Concurrent DRG Management Program

Our concurrent validation program for services billed to Medicare, Medicaid and commercial insurance programs insure that the coding/billing of such services is accurate and supported by documentation in the medical record.  This program will:

  • Enhance DRG/coding accuracy
  • Assist in improving physician documentation practices
  • Monitor your DRG management through our monthly hospital and coder statistical profile reports
  • Provide online access to your facility’s DRG review results
  • Assure optimal DRG assignment and avoid improper billing
  • Allow for timely billing to continue
  • Facilitate Medical Record Department review and revision prior to claim submission
  • Provide regular in-service training programs
  • Help to avoid potential violations of the False Claims Act