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

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.

 

CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper (Version 26.0)

CMS Diagnosis Related Graoups (DRG) Grouper (Version 25.1)

 

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.

 

 

 

CMS Diagnosis Related Groups (DRG) Grouper (Version 26.0)
Product Price* Order

3480 Magnetic Cartridge

$660* (Price outside the U.S., Canada and Mexico is $1320)

Add to Cart

6250bpi Magnetic Tape

$660* (Price outside the U.S., Canada and Mexico is $1320)

Add to Cart

1600bpi Magnetic Tape
$660* (Price outside the U.S., Canada and Mexico is $1320)

Add to Cart

 

 

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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CMS Medicare Severity Diagnosis Related Grouper (MS-DRG) with Medicare Code Editor (MS-DRG/MCE) (Version 26.0)

CMS Grouper Software with Medicare Code Editor (CMSG/MCE) 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

add to shopping cart

 

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 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:

  • 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 patient's 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.
  • Automatically calls the appropriate MS grouper to process the claim based on the groupers installed and the discharge data entered on the patient record.
  • Processes medical record data either from a MS-DOS batch file or interactively in a Windows environment.

 

Medicare Code Editor (MCE) for Hospital Billing (Version 25.0)

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.

 

Medicare Code Editor (MCE) for Hospital Billing (Version 25.0)
Product Price* Order

3480 Magnetic Cartridge

$480* (Price outside the U.S., Canada and Mexico is $960)

Add to Cart!

6250bpi Magnetic Tape

$480* (Price outside the U.S., Canada and Mexico is $960)

Add to Cart!

1600bpi Magnetic Tape $480* (Price outside the U.S., Canada and Mexico is $960)

Add to Cart!

 

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.