CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 26.0 (software distributed on CD-ROM) Documentation

摘要

This is documentation for the CMS Medicare Severity Grouper Software with Medicare Code Editor (MS-DRG/MCE) Version 26.0 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.