Advantages

• Current Data: Information in Data Reference is refreshed routinely as part of our regular two-week update cycle, ensuring the most up-to-date data is always available.
• Seamless Integration: Housed within the same instance of Source as your production environment, providing a seamless experience without the need for multiple platforms.
• Flexibility: Data is exportable for external use, allowing for versatile application across different analytical needs.
• Historical Data: Search by effective date to track historical changes in data, offering a comprehensive view of trends over time.