REVEIQ PRO · QUERY INTELLIGENCE

Query Opportunity Calculator

Model every documentation improvement path for any case. See exactly how much revenue is sitting on the table, and which query will move the needle most.

275 MS-DRGs indexed All 4 SOI subclass pathways Annual volume projection
Case inputs
Select the current MS-DRG and current SOI subclass. Adjust base rate and expected annual volume to model the full opportunity.
Current MS-DRG
Hospital base rate
Expected annual volume
Current SOI subclass (LV)
Documentation improvement pathways
Select a DRG and current subclass to model upgrade opportunities.
ReveIQ
Query Intelligence
Select a DRG to see all possible query-driven upgrade pathways with financial impact ranked by opportunity size.
Annualized opportunity
Highest-value pathway × expected annual case volume at this DRG.
Best pathway per case
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Annual volume
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Annual opportunity
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How ReveIQ models query opportunity
The ReveIQ Query Opportunity Calculator uses the proprietary MS-DRG Intelligence Database, 275 inpatient DRGs across 12 service lines, each with four severity-of-illness subclass weights (LV1 through LV4). Every subclass has a distinct CMS relative weight, and moving a case from one subclass to the next requires specific documentation improvements (additional CC or MCC capture, PDx refinement, or severity specification).

For any case, ReveIQ calculates the weight delta × hospital base rate for every possible upgrade pathway from the current subclass, then ranks them by financial impact. The annual projection multiplies the best-available pathway by expected case volume, giving you the total revenue sitting on the table for that DRG across a year.

Zero PHI. All modeling is scenario-based using public MS-DRG weight data.
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Important disclaimer. Estimates use CMS relative weights × your base rate. Actual reimbursement depends on outlier payments, DSH/GME adjustments, and contract terms not modeled here. ReveIQ is a reference tool, not professional advice.