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CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper (Version 29.0) (software distributed on magnetic tape or cartridge) Documentation.


PB2011101128

Publication Date 2011
Page Count 0
Abstract This is documentation for the CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper Version 29.0 Product. 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 three 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 29.0. Plain text (EBCDIC) versions of the tables embedded in the programs are supplied as well.
Keywords
  • Diagnosis related groups
  • Medicare
  • Severity
  • Claims
  • Error detection codes
  • Software
  • Administration
  • Classification systems
  • Patients
  • Demography
  • Hospitals
  • Discharge(Health facilities)
  • Health care costs
  • Billing
  • Coding
  • Claim review
  • Health insurance
  • Documentation
  • CD-ROM
  • CMS(Centers for Medicare and Medicaid Services)
  • CMS Grouper Software/Medicare Code Editor(CMSG/MCE)
Source Agency
  • Health Care Finance Administration Office of Management and Budget
Corporate Authors Health Care Financing Administration, Baltimore, MD.
Supplemental Notes This is documentation for PB2011-595101, Version 29.0.
Document Type Technical Report
Title Note Software documentation.
NTIS Issue Number 201122
CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper (Version 29.0) (software distributed on magnetic tape or cartridge) Documentation.
CMS Medicare Severity Diagnosis Related Groups (MS-DRG) Grouper (Version 29.0) (software distributed on magnetic tape or cartridge) Documentation.
PB2011101128

  • Diagnosis related groups
  • Medicare
  • Severity
  • Claims
  • Error detection codes
  • Software
  • Administration
  • Classification systems
  • Patients
  • Demography
  • Hospitals
  • Discharge(Health facilities)
  • Health care costs
  • Billing
  • Coding
  • Claim review
  • Health insurance
  • Documentation
  • CD-ROM
  • CMS(Centers for Medicare and Medicaid Services)
  • CMS Grouper Software/Medicare Code Editor(CMSG/MCE)
  • Health Care Finance Administration Office of Management and Budget
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