MSDRG Calculator

The MSDRG calculator allows you to calculate reimbursement for a single MSDRG or to calculate and compare year-to-year reimbursement.

Calculate Reimbursement

Procedure

  1. Select Calculate Reimbursement.
  2. Enter an MSDRG code in the MSDRG field.

Note: You can enter up to five DRG codes at a time by clicking +Add a DRG. Conversely, line items can be deleted by clicking the Delete button for that line.

  1. The Provider Number field is auto-populated with your default provider number. You can overwrite it by typing a new provider number in to the field.
  2. Select an Admit Date by clicking the calendar icon.
  3. Select a Discharge Date by clicking the calendar icon.
  4. Click Calculate. The results display in the Reimbursement Results box, which is sorted in the order the MSDRG code was entered by the user and are expandable and collapsible by code.

Calculate and Compare Year-to-Year Reimbursement

The Calculate and Compare Year to Year Reimbursement calculator allows for comparison of monetary totals per case volume amount for individual MSDRG codes. This way, you can compare gains and losses for specific codes to aid in future financial decision-making.

Procedure

  1. Select Calculate and Compare Year to Year Reimbursement.
  2. Enter an MSDRG code.

Note: You can enter up to five DRG codes at a time by clicking +Add a DRG. Conversely, line items can be deleted by clicking the Delete button for that line.

  1. The Provider Number field is auto-populated with your default provider number. You can overwrite it by typing a new provider number in to the field.
  2. Enter a Case Volume amount.

Note: Case Volume represents the number of cases you would like to compare from one year to the next. For example: If you had 50 cases for DRG code 300, you can see what the reimbursement difference would be from the previous year to the current year.

  1. Click Calculate. Results display in the year Total fields as well as the Difference ($) field. Monetary losses display in red. In the Year to Year Comparison Reimbursement Results box, you can view side-by-side details about the specifics of code reimbursement for the years in question. Any differences found are highlighted in yellow. The results are listed in the order the MSDRG codes were entered and are expandable and collapsible by code.