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DRG/Grouper 2015 2015 for ICD10 & ICD9

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  • Provides 100% accurate Diagnosis Related Group (DRG) Assignment.
  • The DRG is calculated from the entered ICD-9-CM diagnosis and procedure information and is identical to the HCFA Medicare DRG.
  • Can be used stand-alone or can be called from any installation written application program This application is Year 2000 Ready.

Business information

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  • + Functional details

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

    ICD-9 and ICD-10 functionality for older grouper support.

  • + 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

    Provide Federal-compliant DRG assignment for many target platforms.

  • + 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
       Other Insurance, N.E.C.

  • + 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:    Jan 26, 2015

Contact information

Jim Keleher


209 Burlington Road
Suite 111
Bedford, MA 01730
United States

+1 800 6340496

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