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

    Diagnosis-Related Group (DRG) coding validation is a crucial process that ensures accurate reimbursement and reflects the true acuity and complexity of patient populations. DRG validation involves a comprehensive review of clinical documentation and coding to determine the appropriate assignment of DRGs. This validation process verifies that the recorded diagnoses and procedures align with the patient’s medical record and meet the required criteria set forth by coding guidelines and review organizations.

    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?

    Brundage Group’s DRG validation services are distinguished by our physician-led approach, combining clinical expertise with in-depth coding knowledge. Our team of experienced physician advisors, certified coders, and clinical documentation specialists ensures accurate documentation and optimal DRG assignment, leading to enhanced revenue integrity.

    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?

    We understand the urgency of optimizing your revenue cycle operations. With Brundage Group, you can expect a streamlined and efficient implementation process. Our web-based solution allows for quick onboarding, minimizing the need for extensive IT support. We work closely with your team to ensure seamless integration into your existing workflow, enabling you to experience the benefits of physician-led DRG validation without significant disruptions.

    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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