DRGActive DRG Components

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Overview:

The Diagnosis Related Group (DRG) is the primary component of health care claims reimbursement determination for Medicare and other payers. DRG specifications are produced and maintained by the Centers For Medicare and Medicaid Services (CMS), a division of the U.S. Dept of Health and Human Services. Patient information including age, sex, and discharge status along with detail diagnosis and procedure code data from the patient record are processed through a complex algorithm to calculate the DRG. Associated with each DRG are weighting factors and statistical averages for the length of stay in an inpatient hospital. These data, when combined with hospital-specific cost factors are used to compute Medicare reimbursement for a hospital stay.

Software developers and system integrators! DRGActive DRG DLLs are the easiest way to add complex DRG calculation logic to your systems or applications. By simply referencing the DRGActive™ DRG DLL within your application, setting the input property values, and executing the DRGCalc method you can calculate the DRG and retrieve the DRG Weight, Average Length of Stay and other important DRG data elements. The data returned from DRGActive™ is 100% compliant with CMS DRG specifications. These 32-bit or 64-bit components allow you to add DRG functionality to your systems and applications built for the Windows client environment.

DRGActiveDRG DLLs are the ideal solution for claims processing applications, data warehousing and data analysis, claim review, compliance auditing, and much more.

Availability:

There are two types of DRGActive™ DLLs to match your system architecture:

  • Desktop versions of DRGActive™ DLLs utilize Microsoft Access databases for fast and efficient in-line processing.
  • DRGActive Enterprise DLLs (32-bit or 64-bit) utilize Microsoft SQL Server data components for high-performance in large-scale enterprise and web-based applications.

DRGActive™ DLLs are available covering different time periods to meet your data requirements:

  • We have 2-Year DRGActive™ DLLs that will calculate a DRG for two fiscal years of Medicare specifications and 5-Year DRGActive™ DLLS that will calculate a DRG for five fiscal years of Medicare specifications.

Features include:

Versions for plug-in compatibility with all .Net and ActiveX capable development environments
100% CMS compliant DRG processing
Handles up to 25 ICD9/10 Diagnosis codes and 25 ICD9/10 Procedure codes
Editing of patient data
Optional validation of all diagnosis and procedure codes
Returns DRG Weight and DRG Average Length of Stay
CMS compliant results parameters (DRG, MDC, MPR, ADX, etc.)

Scalable:

DRGActiveDRG Components come in versions suitable for desktop applications as well as Enterprise Versions designed for high-performance large-scale applications that utilize Microsoft SQL Server. Send e-mail to salesinfo@microdynmed.com or call for more information and pricing.

Compatible with the leading Windows development environments including:

Microsoft Visual Studio (32-bit or 64-bit)
Microsoft Visual Studio 6.0
MS Access

Licensing:

DRGActive DRG DLLs are licensed based upon usage.

  • For a single site installation, like a health plan, hospital, or university, the DRGActive™ DRG DLLs are licensed for internal use based on the size of the installation.
  • For a Software Developer including DRGActive™ DRG components in a software package for distribution to an end user, a distribution agreement is required. Terms: an initial license fee and a per-site fee for each DRGActive component.

Send e-mail to salesinfo@microdynmed.com or call for more information and pricing.

Request a free 30-day trial version today