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CMS Medicare Severity Diagnosis Related Grouper (MS-DRG) and Medicare Code Editor, ICD-10 Pilot Software

Integrated Outpatient Code Editor ICD-10 Pilot

Version 32.0 Now Available!

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CMS Medicare Severity Diagnosis Related Grouper (MS-DRG) and Medicare Code Editor (MCE)

 

Now Available as an On-going Subscription.

The Centers for Medicare and Medicaid Services Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper software and the Medicare Code Editor (MCE) software, formerly distributed by 3M, are available from NTIS.

Please note: The CMS Medicare Severity Diagnosis Related Grouper and the Medicare Code Editor are no longer available as magnetic tape or cartridge.

 

CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper (Version 32.0) (Mainframe Environment) (software distributed on CD)

CMS Diagnosis Related Graoups (DRG) Grouper (Version 28.0)

Single Issue Price: $700
(Price outside the U.S., Canada, and Mexico $1,400)
Order number
: PB2014-595101 (Call Sales Desk at 1-800-553-6847 to order prior versions)
Media type:
CD-ROM

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Ongoing Subscription Order Number: PB2014-595100
Usually updated once per year; estimated annual cost $700 for U.S., Canada, or Mexico, $1,400 for all others; credit card or NTIS Deposit Account required.

Note: Technical Support
No technical support is available from CMS, 3M, or NTIS for this product. Please refer to the Installation/User Manual.

 

 

The Medicare Severity Diagnosis Related Groups (MS-DRGs) Grouper software classifies hospital case types into groups expected to have similar hospital resource use. Medicare uses this classification to pay for inpatient hospital care. Hospitals are paid a fixed price by Diagnosis Related Group (DRG) for treating Medicare patients. The groupings are based on diagnoses, procedures, other demographic information, and the presence of complications or co-morbidities.

Minimally, the grouper consists of three programs. One of the programs consists of tables which contain information for all valid diagnoses, procedures, and DRGs. The diagnosis and procedure tables were prepared from the CPHA ICD-9-CM codes and abbreviated description tape (December 1979 revision) and the additional codes documented in the Federal Registers detailing final grouper changes for versions 4.0 through 30.0. Plain text (EBCDIC) versions of the tables embedded in the programs are supplied as well.

 

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Medicare Code Editor (MCE) for Hospital Billing (Version 32.0)
(distributed on CD-ROM) (Mainframe Environment)

Image of Medicare Code Editor on Magnetic Tape

Issue Price: $500
(Price outside the U.S., Canada, and Mexico $1000)
Order number: PB2014-595201 (Call Sales Desk 1-800-553-6847 to order prior issues)
Media Type: CD-ROM

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Ongoing Subscription Order Number: PB2014-595200
Usually updated once per year; estimated annual cost $500 for U.S., Canada, or Mexico, $1,000 for all others; credit card or NTIS Deposit Account required.

Note: Technical Support
No technical support is available from CMS, 3M, or NTIS for this product. Please refer to the Installation/User Manual.

The Medicare Code Editor (MCE) software detects and reports errors in the coding of Medicare claims data. While the program identifies and indicates the nature of the error, it does not correct the error. A particular error condition is associated with each type of coding error identified by MCE.

 

CMS Medicare Severity Diagnosis Related Grouper (MS-DRG) with Medicare Code Editor (MS-DRG/MCE) (Version 32.0)
(distributed on CD-ROM) (PC Environment)

CMS Grouper Software with Medicare Code Editor (CMSG/MCE) Single Issue Price: $500
(Price outside the U.S., Canada, and Mexico $1000)
Order number
: PB2014-595301
Media Type:
CD-ROM

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Ongoing Subscription Order Number: PB2014-595300
Usually updated once per year; estimated annual cost $500 for U.S., Canada, or Mexico, $1,000 for all others; credit card or NTIS Deposit Account required.

Note: Technical Support
No technical support is available from CMS, 3M, or NTIS for this product. Please refer to the Installation/User Manual.

The Medicare Severity Diagnosis Related Grouper with Medicare Code Editor (MS-CMSG/MCE) software edits medical record data to help identify coding errors, and inconsistencies between clinical data and coding. This release of the MS Grouper with MCE software for Windows-based personal computers supports Versions 16.0 through 32.0 of the grouper. To process a claim using a CMS grouper prior to version 16`.0, you must use the earlier version of CMS Grouper with MCE software that runs under DOS.

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