Calculators
Keeping up with changes in Medicare reimbursement is a full time job. The MediRegs & CCH payment calculators make determining proper payment simple – just plug in the code(s), choose your time period and go! Payment indicators, adjusted payment rates, discounting, and modifier notes are presented instantly. These tools can be customized for your geographic location and provider type, and you can access payment rules for multiple providers/regions at no additional cost.
MediRegs offers three simple Coding Calculators:
MediRegs/CCH offers 8 additional Case Analysis payment calculators, the Reimbursement Toolkit:
- Inpatient: IPPS (DRG plus outlier)
- Outpatient: OPPS (APC plus outlier)
- Long-term Care Hospital: LTCH PPS (LTC plus outlier)
- Inpatient Rehabilitation Facility: IRF PPS (CMG plus outlier)
- Physician Fee Schedule
- Skilled Nursing Facility: SNF PPS
- Inpatient Psychatric Facility: IPF PPS
Benefits
- Increases the speed of code validation
- Improves the accuracy of initial coding
- Expands the ability to research claims denials
- Instantly demystifies complex edits including Medically Unlikely Edits, NCCI-bundled codes, conditional packaging, payment reductions, revenue code crosswalks, medical necessity and more
- 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 between CodeBooks, LCDs, Coding Tools and Calculators
Features
- E-Code Sets integration
- Easy-to-use search and edit tools
- Primary references like local coverage determinations and Medicare manuals
- Archives
To access the 3 simple Coding Calculators for APC, RVU and M-DRG, choose one of the following Coding Suites:
To access the 7 advanced Reimbursement Toolkit case calculators, choose:
The Reimbursement Toolkit is also available as a stand-alone tool:
Webinars
View previously recorded webinars brought to you by MediRegs.
