Medicare Database Program

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. [login to view URL] 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. [login to view URL] 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 [login to view URL] [login to view URL]