The PILOT MS-DRG Grouper is available now in the following MediRegs products: Compliance & Regulation Suite, Audit & Revenue Resource Center and Coding & Revenue Resource Center.  On the left-hand navigation pane, under Lookup and Payment Tools, notice 2 different links; the pilot version is marked "ICD-10", and it should be understood that this logic is for testing and predicting.  Use the original grouper for current year ICD-9 grouping logic.

Are you struggling to research coding, payment, medical necessity and compliance rules related to the myriad reviews and issues from your Recovery Audit Contractor (RAC) or other investigators?  This article is designed to show you how to get to the most often-requested information as it relates to MS-DRG Validation and Medical Necessity Reviews.  Instructions apply to the Regulation & Reimbursement Suite or Audit & Revenue Resource Center unless otherwise noted.

To assist customers with understanding issues being investigated by the Recovery Audit Contractor, MediRegs has launched a new set of resources.

RAC Issues Comparison Chart

On the left-hand navigation pane of the Coding & Revenue Resource Center, the Audit & Revenue Resource Center, and the Regulation & Reimbursement Suite, you will find a new RAC ISSSUES link. This sortable table outlines the types of issues being investigated by the 4 Recovery Audit Contractors.