Physician-Led DRG Integrity

Our Tech-Enabled, Physician-Led DRG Integrity, powered by Certus Radar™ protects hospital revenue by ensuring accurate DRG assignment prior to claim submission. Through a unique model- combining technology with physician coding, clinical, and compliance expertise- we reduce billing delays, prevent denials, and help you capture revenue you’ve earned.

Key Benefits

Compliant Revenue Capture: Independent chart reviews by certified coders and Physician Advisors with coding and CDI expertise ensure DRG accuracy and defensibility.
Built-In Denial Prevention: Secondary reviews of high-risk DRGs help prevent DRG downgrades and clinical validation denials before submitting a claim.
Smarter Prioritization: Our proprietary algorithm, powered by Certus Radar ™, prioritize high-impact charts to reduce delays and improve outcomes.

How It Works

Physician-Led, Pre-Bill Chart Review

Each case is reviewed after the initial DRG assignment, but before billing by a Physician Advisor with CDI and coding expertise, certifying alignment between clinical documentation and coded data.

Denial Prevention Strategy

We proactively target DRGs most vulnerable to denial, resolving potential issues before submission.

Data-Driven Prioritization

Powered by Brundage Group Intelligence, we surface the cases with the most significant financial opportunity and risk, improving focus and accelerating clean claim submission.

Sustainable,
Long-Term Value

Ongoing Education: Data-driven insights help inform targeted feedback to providers.
Workflow Integration: We support your team with actionable insights and best practices.
Compliance Confidence: Our physician-led approach ensures revenue integrity while upholding clinical and regulatory standards.

Get in Touch

Why Choose
Brundage Group?

Physician-led chart review combined with coding expertise
Pre-bill focus on reducing denials and appeals
Intelligent prioritization through proprietary analytics platform
Fast implementation and minimal IT lift

Request Our Services

FAQs

If you can’t find the information you need, please don’t hesitate to contact us. Our team is here to assist you with any questions or concerns you may have.

Feel free to reach out to us for personalized support and guidance.

What makes Brundage Group’s DRG Integrity different?

Our physician-led chart review combines deep clinical expertise with our tech-enabled platform, Certus Radar™, that intelligently prioritizes charts with the greatest opportunity. Unlike services that rely solely on technology, Brundage Group’s Physician Advisors bring a clinical lens to every case, improving DRG accuracy, reducing denials, and capturing the true complexity of your patient population.

What long-term value does this bring?

Beyond short-term denial prevention, DRG Integrity delivers sustainable, long-term impact by embedding continuous improvement into your workflows. We provide targeted feedback to physicians based on real-time data trends and support ongoing provider education. Our proprietary analytics platform also identifies recurring documentation gaps and coding risks, helping your organization proactively address root causes, not just symptoms. The result is a stronger revenue cycle, improved compliance, and better alignment between clinical care and reimbursement.

How quickly can we launch DRG Integrity services?

Brundage Group offers a streamlined onboarding process that allows most hospital systems to implement our DRG Integrity service with minimal disruption. Our web-based solution eliminates the need for heavy IT involvement, and we work closely with your internal teams to ensure a smooth rollout. From kickoff to go-live, our process is built for speed, efficiency, and flexibility so you can capture compliant revenue and reduce denials as soon as possible.

Ready to capture every earned dollar?

Let’s develop a smarter, stronger approach to DRG Integrity—one that improves accuracy, prevents denials, and helps you capture earned revenue for the quality care delivered.

Request a Consultation

Unlock the Full Potential of Your Hospital

Ready to enhance your hospital’s efficiency and patient care with expert Physician-Led DRG Integrity? Our team at Brundage Group is here to help you reduce costs, improve outcomes, and streamline operations.

Explore Related Insights

Your partner to compliantly
capture earned revenue

Request Consultation

Physician-Led DRG Integrity

Key Benefits

How It Works

Physician-Led, Pre-Bill Chart Review

Denial Prevention Strategy

Data-Driven Prioritization

Sustainable,
Long-Term Value

Why Choose
Brundage Group?

FAQs

Unlock the Full Potential of Your Hospital

Related Blog Posts

Query IQ: Are Your Query Templates Friend or Foe?

Query IQ: Clarifying Clinical Indicators

Query IQ: The “Other” Denial-When Payors Rewrite the Rules

Crucial Role of DRG Validation: A Physician Advisor’s Perspective

The Business of Clinical Documentation Integrity

How Clinical Documentation Integrity (CDI) Impacts DRG Validation

Physician Advisor Turned Certified Coder: Tackling the Challenges of Clinical Documentation

What is Clinical Validation? Why is it Important?

What are Diagnosis Related Groups (DRGs)?

Your partner to compliantly
capture earned revenue

Physician-Led DRG Integrity

Key Benefits

How It Works

Physician-Led, Pre-Bill Chart Review

Denial Prevention Strategy

Data-Driven Prioritization

Sustainable,Long-Term Value

Why ChooseBrundage Group?

FAQs

Unlock the Full Potential of Your Hospital

Related Blog Posts

Your partner to compliantlycapture earned revenue

Revenue Cycle Insights—Subscribe Today

Sustainable,
Long-Term Value

Why Choose
Brundage Group?

Your partner to compliantly
capture earned revenue