DRG Management

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• ICD9-CM diagnosis and CPT4 code master file
• Surgical procedure master
• Final diagnosis grouper w/optimization of all permutations
• In-house patient grouper w/optimization of all permutations
• Grouper computations include display of reimbursement,arithmetic mean,outlier days,etc
• Abstract entry and grouper computations all done in same screen, no re-entry of data
• ICD9 pop-up window w/numeric and alpha scanning
• Tentative DRG for DRG Coordinator w/DRG worksheet and inpatient monitoring report
• Patient case mix analysis (profitability analysis by DRG, DR or both)
• Delinquent diagnosis tracking by doctor by financial class
• Revenue by DRG or patient service type
• Inpatient monitoring - actual vs projected
• DRG ranking by revenue
• DRG case mix analysis by user defined criteria
• Data Base Dictionaries to Query languages (Query/400)
• Interface to Office Vision (Word Processing)
• Interfaces to the popular encoders (3M, Medicus, IRP)
• Dynamic screen scraping interfaces available to IRP encode(i.e., encoding, grouping, and completion of abstract in one pass)
• Complete master patient index for unit record