Now Available - Version 26.0.
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.
Price: $660 (Price outside the U.S., Canada, and Mexico $1,320) Order number: PB2008-500051 (Call Sales Desk at 1-800-553-6847 to order prior versions) Media type: Software on Magnetic Tape
Note: Technical Support No technical support is available from CMS, 3M, or NTIS for this product. Please refer to the Installation/User Manual.
3480 Magnetic Cartridge
6250bpi Magnetic Tape
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 four 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 26.0. Plain text (EBCDIC) versions of the tables are embedded in the programs are supplied as well.
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Price: $500 (Price outside the U.S., Canada, and Mexico $1000) Order number: PB2008-500053 (Call Sales Desk at 1-800-553-6847 to order prior issues.) Media Type: CD-ROM
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 26.0 of the grouper. To process a claim using a CMS grouper prior to version 16.1, you must use the earlier version of CMS Grouper with MCE software that runs under DOS.
The software:
Price: $480 (Price outside the U.S., Canada, and Mexico $960) Order number: PB2008-500052 (Call Sales Desk 1-800-553-6847 to order prior issues) Media Type: Software on Magnetic Tape
Note: Technical Support No technical support is available from CMS, 3M, or NTIS for this product. Please refer to the Installation Manual and 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. When MCE identifies an error in a medical claim, it prints a summary of the claim information along with the error message identifying the problem.