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Accession Number
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PB2012-595101
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Title
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CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper (Version 30.0). (Software Distributed on CDROM).
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Publication Date
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2012
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Media Count
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1ongoing subscription
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Personal Author
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N/A
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Abstract
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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 detailed final grouper changes for versions 4.0 through 28.0. Plain text (EBCDIC) versions of the tables embedded in the programs are supplied as well.
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Keywords
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Administration
Billing
Claim review
Claims
Classification systems
CMS Grouper Software/Medicare Code Editor(CMSG/MCE)
CMS(Centers for Medicare and Medicaid Services)
Coding
Demography
Diagnosis related groups
Discharge(Health facilities)
Error detection codes
Health care costs
Health insurance
Hospitals
Medicare
Medicare Severity Diagnosis Related Groups(MS-DRG)
Patients
Severity
Software
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Source Agency
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Health Care Finance Administration Office of Management and Budget
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NTIS Subject Category
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44U - Health Care Delivery Organization & Administration
44G - Environmental & Occupational Factors
44Q - Health Related Costs
57E - Clinical Medicine
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Corporate Author
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Centers for Medicare and Medicaid Services, Baltimore, MD.
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Document Type
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Technical report
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Title Note
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N/A
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NTIS Issue Number
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1222
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Contract Number
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N/A
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