DRG Coding, Compliance & Reimbursement
Reveal DRG coding and compliance risks and opportunities with DRGcheck.com™. This tool goes far beyond EDI data scrubbing. It delivers a cost-efficient, highly effective way to create and apply rules that reveal:
- Under and overpayments due to coding and/or documentation errors
- RAC Audit targets
- Medical necessity targets
- CERT, MIC, MAC, PSC and OIG targets
- Re-admission risk and patterns
- Present On Admission risk and patterns
- Coding quality trends and patterns by Coder and Physician
- Track ICD10 coding and reimbursement trends and improvement initiatives
- Quality issues
Create queries using rules you select from our library or develop your own. Select the records, charts or claims having the highest probability for coding, compliance, quality or billing discrepancies. And develop the reports you need, when you need them.
Think of it – you can have access to all this information without burdening your IT team. DRGcheck.com can be used retrospectively or concurrently with your billing process.