• Provides 100% accurate Diagnosis Related Group (DRG) Assignment.
  • The DRG is calculated from the entered ICD-10-CM diagnosis and procedure information and is identical to the CMS Medicare MS-DRG.
  • Can be used stand-alone or can be called from any installation written application program.

Business information

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  • Functional details

    Easily integrates into existing data warehousing, claims payment and analysis applications.

    ICD-10 functionality for older grouper support with ICD-9 remapping.  Newly added ICD-10 remapping for the latest ICD-10 groupers.

  • Business problem

    Many insurance plans contract with hospitals based on DRG's for inpatient claims. The ICD-9 code set will continue to exist as long as contracts are based on the pre-2014 groupers. This product will allow ICD-10 codes on a claim to process and group as if coded with the equivalent ICD-9 code, thereby freeing coders from any need to retain knowledge of the older ICD-9 Code Set.

  • Business opportunity

    Reduce outpatient claim errors and provide Federal-compliant DRG assignment for many target platforms.

  • Return on investment

    Reduce your startup costs to minimal integration and implementation time. Data is easily converted into database form for further analysis.Production cycles with millions of claims are processed within short time windows.

  • Competitive advantage

    High performance, easy to integrate into existing processing solutions.

    Simultaneous ICD-9 and ICD-10 code set support in one grouper solution for MS-DRG claims.

  • Industries

    Healthcare Industry
    Insurance Industry

  • Solution areas

    Healthcare and Pharmaceutical
       Clinical Care
       Operations and Regulations
       Patient Care and Services
       Payer Transaction Services
       Physician Office Automation
          Claims administration
          Clinical information systems
          Health information systems

  • Customer size

    Midmarket Business (100 to 499 employees)
    Midmarket Business (500 to 1000 employees)
    Large Business (greater than 1000 employees)

  • Languages supported


  • Countries/regions available for distribution

    Puerto Rico , United States

Technical information

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  • Hardware/OS platforms

       Hewlett-Packard servers (incl. Compaq)
    Windows family
       System x
    IBM i 6.1
       IBM Systems: Power
    Windows Server 2008 (inclusive)
       IBM BladeCenter HSxx (Intel processor-based)
    z/OS 1.12
       IBM Systems: z Systems

  • Services

    Custom Systems Integration Services

Date last modified:    Oct 11, 2017


Contact information

Jim Keleher
1-800-634-0496 x0581


nThrive Revenue Systems, LLC
209 Burlington Road
Suite 111
Bedford, MA 01730
United States

+1 800 6340496

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