Combat DRG Downgrades to Improve Financial Stability
Just when you thought you developed a successful method to manage denials in the hospital, insurers have been successfully decreasing appropriate payments to hospitals with the use of coding and clinical validation audits. These DRG downgrades in the hospital are likely costing your hospital as much (if not more) than the medical necessity denials from insurers.
In this webinar, our team of expert physician advisors will discuss:
- The process of DRG revisions
- How to identify patient charts susceptible to DRG revisions
- Processes to prevent DRG revisions and audits
- How to successfully dispute these inappropriate DRG downgrades
Submit your information to view the on demand webinar.
Submit your info to view the on demand webinar!
About Us
Physician advisory service programs improve outcomes for hospitals and patients.
Sound's physician advisory services provide high-quality concurrent and secondary case reviews to hospital partners nationwide. Our unique approach includes remote advisory services, the option for an onsite medical director of advisory services, and training and education for hospital-employed physician advisors.
Our on-site and remote physician advisors address the root cause for missed reimbursement by tightly integrating with the hospital case management team and medical staff to ensure appropriate level of care and clinical documentation throughout the patient stay.