Your bottom line is our top priority
We are your preferred partner for healthcare auditing, recovery and compliance.
Experience the DRG differenceDRG claims management serves as your eyes and ears
Our expansive list of services include DRG, Outliers, Short Stay, Readmission, SNF and APC validation and recovery solutions that proudly exceed industry standard.
DRG Means More.
Breadth of Expertise
Pre-payment Solutions
Innovative Selection Process
Corporate Skills - Boutique Service
Proprietary Data-sifting Technology
Provider-verified Results
Integrity matters
At DRG, we believe that you deserve better: Better processes, better communication, and better results.
We tailor each auditing process to meet our client’s unique strategic objectives, and employ innovative and forward-thinking solutions to meet their auditing, compliance and recovery goals.
Service. Transparency. Savings.
It’s what we bring to the auditing table
It pays to work together
We stand apart by ensuring compliance and integrity with provider-verified audit results.
- Reduces appeals
- Saves resources
- Eliminates reversals
- Establishes relationships
- Smooth recovery
- Superior results
Our unique process focuses on obtaining signed agreements that minimize friction and improve your bottom line.
Knowledge is auditing power
Our team includes clinical auditors with AHIMA credentials in the HIM field and CCS certified; healthcare veterans with management expertise in health care delivery, medical economics, managed care; IT and development staff overseeing data integrity, coding and more; and support staff dedicated to serving you right.
Accreditations and Affiliations
Clients testimonials
Manager, Special Investigations
Any payer seeking an audit vendor should consider DRG Claims Management, they are an excellent choice. As the Manager of Special Investigations for the Driscoll Health Plan, my Team and I have been collaborating with them for almost 10 years on our yearly program of facility audits of DRG utilization and they remain our choice.
The services they provide are top rate and their level of customer service is outstanding. All their staff from the Executive Leadership team and everyone in the organization make their clients feel like they are the most important the company has every time we speak to them. They provide excellent tracking metrics as well as maintain and develop excellent working relationships with the providers audited.
They have always been very responsive to our requests and have always gone the extra mile to ensure that our auditing needs are met. I am confident that you’ll have a positive experience if you decide to purchase their auditing services and partner with them.
