Learn why DRG validation is essential for accurate reimbursement, reducing denials, ensuring compliance, and improving patient care from a Physician Advisor’s perspective.
Crucial Role of DRG Validation: A Physician Advisor’s Perspective
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The Business of Clinical Documentation Integrity
Discover how the evolution of Clinical Documentation Integrity impacts hospital revenue and why robust CDI is essential for maximizing revenue integrity.
How Clinical Documentation Integrity (CDI) Impacts DRG Validation
Learn how CDI plays a crucial role in accurate Diagnosis-Related Group (DRG) validation and hospital reimbursement.
Physician Advisor Turned Certified Coder: Tackling the Challenges of Clinical Documentation
Explore Dr. Hassan Rao’s transformative journey from hospitalist to certified coder, as an Executive Physician Advisor at Brundage Group…
What is Clinical Validation? Why is it Important?
Clinical validation involves confirming diagnoses by using evidence from a patient's medical record. Clinical validation is typically performed by those with a clinical background or those who are familiar with disease processes. Clinical validation can be part of...
What are Diagnosis Related Groups (DRGs)?
Picture a system that simplifies hospital billing. That’s where Diagnosis Related Groups (DRGs)…
Tips for Preparing for New Coding Changes for 2023
With the start of fiscal year (FY) 2023 right around the corner, this is a good…
Compliant Retrospective Query Processes
The best practice is to add any retrospective query response as an addendum…
Physician Advisor Perspective to Avoid a Potential DRG Clinical Validation Downgrade Denial of DRG 853
DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!