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CORE CAPABILITIES

Purpose-built for wound care.
From day one.

Everything in Integrium CORE is built for the clinical, regulatory, and reimbursement demands of wound care programs, so your team documents once and your claims hold up.

Accurate coding, automatically

Clinical documentation resolves to the correct billing codes automatically, with no manual lookups. The same documentation always produces the same codes.

Modern UX

Clean, intuitive interface that reduces training time and documentation burden. Mobile-ready for point-of-care use. Staff actually want to use it.

Billing checked before it leaves

CPT selection, bundling conflicts, coverage requirements, and medical necessity are checked on every encounter before submission, and every decision is recorded.

Automated Medicare Billing Validation

The system surfaces soft warnings at the point of care when a treatment isn’t billable under Medicare rules, never hard blocks. Providers keep their clinical judgment; you keep the paper trail that defends it.

Works with your systems

Built on open healthcare standards, so clinical data moves cleanly between Integrium and the systems your facility already runs.

Rules that stay current

Medicare billing rules change every quarter. Integrium updates them automatically, so your team is never validating against last year’s rules.

In Depth

A closer look at core capabilities

Terminology Intelligence

The right codes, without the lookup work

Legacy EHRs leave coding to manual lookups, and wound care is where that breaks down. Integrium CORE translates clinical documentation into the correct billing codes automatically, handling the laterality and specificity requirements that trigger denials.

Every coding decision is traceable and repeatable. No guesswork: the same documentation always produces the same codes, so your billing and clinical teams can trust every assignment.

  • Built on the complete official clinical and Medicare code sets
  • Wound diagnoses coded to the specificity payers require
  • Deterministic, repeatable results: same input, same output, every time
  • Code sets stay current automatically, every quarter
Integrium CORE wound documentation screen showing structured measurements, ICD-10 code L89.613, and live validation panel
Billing Rules Engine

Deterministic rules, every decision auditable

Integrium CORE's billing rules engine runs deterministic rules covering CPT calculation, NCCI edit validation, LCD compliance, medical necessity checks, and pre-submission sign-and-lock validation. Every rule fires the same way every time. No probabilistic models, no unexplainable outputs.

A complete audit trail captures the decision chain for every billing validation: what was checked, what was considered, and what the outcome was. When a payer questions a claim, you have a timestamped record of every validation that ran before submission.

  • NCCI edit pair validation and LCD compliance checks at point of care
  • Pre-submission sign-and-lock validation catches errors before claims go out
  • A complete audit record behind every validation
  • State- and payer-specific rules applied where they matter
Integrium CORE super-bill review with per-line LCD coverage verdicts and verbatim policy citations for each CPT code
Open Architecture

Connected to what you already run

Integrium CORE is built on open healthcare standards from the ground up, not retrofitted with an interoperability layer. The platform models the full wound care lifecycle, from assessment through billing, in records that can move with your patients.

Interoperability is built in, not bolted on. Clinical documentation flows directly into billing, and Medicare rule updates arrive automatically every quarter, verified and logged before they take effect.

  • Open, standards-based records that work with other systems
  • Automatic quarterly Medicare rule updates, verified before they apply
  • Interoperability built in, not bolted on
  • Every update is tested against real wound care billing scenarios
Integrium CORE rules bibliography where every enforced rule cites its authoritative CMS, LCD, AMA, or NPIAP source

Integrates With Your Clinical Systems

PointClickCare Migration Medicare/Medicaid Pharmacy Systems Lab Interfaces HIE Networks Surescripts
The Difference

Legacy EHR vs. Integrium CORE

Legacy systems weren’t built for wound care. Integrium CORE was, from day one: coding, validation, and audit defense designed around how wound care is actually delivered and billed.

Capability Legacy EHR Integrium CORE
Wound-care-specific clinical coding
Automatic clinical-to-billing code translation
Deterministic billing rules with audit trail
Open, interoperable records
CMS quarterly auto-refresh
Pre-submission sign-and-lock validation
State- and payer-specific rules

See Integrium CORE in a live clinical demo

Walk through every capability with our clinical team and see exactly how Integrium CORE maps to your facility's workflows, compliance needs, and billing operations.