DRG Grouper Calculator Add-on

Optum360 | Denise Smith



299.99
List Price

Item #: WA33
Available: NOW

In order to add this item to your cart, you must first add a qualifying item to your cart. See the list of qualifying items in the 'Description' tab below.


Watch the add-on modules product video.

The Optum360 DRG Grouper Calculator Add-on is a simple tool used to group and calculate diagnosis and procedure codes into the correct DRG based on dates of service. Reimbursement calculations are hospital specific, showing users the exact DRG reimbursement expected at any specific acute care facility. Integrating this add-on with RevenueCyclePro.com, which provides comprehensive reference content at your fingertips, allows you to research elements that affect your DRG such as CC/MCC, procedure by proxy and optimizing tips.

NOTE: This item is an add-on to our suite of online products. This item may only be purchased online if you are also buying a new subscription to an online application. 

The DRG Grouper Calculator Add-on may be added to these online coding tools:

If you are already an active subscriber to one of our online coding applications and you are interested in purchasing an add-on, please contact a customer service representative at 1-800-464-3649, option 1.
Optum360 Edge - Leverages industry leading reimbursement calculations from Optum360 EasyGroup Rate Manager and grouping logic from Optum360 Enterprise Computer Assisted Coding (CAC).
Provider Lookup - Easy lookup tool helps users quickly find any acute care hospital by provider or hospital name.
MS-DRG Grouping - Groups at the claim level with results including MDC, DRG, DRG description and identifies the CC/MCC (Complication or Comorbidity/Major Complication or Comorbidity) diagnosis code.
Side-by-side display - Allows users to enter more than one code scenario at a time and compare results side-by-side. Enables users to identify potential errors in reimbursement or potential opportunity for additional reimbursement.
Reimbursement calculations - Provides claim level reimbursement results including outlier payments. Detailed worksheet results displayed on screen and printable formats so users can view all the variables affecting the hospitals reimbursement.
Integrated with RevenueCyclePro.com - All the comprehensive content within RevenueCyclePro.com is available to research and review the codes involved in the DRG, MDC, CC/MCC, MDC Optimizing Tips, DRG crosswalk and more.

Denise Smith

Denise is the product manager for eFacility Solutions and has been with Optum360 for 24 years. During that time, she spent 10 years working closely with the chargemaster consulting team, and, prior to accepting her most recent position, was training as a junior consultant. She earned a Bachelor of Science degree in nursing from the University of Utah and is a certified coding professional.