Simply stated, our core expertise is DRG Auditing and Recovery of overpayments for any health plan who pays claims using DRG methodology. We stand out amongst our competitors by having built our entire company around our unsurpassed expertise in identifying and correcting DRG coding errors. And we are so good at what we do that we deliver provider-verified results that ensure recovery of your dollars- all at no financial risk.
DRG Claims Management’s integrated approach pairs technology with the vast experience of our Executive team along with dedicated and qualified certified coding specialists, nurse reviewers and physician advisors, all working together to address your most complex inpatient claims challenges by identifying errors and resolving coding disputes with hospitals and medical providers.
WE TAKE THE EXTRA STEP TO ENSURE YOUR REFUND:
Every year millions of claims dollars are overpaid due to coding errors that are too complex and difficult for claims departments to identify .
Because of the increasingly high potential for significant overpayments, DRG auditing has become a necessity as well as an important facet of a payor’s quality and compliance initiatives.
Identifying claims savings opportunities is just one step in the process. There’s also the challenge of actually recovering your dollars . . .
And that’s where DRG Claims Management is different.
We don’t simply make recommendations of what the correct bill should have been. We take it to the next step and obtain a signed confirmation from the provider that they agree to our audit findings.