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MS Grouper with Medicare Code Editor ICD-10 Pilot Software (Distributed on CD-ROM) (Version 28.0) Documentation

机译：带有medicare代码编辑器的ms Grouper ICD-10 pilot软件（CD-ROm上分发）（版本28.0）文档

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摘要

This is the documentation for the Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 pilot software which contains ICD-9-CM codes effective 10/01/2010 and ICD-10 codes published in December 2010. The software is intended to give users the opportunity to group and edit claims using both ICD-9-CM codes, ICD-10 CM and ICD-10 PCS codes defined by the Code Set indicator. It is not intended to be used to process claims as the ICD-10 code set will not be mandated for use until October 1, 2013. This piloted version will only group and edit claims using version 28 of the MS Grouper with version 27 of the MCE with effective dates 10/01/2010-9/30/2011. No grouping or editing will occur for claims prior to the valid date range for this component. If the discharge date is out of range for this component, Version 28 will be used. The Medicare Severity Grouper with Medicare Code Editor (MSG/MCE) software edits medical record data to help identify coding errors and inconsistencies between clinical data and coding. The software executes the following: assigns the medical record to a Major Diagnostic Category (MDC) and a Diagnosis Related Group (DRG); displays clinical edits that identify inconsistencies after evaluating a patients principal diagnosis, any secondary diagnoses, surgical procedures, age, sex, and discharge status for possible errors; displays the cost weight associated with the assigned DRG for each patient record; and processes medical record data either from a MS-DOS batch file or interactively in a Windows environment.

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