DRG claims management has grown beyond the parameters of the hospital walls
DRG
The largest liabilities occur here and our team works meticulously to locate the claims that are likely to yield the greatest recoveries. With respect for the burden on providers, we work amicably to minimize friction and maximize savings.
Our record speaks for itself
average verified annual over-payments per 100K members.
in additional annual savings, surpassing industry standards.
SNF
RUGS or PDPM calculations drive reimbursements to our partners in the nursing home industry. Our innovative systems and skilled team ensure that plans receive the full-service auditing they are entitled to — and more.
APC
A growing component of claims management, we are experts in the auditing of Outpatient Services. We achieve successful and timely audit results.
The secret behind our unmatched savings is no secret
- IntelliSelect Algorithms
- Provider Collaboration
- Data Automation and Implementation
- Clinical Expertise
- Compliance
- Flexibility and Customization