Repository containing Original Medicare claims pricing software (also partially available on cms.gov) to fulfill a time-sensitive FOIA request.
This repository provides executable JAR binaries for CMS's Original Medicare claims pricing applications. Each pricer implements a distinct Medicare fee-for-service payment system and exposes a REST API for calculating claim reimbursement amounts.
A list of core team members responsible for the code and documentation in this repository can be found in COMMUNITY.md.
Each directory contains an executable JAR binary and usage instructions for one pricer:
| Directory | Pricer |
|---|---|
ESRD Pricer/ |
End-Stage Renal Disease Pricer |
FQHC Pricer/ |
Federally Qualified Health Center Pricer |
HHA Pricer/ |
Home Health Agency Pricer |
Hospice Pricer/ |
Hospice Pricer |
IPF Pricer/ |
Inpatient Psychiatric Facility Pricer |
IPPS Pricer/ |
Inpatient Prospective Payment System Pricer |
IRF Pricer/ |
Inpatient Rehabilitation Facility Pricer |
LTCH Pricer/ |
Long-Term Care Hospital Pricer |
OPPS Pricer/ |
Outpatient Prospective Payment System Pricer |
SNF Pricer/ |
Skilled Nursing Facility Pricer |
All pricers require Java 17 and run as a local REST API on port 8080. See each directory's README for usage instructions.
We adhere to the CMS Open Source Policy. If you have any questions, just shoot us an email.
Submit a vulnerability: Vulnerability reports can be submitted through Bugcrowd. Reports may be submitted anonymously. If you share contact information, we will acknowledge receipt of your report within 3 business days.
For more information about our Security, Vulnerability, and Responsible Disclosure Policies, see SECURITY.md.
A Software Bill of Materials (SBOM) is a formal record containing the details and supply chain relationships of various components used in building software.
In the spirit of Executive Order 14028 - Improving the Nation’s Cyber Security, a SBOM for this repository is provided here: https://github.com/DSACMS/MedicareClaimsPricerSource/network/dependencies.
For more information and resources about SBOMs, visit: https://www.cisa.gov/sbom.
This project is in the public domain within the United States, and copyright and related rights in the work worldwide are waived through the CC0 1.0 Universal public domain dedication as indicated in LICENSE.
All contributions to this project will be released under the CC0 dedication. By submitting a pull request or issue, you are agreeing to comply with this waiver of copyright interest.