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 compliant with CMS DRG specifications. These components allow you to add DRG functionality to your systems and applications built for the Windows client environment.

DRGActive™DRG 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 are available in .Net format and 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 a 2-Year DRGActive™ DLL that will calculate a DRG for two fiscal years of Medicare specifications and a 5-Year DRGActive™ DLL that will calculate a DRG for five fiscal years of Medicare specifications.

Features include:

• Versions for plug-in compatibility with .Net capable development environments

• CMS compliant MS-DRG processing

• Handles up to 25 ICD10 Diagnosis codes and 25 ICD10 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, etc.)

Scalable:

DRGActive™DRG DLLs 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

• Microsoft .Net Core (.Net, 6, 7, 8)

• Microsoft .Net Framework 4.6.2+

• Microsoft SQL Server

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 DLL 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.