Medicare Database Price Calculator + Auditor Today

Encerrado Postado há 2 anos Pago na entrega
Encerrado Pago na entrega

I need to make a database program to calculate medicare payments by state, by procedure, by location , by ICD 10 code etc. What I need from someone to make the calculator, which we will run from some databases. The databases are public and for the most part I think I located them.

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We must calculate and verify pricing based on:

• Electronic Standard Claim Transactions: 837I (Institutional claims) 837P (Professional claims)

• Rendering Provider National Provider Identifier (NPI)

• Services Rendered Locality

• Line-level charge information (Units, Dates of service, Procedure codes, Modifier, Place of Service, Revenue codes)

• Diagnosis Related Group (DRG)

• International Classification of Diseases (ICD) – 9/10 codes

• Patient’s Date of Birth

• Patient’s Sex

• Facility Bill Type

• ICD-10-PCS codes

• Condition codes

• Value codes

• Occurrence codes

Then We need to have to run a correction program to see spot an medically unlikely edits.

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A clear understanding of the scope of work required for the task order, with a work plan that will ensure achievement of the objectives set forth in Task 2 and Task 3;

• An overall effective strategy that accomplishes all project goals as outlined in the Performance Work Statement (PWS);

• A clear understanding of the scope of CMS payment methodologies as well as the complexity of CMS legislation, regulations, and guidelines governing payment of Medicare claims;

• Expertise in the use of:

a) Centers for Medicare and Medicaid Services (CMS) payment methodologies;

b) ICD-9 Diagnostic Codes;

c) Common Procedural Terminology (CPT) and HCPCS Level II; and

d) Usage of modifiers, coding guidelines and procedures.

• Medicare Pricing System by incorporating new Medicare regulations and policy changes, to include timelines and retroactive changes

Once we have that setup, I can propose the system for funding. After funding, I would like to put this on a good online platform and introduce the platform features. So I need a good design i can migrate over.

For this part, I need to have a calculator with clear methodology and accuracy. I have to explain every

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Programação de Banco de Dados Medical Billing and Coding Python

ID do Projeto: #31781077

Sobre o projeto

5 propostas Projeto remoto Ativo em há 2 anos

5 freelancers estão ofertando em média $227 nesse trabalho

liveexperts123

Hi there,I'm biddin on your project "Medicare Database Price Calculator + Auditor Today" I have read your project description and i'm an expert in Python and machine learning therefore i can do this project for you per Mais

$240 USD in 3 dias
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6.3
TopHatSolutions

Hi, I have full skills in Python. What types of project do you have today? I am ready for your job. Please contact me. Thank you for your time. Best,

$210 USD in 2 dias
(1 Comentário)
3.1
MaryamRaad

Greetings I am a professional Software engineer with specialization in data scraping. I have expertise in Python based software and data analysis. As I have done numerous projects in the field of data scraping previous Mais

$210 USD in 3 dias
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3.6
Ataigla

Bonjour, je souhaite participer à votre projet de Calculateur de prix de la base de données Medicare. Déjà plus de 5 ans d’expériences professionnelles dans la réalisation de bases de données, je suis certain d'être à Mais

$233 USD in 10 dias
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