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MS-DRG Calculator for IPPS 

The MediRegs MS-DRG Calculator assists coders with determining the appropriate payment under the Hospital Inpatient PPS. This calculator performs a database query of the IPPS Table 5, and then performs a provider-specific payment calculation. The variables used in the calculation for each provider are extracted quarterly from the IPPS PC Pricer published by CMS.

Benefits

  • Increases the speed of code validation
  • Improves the accuracy of initial coding
  • Expands the ability to research claims denials
  • Demystifies Inpatient coding and billing.
  • Web-based = always on
  • Automatically updated; no need to re-order, wait for the mail, or install updates
  • Integrated with related information: One-click access to MS-DRG CodeBook

Features

  • Single or multiple code search
  • Provider-specific adjusted payment rate for all providers
  • Flagging of Post Acute Care Transfer codes
  • Historical information for MS-DRGs and Providers

Data Sources

  • Center for Medicare & Medicaid Services (CMS) Inpatient PPS Table 5 and related data
  • Center for Medicare & Medicaid Services (CMS) Inpatient PPS PC Pricer

Related MediRegs Tools

  • MS-DRG Codebook

Buy Now

The MediRegs MS-DRG Calculator for IPPS is available with these Coding Suites:

  • Coding & Revenue Resource Center 
  • Audit & Revenue Resource Center 
  • Regulation & Reimbursement Suite

 

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