Are you and your team worried about miscoding claims?
BESLER’s post-bill DRG Validation process leverages our healthcare revenue cycle optimization technology – employing 1,600+ rules – as well as our certified and very experienced coders to determine the accuracy of code selection.
Our coding analysts then examine suspect claims to identify coding error trends, overpayment risk, underpayment cost, and to correct coding issues. Additionally, they evaluate the quality of physician clinical documentation for completeness, accuracy, and compliance.
Suggested claim adjustments are then proposed to the hospital and feedback is given on trends and common coding issues encountered.
Why Partner with BESLER?
100% Post-Bill Claims
Reviewing 100% of your Medicare inpatient claims post-bill ensures no revenue is left behind and you remain in full compliance.
One of our main goals is to make your process stronger so we carefully match our coding experts to your hospital’s unique needs.
Supplement & Complement Your Team
Our DRG Validation process seamlessly complements your existing staff and system to make their work more efficient and complete.
Results are Front & Center
Meetings with your team on a regular cadence to review recoveries, coding trends, and potential compliance issues – and access to real-time dashboards.
Your team can rely on our coding experts to identify coding error trends. Our team also offers expert instruction to prevent repeatable errors.
CMS has approved all of our claim adjustment recommendations giving you peace of mind that our work is both thorough and fully compliant.
Interested in getting tips to help you choose a DRG Validation partner? Check out our new DRG Validation Infographic.
Contact us today to get your annual recovery estimate and learn about our revenue integrity solutions.