MS-DRG Calculator for IPPS

The 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.

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