Medicare Continues to Modernize Payment Software

Published 05/20/2020

This article informs providers about efforts by the Centers for Medicare & Medicaid Services (CMS) to modernize payment grouping and code editing software. A previous article, SE19013 (PDF, 84 KB). provided initial information on this modernization. SE20019 informs providers that in October 2020, CMS will expand this modernization effort to include these additional software products: the IRF Case-Mix Group (CMG) Grouper and the IRF Pricer and PC Pricer. Note: A similar conversion for the SNF Patient Driven Payment Model (PDPM) Grouper is planned for October 2021.