Established in 1985, National Health Resources, Inc. (NHR) is an operational management firm that specializes in assisting health care providers in assuring the proper billing and payment of claims for health care services. NHR services include reviews of medical records to verify ICD-10-CM/PCS coding (DRG validation) and CPT-4 coding (hospital, physician and related outpatient billing). NHR has a full roster of experienced validators including credentialed medical record professionals, nurses, and physicians. NHR's DRG validation reviewers have analyzed over one million medical records over the course of the past 15 years.
NHR's clients have included both large teaching hospitals as well as community hospitals. NHR has also provided services to Federal government agencies (e.g., U.S. Department of Justice and HCFA/DHHS Office of Inspector General).
NHR's clients have included both large teaching hospitals as well as community hospitals. NHR clients have also included Federal government agencies (e.g., U.S. Department of Justice and HCFA/DHHS Office of Inspector General), third-party payers, law and accounting firms, PROs, medical societies and other physician organizations.
Our concurrent validation program for services billed to the Medicare, Medicaid and commercial insurance programs insure that the coding/billing of such services is accurate and supported by documentation in the medical record.