DRG Validation
Bridging the gap between hospital coders and attending physicians.
Pre-bill DRG reviews are necessary to ensure that effective documentation is used to capture the accurate diagnosis-related group (DRG) and risk of mortality. Accurately capturing the correct DRG in a timely manner is critically important to ensure revenue integrity and to relay high quality care as publicly reported.
All pre-bill DRG reviews are completed by our physician advisors, and based on sound medical evidence. Our physician advisor team includes certified coders (CCS) and certified clinical documentation specialists (CCDS).
- Our physicians ensure documentation and coding compliance to prevent denials and secure accurate reimbursement
- DRG review services are backed by our proprietary, concurrent analytics that identify opportunities for targeted physician education
- DRG validation helps hospitals achieve more accurate patient acuity and increase case mix index (CMI)
- Clients can get started quickly through our web-based solution with limited IT support required
Contact us to request pre-bill DRG validation services.
Our Services
We break down departmental silos in hospital organizations through the unification of clinical documentation across quality, utilization, denials and CDI.
