Click on the Coding and Payment Tools tab and use the drop-down menu to select the tool or calculator you want to use.
Here is a short summary of each tool:
OPPS Calculator: Estimate reimbursement for Medicare outpatient hospital scenarios under OPPS.
Professional Fee Calculator: Estimate Medicare Professional reimbursement under the Physician Fee Schedule.
MS-DRG Group/Calculator: Determine MS-DRG Grouping and calculate provider-specific payment under the Inpatient Prospective Payment System (Opens in a new window)
MS-DRG Analyzer: Utilizes ICD diagnosis and procedure codes to group into Medicare Severity Diagnostic Related Groups (MS-DRG) under the Medicare Inpatient Prospective Payment System (IPPS)
MS-DRG Analyzer w/Batch Calculator: Calculate the payment for a set of records in a CSV file not to exceed 250kb (approximately 200 rows)
NCCI Code Pair Check: Review Correct Coding Edits for CPT and HCPCS codes
NPI/DEA Lookup: Look up provider identifiers