Enterprise Medicare Severity Diagnosis Related Group (MS-DRG) calculation engine. Map ICD-10 diagnosis and procedure codes to relative weights, reimbursement estimates, and GMLOS benchmarks.
Stop guessing how a clinical code affects your hospital inpatient claim. Our engine exposes the full decision tree, showing which secondary diagnoses trigger a CC (Complication) or MCC (Major Complication) split.
Browse all 25 Major Diagnostic Categories defined by the Centers for Medicare & Medicaid Services (CMS). Inspect every inpatient MS-DRG code, surgical/medical type, ALOS, GLOS, and relative weights.
Quick access to key body systems and diagnostic categories:
Audit an entire year of inpatient hospital claims in minutes. Upload CSV, Excel (.xlsx), or JSON datasets, and append calculated MS-DRGs, severity tiers, and relative weights instantly.
| Claim ID | Principal Dx | Procedures | Calc. DRG | Est. Reimbursement |
|---|---|---|---|---|
| CLM-001 | A41.9 | 5A1945Z | 871 | $12,593.00 |
| CLM-002 | I50.9 | -- | 291 | $7,240.50 |
| CLM-003 | J18.9 | -- | 195 | $4,120.10 |
Integrate MS-DRG calculation directly into your EHR, Revenue Cycle tool, or analytics warehouse. Fast JSON REST API with comprehensive schema documentation.
No complex integration required. Calculate individual encounters via web UI, browse all diagnostic categories, or upload a batch file immediately.