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Accession Number PB2012-500002
Title MS Grouper with Medicare Code Editor ICD-10 Pilot Software (Distributed on CD-ROM) (Version 28.0).
Publication Date Oct 2010
Media Count 1CD-ROM disc
Personal Author N/A
Abstract The Medicare Severity Grouper with Medicare Code Editor (MSG/MCE) software edits medical record data to help identify coding errors and inconsistencies between clinical data and coding.This software: (1) assigns the medical record to a Major Diagnostic Category (MDC) and a Diagnosis Related Group (DRG); displays clinical edits that identify inconsistencies after evaluating a patients principal diagnosis, any secondary diagnoses, surgical procedures, age, sex, and discharge status for possible errors.Displays the cost weight associated with the assigned DRG for each patient record; and processes medical record data either from a MS-DOS batch file or interactively in a Windows environment. This Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1 Pilot software contains ICD-9-CM codes effective 10/01/2010 and ICD-10 codes published in December 2010. This software is intended to give users the opportunity to group and edit claims using both ICD-9-CM codes, ICD-10 CM and ICD-10 PCS codes defined by the Code Set indicator. It is not intended to be used to process claims as the ICD-10 code set will not be mandated for use until October 1, 2013. This piloted version will only group and edit claims using version 28 of the MS Grouper with version 27 of the MCE with effective dates 10/01/2010 - 9/30/2011. No grouping or editing will occur for claims prior to the valid date range for this component. If the discharge date is out of range for this component, version 28 will be used.
Keywords Administration
Claim review
Classification systems
CMS Grouper Software/Medicare Code Editor(CMSG/MCE)
CMS(Centers for Medicare and Medicaid Services)
Diagnosis related groups
Discharge(Health facilities)
Error detection codes
Health care costs
Health insurance
Medicare Severity Diagnosis Related Groups(MS-DRG)
Source Agency Health Care Finance Administration Office of Management and Budget
NTIS Subject Category 44U - Health Care Delivery Organization & Administration
44G - Environmental & Occupational Factors
44Q - Health Related Costs
57E - Clinical Medicine
Corporate Author Health Care Financing Administration, Baltimore, MD.
Document Type Computer software
Title Note Software.
NTIS Issue Number 1201
Contract Number N/A

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