National Technical Reports Library

The National Technical Information Service acquires, indexes, abstracts, and archives the largest collection of U.S. government-sponsored technical reports in existence. The NTRL offers online, free and open access to these authenticated government technical reports. Technical reports and documents in its repository may be available online for free either from the issuing federal agency, the U.S. Government Publishing Office’s Federal Digital System website, or through search engines.

Details

CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 25.1 (software distributed on CD-ROM) Documentation.

PB2008100845

Publication Date	2008
Page Count	0
Abstract	This is documentation for the CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 25.1 Product. Centers for Medicare and Medicaid Services (formerly Health Care Financing Administration) Medicare Severity Grouper with Medicare Code Editor (MS-DRG/MCE) software edits medical record data to help identify coding errors, and inconsistencies between clinical data and coding. 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; and processes the medical record data either from a MS-DOS batch file or interactively in a Windows environment. The program automatically calls the appropriate CMS grouper to process the claim based on the groupers installed and the discharge date entered on the patient record.
Keywords	Diagnosis related groups Medicare Claims Error detection codes Software Administration Classification systems Patients Hospitals Demography Discharge(Health facilities) Billing Health care costs Coding Claim review Health insurance Documentation CD-ROM CMS(Centers for Medicare and Medicaid Services) Medicare Severity Diagnosis Related Groups(MS-DRG)
Source Agency	Health Care Finance Administration Office of Management and Budget
Corporate Authors	Health Care Financing Administration, Baltimore, MD.; Centers for Medicare and Medicaid Services, Baltimore, MD.
Supplemental Notes	See also PB2007-100474, Documentation for Version 25.0. This is documentation for PB2008-500036, Version 25.1. Prepared in cooperation with Centers for Medicare and Medicaid Services, Baltimore, MD.
Document Type	Technical Report
Title Note	Software documentation.
NTIS Issue Number	200810

CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 25.1 (software distributed on CD-ROM) Documentation.

CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 25.1 (software distributed on CD-ROM) Documentation.
PB2008100845

Publication Date	2008
Page Count	0
Abstract	This is documentation for the CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 25.1 Product. Centers for Medicare and Medicaid Services (formerly Health Care Financing Administration) Medicare Severity Grouper with Medicare Code Editor (MS-DRG/MCE) software edits medical record data to help identify coding errors, and inconsistencies between clinical data and coding. 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; and processes the medical record data either from a MS-DOS batch file or interactively in a Windows environment. The program automatically calls the appropriate CMS grouper to process the claim based on the groupers installed and the discharge date entered on the patient record.
Keywords	Diagnosis related groups Medicare Claims Error detection codes Software Administration Classification systems Patients Hospitals Demography Discharge(Health facilities) Billing Health care costs Coding Claim review Health insurance Documentation CD-ROM CMS(Centers for Medicare and Medicaid Services) Medicare Severity Diagnosis Related Groups(MS-DRG)
Source Agency	Health Care Finance Administration Office of Management and Budget
Corporate Authors	Health Care Financing Administration, Baltimore, MD.; Centers for Medicare and Medicaid Services, Baltimore, MD.
Supplemental Notes	See also PB2007-100474, Documentation for Version 25.0. This is documentation for PB2008-500036, Version 25.1. Prepared in cooperation with Centers for Medicare and Medicaid Services, Baltimore, MD.
Document Type	Technical Report
Title Note	Software documentation.
NTIS Issue Number	200810