Physician-Led DRG Validation
Led by clinical expertise, powered by technology
Physician-led clinical DRG reviews are an important part of the mid-revenue cycle to ensure revenue integrity and relay high-quality care in public reporting. Physicians must document effectively to accurately reflect the patient population in claims data. Otherwise, hospitals risk commercial payor denials, inaccurate reimbursement and poor public perception.
Benefits of our DRG Validation Solution
- DRG reporting uncovers trends and areas for improvement with ongoing monitoring and tracking of key metrics
- Clients can get started quickly through our web-based solution with limited IT support required
- Quick turnaround of DRG reviews to minimize bill holds
Intelligent DRG validation
Hospital systems are struggling with capturing clinical documentation and coding opportunities, which often results in inaccurate DRG assignment.
Our experienced physician advisors with coding expertise, combined with our proprietary DRG integrated workflow, help identify charts with the greatest opportunity to accurately capture earned revenue and mitigate compliance risk.
We utilize our data integration in real time to offer ongoing value to clients by maintaining a dynamic approach to seeking continuous opportunities for improvement that clients can incorporate into their processes and workflows.
Ensuring Accurate Coding and Optimal Reimbursement
At Brundage Group, we understand the significance of DRG validation in maintaining revenue integrity while delivering high-quality care. Our physician-led DRG validation services and expertise in analytics and advisory solutions ensure accurate coding and optimal reimbursement for our hospital clients.
Sustainable and lasting value
- Physician oversight by trained physician advisors ensures documentation, CDI and coding compliance to reduce revenue leakage and secure accurate reimbursement.
- Our physicians incorporate CDI and coding feedback and recommendations for best practices that can be incorporated into workflow.
- Clinical DRG review services are backed by intelligent data integration to identify opportunities for targeted physician education.
Frequently Asked Questions
What sets Brundage Group's DRG validation services apart?
Efficiently optimizing healthcare mid-revenue cycle performance and compliance is of paramount importance, as it enhances hospitals’ financial viability and sustainability, and also fosters a thriving healthcare ecosystem that ensures increased revenue, improved patient care and overall organizational success.
What long-term value does Brundage Group provide?
Brundage Group goes beyond immediate DRG validation services. Our proprietary integration platform continuously identifies opportunities for targeted physician educational feedback, ensuring ongoing improvement and long-term revenue optimization. We are committed to being your trusted partner in achieving sustained excellence in revenue integrity, compliance, and quality care.
Why should I choose Brundage Group for DRG validation over other providers?
At Brundage Group, our approach to DRG validation sets us apart. We combine the expertise of our experienced physician advisors, certified coders, and clinical documentation specialists to ensure accurate coding and optimal reimbursement. Our physician-led approach brings deep clinical knowledge to the table, enabling us to capture the complexity and acuity of your patient population.
Additionally, our comprehensive analytics platform helps identify opportunities for improvement and targeted physician education, ensuring lasting value beyond immediate validation services. With Brundage Group, you can trust in our commitment to your hospital’s revenue integrity and the delivery of high-quality care.
How quickly can we implement our DRG validation services?
Our goal is to provide you with a swift and effective solution, so you can start reaping the rewards of accurate coding and capturing your earned revenue reimbursement as soon as possible.
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