Features and Benefits
Optum Edge — Visual
indicators notify you of special alerts. Easily
identify CC and MCC restrictions, special payment status, transfer DRG
status, surgical/medical partitioning, and other requirements.
Optum Edge — Medicare
CMS rate structure. Updated to provide current relative
weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean
length-of-stay (AMLOS) for each MS-DRG under IPPS.
Optum Edge — MS-DRG
structure. Every diagnosis and procedure code
that defines each DRG is listed.
Optum Edge — LTC-DRG
crosswalk and current rate structure. Know
what the RW and length-of-stay data are for each MS-DRG under the LTCH
prospective payment system.
Optum Edge — MDC
diagnosis list. Complete list of mutually exclusive
diagnoses defining each MDC.
Optum Edge — Transfer
DRG symbol. Indicates a DRG selected as a
qualified discharge that may be paid at the per diem rate.
Optum Edge — Average
national payment. Listed for every MS-DRG as a quick
Easily locate the
correct DRG. Use the exclusive numeric or
alphabetic indexes to quickly identify a DRG based on its diagnosis or
table. Quickly find the DRG hierarchy for
multiple procedure cases to help you assign the code that reflects the
greatest resource utilization.
numeric indexes. Search for DRGs by the numeric codes
or by code titles for fast look-up.
which CC subclass the DRG belongs to based on the presence or absence of CCs
or major CCs (MCCs).
Complete list of diagnoses considered CCs and MCCs.
List of those principal diagnoses that are their own CC
and their own MCC.
Full titles for each MS-DRG. Selection of the
correct DRG begins with knowing its accurate and complete description.