Posts tagged: Calculator

DRG Calculator 2012

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By , October 25, 2013 8:35 am

DRG Calculator 2012

http://www.tmhp.com/News_Items/2012/10-Oct/10-16-12%20Texas%20Medicaid%20Will%20Begin%20Using%20APR-DRG%20Grouper%20Version%2030%20Effective%20November%201,%202012.pdf
Texas Medicaid Will Begin Using APR-DRG Grouper … – TMHP.com
1 of 1. Texas Medicaid Will Begin Using APR-DRG Grouper Version. 30 Effective November 1, 2012. Information posted October 16, 2012. Effective for dates of …

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/AcutePaymtSysfctsht.pdf
Acute Care Hospital Inpatient Prospective Payment System Fact Sheet
Similarly, DRG assignment can be affected by up to 25 procedures furnished … October 1, 2012, IPPS payments will also include any applicable adjustments under ….. For more information about outlier payments, refer to the outlier calculation.

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8041.pdf
MM8041 – Centers for Medicare & Medicaid Services
Jan 8, 2013 … October 1, 2012. MS-DRG Grouper and Medicare Code Editor (MCE) Changes. Users of the MCE should be aware that there is a new edit …

http://www.dhs.ri.gov/Portals/0/Uploads/Documents/Public/MA%20Reference%20Guides/Hospital/rimap_inp_faq.pdf
Rhode Island Medicaid APR-DRG Frequently Asked Questions
Jul 26, 2012 … This document provides questions and answers about the DRG payment …. Effective July 1, 2012, Medicaid updated the APR-DRG grouper to …

http://www.ntis.gov/pdf/PB2012595301InstalMan.pdf
Medicare Severity Grouper with Medicare Code Editor Software
Jul 27, 2012 … Categories (MDCs) and DRGs in the current MS grouper with the. DRG- associated …. If the discharge date is 10/01/2012 or later,. MS grouper …

http://oig.hhs.gov/oei/reports/oei-09-00-00200.pdf
Medicare Hospital Prospective Payment System: How DRG Rates …
In this DRG prospective payment system, Medicare pays hospitals a flat rate per case ….. calculation based on whether the hospital is located in a large urban, …

http://www.dhcs.ca.gov/provgovpart/Documents/W95%20CA%20DRG%20PDD%20Final%202012-05-01.pdf
Medi-Cal DRG Project Policy Design Document May 1, 2012 (PDF)
May 1, 2012… are also acknowledged. Document Version: 4.0 (May 2012). …. 2.1 Overview of DRG Payment Calculations . … 2.3 DRG Grouper Version .

http://www.dpw.state.pa.us/ucmprdc/groups/webcontent/documents/document/p_010882.pdf
Manual for Diagnosis Related Group Review of Inpatient Hospital …
Related Group (APR DRG) of Inpatient Hospital Services. Effective for Inpatient Stays with … Last Revision Date: May 7, 2012 …. Calculate the Base APR DRG:.

http://www.dhcs.ca.gov/Documents/CADRGFAQSEPT2012V2.pdf
Medi-Cal DRG Project – Department of Health Care Services
Sep 14, 2012 … date to implement DRG payment was July 1, 2012; as part of the 2012 …. that payment will be made using a “straight DRG” calculation—that is,.

http://www.drggroupers.com/drgs.pdf
Download This File as a PDF – DRGGroupers.Com
f29 Oct 1, 2011Sep 30, 2012f22 … bundle the DRG grouper in with their software, which had confused grouping and pricing in many peo- ple’s minds.

http://www.fdhc.state.fl.us/Medicaid/recent_presentations/DRG_Presentation_House_HC_Appropriations.pdf
Florida Medicaid Inpatient Prospective Payment System – Agency for …
Jan 23, 2013 … DRG Pricing Calculation … House Bill 5301, 2012 session … Five public meetings were held between August 2012 and January 2013.

http://medicaidprovider.hhs.mt.gov/pdf/fee_schedules/2012/aprdrgfs04012012.pdf
April 2012 APR-DRG – Montana Medicaid Provider Information
Apr 1, 2012 … Montana Medicaid APR-DRG Table of Weights and Thresholds. Effective April 1, 2012. 3M™ APR DRG Grouper V29.0. Notes. APR-. DRG.

http://www.scdhhs.gov/internet/pdf/SC%20DRG%20calculator.xls
SC APR DRG Calculator – SCDHHS.gov
Dec 19, 2011 … The "Calculator" sheet incorporates the pricing logic for the DRG base … 11, 11, Admit date (dd/mm/yyyy), 1/1/2012, UB-04 Field Locator 6 …

http://www.emedny.org/ProviderManuals/Inpatient/PDFS/Inpatient_Billing_Guidelines.pdf
Inpatient Billing Guidelines 2012-1 – eMedNY
Jan 11, 2012 … Version 2012 – 01 …. Inpatient Billing Procedures for APR DRG Claims . ….. A " grouper" program assigns an APR DRG by utilizing data …

http://www.medicaid.ms.gov/Documents/Hospital%20Inpatient_Outpatient/DRG%20presentation.pdf
DRG Payment in Mississippi – July 11, 2012 Meeting
Jul 25, 2012 … Plan for Implementation October 1, 2012. Hospital … 2012: Legislature orders DRG implementation … Calculate DRG cost outlier payment.

http://www.michigan.gov/documents/mdch/MSA_12-61_404856_7.pdf
MSA 12-61
Bulletin Number: MSA 12-61. Distribution: Hospitals, Medicaid Health Plans. Issued: December 1, 2012. Subject: DRG Grouper Update, DRG Rate Update, Per …

http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_hp_ICD10_AssessingFinancialRisk_080812.pdf
ICD-10: Assessing financial risk – Deloitte
first published in 2009 and updated in 2011 and 2012, were created to define … done using the ICD-10. MS-DRG grouper in combination with the CMS General.

http://www.healtheconomicsreview.com/content/pdf/2191-1991-2-15.pdf
Assessing DRG cost accounting with respect to resource allocation …
Aug 30, 2012 … 18.5. *calculation data always from previous year (e.g., G-DRG system 2011 based on 2010 data). Vogl Health Economics Review 2012, 2:15.

http://www.wsha.org/files/127/LTCH_FR_2012_Analysis_Description.pdf
Description
claims data through two DRG Grouper software programs (Version 28.0 for. 2011 and Version 29.0 for 2012) and assigning the respective MS-DRG weights.

http://www.nmhanet.org/about-nmha/2011-annual-meeting-presentations/datagen-kevin-krawiecki/NM%20-%20IPPS%20Sample%20K%20Krawiecki.pdf
IPPS FR 2012 v1 – New Mexico Hospital Association
DRG Grouper software programs (Grouper Version 28.0 for FFY 2011 and Grouper Version 29.0 for FFY 2012) and assigning the respective MS-DRG weights …

Free MS-DRG Calculator

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By , October 25, 2013 6:04 am

Free MS-DRG Calculator

http://www.ntis.gov/pdf/PB2012595101InstalMan.pdf
MS-DRG MF install.book – National Technical Information Service
The MS-DRG grouper executor 5.3. Construction of … Diagnosis Related Groups (MS-DRG) Software (the grouper) so they ….. macro-free) interface. D300UT is …

http://www.ntis.gov/pdf/PB2012595301InstalMan.pdf
Medicare Severity Grouper with Medicare Code Editor Software
Jul 27, 2012 … Categories (MDCs) and DRGs in the current MS grouper with the. DRG- associated …. appropriate operating system, screen resolution, free disk space, administrator ….. MS-DRG Grouper version 30.0 (October 1, 2012) used.

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/InpatientPsychFac.pdf
Inpatient Psychiatric Facility Prospective Payment System Fact Sheet
for higher cost of living for IPFs located in. Alaska and Hawaii;. ❖ Patient characteristics: • Medicare Severity-Diagnosis Related. Group (MS-DRG) classification;.

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8041.pdf
MM8041 – Centers for Medicare & Medicaid Services
Jan 8, 2013 … Grouper, Version 30.0, software package effective for discharges on or after … MS-DRG Grouper and Medicare Code Editor (MCE) Changes ….. device for free, the hospital should not be charging the patient or Medicare for …

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/downloads/cms-1533-p.pdf
CMS-1533-P – Centers for Medicare & Medicaid Services
structure of the proposed MS-DRG system for the LTCH prospective payment system …. Free public access is available on a Wide Area Information Server ( WAIS) ….. Calculation of the Proposed Occupational Mix Adjustment for FY 2008. 4.

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R2028CP.pdf
CMS Manual System – Centers for Medicare & Medicaid Services
necessary base system changes related to various Pricers, Grouper, and the MCE to accommodate the changes in data content for the …. Contractors are free to supplement … information will a patient not be assigned to a MS-DRG. Therefore …

http://www.healthpartners.com/files/56500.pdf
Total Care Relative Resource Value Overview of … – HealthPartners
cost that are included (make up) in every service or product in the free market. … practice setting: inpatient (MSDRG weights using MSDRG grouper version number … professional and pharmacy) through a unique key; MSDRG for inpatient, …

http://multimedia.3m.com/mws/mediawebserver?mwsId=SSSSSuH8gc7nZxtUo8tenY_BevUqe17zHvTSevTSeSSSSSS–&fn=bp_gps_content_services_fs.pdf
3M™ Grouper Plus Content Services
For many years, the 3M™ Grouper Plus System has enabled third-party software vendors, payers … CMS MS-DRG grouping and reimbursement/payment. • CMS APC … call us toll-free at 800-367-2447, or visit us online at www.3Mhis.com.

http://tricare.mil/ocfo/_docs/FY13_VA-DoD_IIC_USER_GUIDE_FINAL.pdf
to access the complete VA-DoD Institutional Billing Calculator User …
Billing Modified TRICARE MS-DRG Payment Calculator and Inpatient Billing …. IIC is also available for on demand viewing free of charge on the Website at:.

http://www.nhha.org/files/whatsnew/IPPS%20PR%202013%20NHHA%20Comment%20Letter%20062512.pdf
MS-DRG Documentation and Coding Adjustment – New Hampshire …
Jun 25, 2012 … provided details on its calculation of the FFY 2013 -0.8% adjustment. …. effect of changes in documentation and coding under the MS-DRG system; and (2) ….. If you have any questions, please feel free to contact me or Paula …

https://www.noridianmedicare.com/p-meda/train/education_center/docs/ipf_pps.pdf
IPF Presentation – Noridian Home
Lifetime limitation. • 190 days utilized in Free Standing Psychiatric … IPF PPS Calculation. NAS, LLC … MS-DRG Adjustment for IPF PPS” available in the NAS  …

http://www.wha.org/data/sites/1/reimbursement/RHSgoethel11.pdf
Objectives ICD Background – Wisconsin Hospital Association
Free standing clinics … MSDRG Version 28 I-10 MS Grouper software … MSDRG) . Are they working with. GEMs to prepare for conversion. Are they working with.

http://support.sas.com/resources/papers/proceedings13/016-2013.pdf
016-2013: Set Yourself Free: Use ODS Report Writing … – SAS
Set Yourself Free –Use ODS Report Writing Technology in SAS Enterprise Guide , ….. “segments” with each segment generating a different result or calculation.

http://www.aha.org/advocacy-issues/letter/2012/120619-cl-ipps.pdf
CMS-1588-P, Medicare Program – American Hospital Association
Jun 19, 2012 … If you have any questions, please feel free to contact me or …. using the FY 2010 MS-DRG GROUPER equal to the CMI when using the FY …

http://www.teibio.com/assets/PN-606-999-093v00.pdf
In patient Hernia Repair – TEI Biosciences
MS-DRG. Ventral Hernia. Repair. 53.51. Incisional (ventral) hernia repair …. from the standard DRG payment calculation reflected in the amount shown (i.e., … that this report is error-free or that the use of this information will prevent differences.

http://www.orthopedicnetworknews.com/onn193.pdf
2008 Hip and Knee Implant Review – Orthopedic Network News
489, 461-462 by v25.0 Grouper. … heard how hospitals use their orthopedic distributors as “free” …. to all of the new spinal technology (MS-DRG 490) such as .

http://www.oregon.gov/oha/OHPB/meetings/sb204-workgroup/docs/2011-1118-agenda-materials.pdf
Agenda materials – State of Oregon
Nov 18, 2011 … “The APR DRG grouper should not be a stretch, but no one has any … may behoove the state to provide them the grouper outcomes free of … Every hospital applicable to the legislation already has MS-DRG grouper software …

http://tc.nphhi.org/Collaborate/Data-Collection/UHC-CDB-Lite-Specifications-Manual.aspx?FT=.pdf
UHC CDB-Lite Specifications Manual
5.1.20 MEDICARE SEVERITY DIAGNOSIS –RELATED GROUP (MS-DRG) . …… who will receive care for free. UB04 Name: FL 47. 837i Field … of the Health Systems International ICD-9-CM MS-DRG Grouper is required. For patients receiving …

http://www.palmettogba.com/Palmetto/Providers.Nsf/files/j1_medicare_advisory_September2011.pdf/$File/j1_medicare_advisory_September2011.pdf
Month 2009 Issue – Palmetto GBA
Sep 2, 2011 … Addition of Medical Severity Diagnosis Related Group (MS-DRG) 265 to the List Subject to …… Calculation of the Kt/V Value … If you have any questions, please contact our toll-free J1 Part A Provider Contact Center at.

http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251819770337&ssbinary=true
Medical Fee Schedule – Colorado.gov
scheduled E&M visit may be included in the calculation of total time. Disability ….. Providers shall submit routine reports free of charge as directed in Rule 16-7(E) …. (Exhibit 2 to Rule 18) divided by the MS-DRG geometric mean length of.

Value Based Purchasing Calculator

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By , September 21, 2013 7:42 pm

Value Based Purchasing Calculator

https://www.uhc.edu/docs/500111317_UHCCalculatorCMSVBPProgramPressRelease.pdf
New UHC Calculator Adds Impending CMS Value Based Program …
Chicago, Ill (October 12, 2012)—UHC unveiled a fiscal year 2014 version of its online Value-Based. Purchasing (VBP) Calculator that incorporates 2 advanced …

http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/hospital-value-based-purchasing/Downloads/HospVBPNPC100412.pdf
Hospital Value-Based Purchasing – Centers for Medicare …
Oct 4, 2012 … Fiscal Year (FY) 2013 Hospital VBP Program Timeline. • FY 2013 … defined for this program? – The Hospital VBP Program applies to subsection (d) hospitals: ….. Example: Value-Based Multiplier Calculation. 34. Facility Total …

http://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/HospVBP_FY15_NPC_Final_03052013_508.pdf
Hospital Value-Based Purchasing, Fiscal Year 2015 Overview for …
Mar 14, 2013 … Introduction to the Hospital Value-Based Purchasing (VBP). Program … Hospital VBP program applies to subsection (d) hospitals: – Statutory …

http://www.acumentra.org/downloads/medicare/VBP/VBP-Worksheet-FY2014-Instructions-web.pdf
Model VBP FY2014 Worksheet – Acumentra Health
Purpose: The Qualis Health VBP Worksheet gives hospitals the opportunity to estimate (or model) how …. Calculation of the Overall VBP Process Domain Score.

http://www.hari.org/App_Themes/Members/Docs/DATACENTER/DESCRIPTIONS/VBP%20Analysis%20Description.pdf
Medicare Hospital VBP Analysis – FFY 2014 Program
The Value-Based Purchasing (VBP) Analysis is intended to provide hospitals with a first …. contribute to the VBP program based on their federal rate calculation, …

http://www.amerinet-gpo.com/Documents/Value%20Based%20Purchasing%20Toolkit.pdf
Value-Based Purchasing Toolkit – Amerinet
The Amerinet Value-Based Purchasing Toolkit provides a comprehensive, easily … Medicare hospital inpatient Value-Based Purchasing (VBP) program for acute care facilities. ….. VBP Process Domain Score Calculation. Clinical Process of …

http://www.hcahpsonline.org/Files/Hospital%20VBP%20Domain%20Score%20Calculation%20Step-by-Step%20Guide_V2.pdf
A Step-by-Step Guide to Calculating the Patient … – HCAHPS
Oct 26, 2012 … Hospital Value-Based Purchasing FY 2013 Actual Percentage … The Hospital VBP FY 2013 Performance Period encompasses patients …

http://www.ihatoday.org/uploadDocs/1/vbpfaqfinalrule.pdf
Value-based purchasing: frequently asked questions
the Value-Based Purchasing (VBP) methodology, hospitals will be required to … Based on current IHA estimates prepared in accordance with the VBP model in the 2007 ….. the calculation of the incentive payment, the composite score or the  …

http://www.vha.com/AboutVHA/PublicPolicy/Documents/SummaryOfHospitalValue.pdf
Summary of Hospital Value-Based Purchasing Program … – VHA Inc.
Jan 7, 2011 … that would establish a value-based purchasing program for acute care …. by which hospitals may appeal the calculation of its performance …

http://www.ahd.com/news/HFM_CoverStory_ValueBasedPurchasing_2011_August.pdf
what value-based purchasing means to your hospital – American …
incentive payment under the Value-Based Purchasing program and, if so, how much that payment will be …. included in the calculation of the rate for a measure.

http://www.bricker.com/documents/resources/reform/fr3001.pdf
Hospital Value-Based Purchasing Progam
value-based incentive payments under the Hospital VBP Program to …. provided a narrative formula to illustrate the proposed calculation of achievement points,.

http://www.wsha.org/files/127/Differences_betweenHIPandAHA_VBP_tools.pdf
differences between the hip and the aha vbp tools – Washington …
Medicare Value Based Purchasing (VBP) program. Recently, the American Hospital. Association (AHA) published a VBP calculator as well. The two tools …

http://www.nchospitalquality.org/downloads/VBPcutpoints.pdf
View VBP Cut Points – NC Hospital Quality Performance Report
… Hospital Value-Based Purchasing Program: Final Rule Impact Calculator found at … have to be to earn a specific number of Value-‐Based Purchasing Points?

http://media.crothall.com/global/news/2011-01_Patient_Satisfaction_News.pdf
Patient Satisfaction News January 13, 2011 HCAHPS and Value …
Jan 13, 2011 … Recommend” question not be used for VBP calculation and that the individual questions regarding quietness and room cleanliness be …

http://htnys.org/reform/docs/2011-02-03_vbp_proposed_rule_summary.pdf
Summary of the FFY 2013 Medicare Value-Based Purchasing …
Feb 3, 2011 … This document provides an overview of the Medicare value-based …. Implement a Medicare Hospital VBP Program as a foundation for this proposed rule. ….. 62.5 %. Example Calculation of the Process of Care Domain Score …

http://www.stxhfma.org/files/file/Presentations/2011_05_Swift_Wright_MakingDollarsAndSenseOutOfValueBasedPurchasing.pdf
Making Dollars and Sense out of Value-based Purchasing
May 16, 2011 … VBP Key Elements. ▫ VBP score a reflection of performance on a combination of clinical … higher of which is used in overall score calculation.

http://www.scha.org/tools/files/asc-payment-system-physician-fee-schedule-end-stage-renal-disease-pps-4eb94747.pdf
Includes inpatient value-based purchasing and physician self
Nov 3, 2011 … Includes inpatient value-based purchasing and physician self-referral … to a change that CMS made in its calculation of the baseline for budget.

http://www.academyhealth.org/files/2012/monday/bohl.pdf
Practical Issues in the Calculation and Use of … – AcademyHealth
Jun 25, 2012 … The Hospital Value-Based Purchasing (HVBP) program … Misidentification occurs upstream in the measure calculation process. ▫ Steps in PSI …

http://www.stratishealth.org/documents/MapleGrove_Slides.pdf
Our Hospital’s Value Based Purchasing (VBP) Journey – Stratis Health
Jul 1, 2011 … NRC Picker offered VBP dashboard. – Only shows small slice of entire VBP picture. • Press Ganey: Cost for VBP calculator with core measures.

http://www.ntocc.org/Portals/0/PDF/Attachments/PublicPolicyUpdates/Quality%20Fact%20Sheet%20FY13%20IPPS%20FINAL%208%201%2012.pdf
Quality Fact Sheet – NTOCC
Aug 1, 2012 … policies and measures for the Hospital Value-Based Purchasing (VBP) Program, …. the calculation of the performance assessment for their total …

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