ACDIS update: DRG validation and denials management paper released
May 16, 2019
CDI Strategies - Volume 13, Issue 20
As providers get on board with managed care programs and more stringent fee-for-service requirements, payers are doing everything in their power to hold revenue dollars close. As a result, providers are struggling with payer-specific clinical validation denials and are constantly challenged on the codes and DRGs assigned to their cases.
This new paper from Elsevier, defines the process of DRG validation and how it can benefit provider organizations by ensuring that the correct information is communicated the first time.