Transfer DRG Revenue Recovery

• Revenue Cycle Insights

Chances are, if you’ve found your way to this webpage, you have a pretty good idea of the issues surrounding Transfer DRGs – and their contributions to lost hospital revenue. You may even have a Transfer DRG recovery vendor or an in-house team currently working to identify underpayment situations. But if you’ve come to this webpage, you may be looking for support in giving those efforts a boost.

At BESLER, that “boost” is our specialty. Without displacing or disrupting a current review vendor or internal process, BESLER can provide a secondary validation of impacted claims to ensure you are identifying all potential underpayments. (And our service is contingency based, so we don’t get paid unless we find you more underpayments.) As an additional service, we can check for possible overpayments to ensure you are completely compliant with Medicare regulations.

Even after another vendor has reviewed a hospital’s Transfer DRG cases, our second sweep of the same claims often identifies 30% or more additional revenue. Here’s how…

• Our proprietary technology platform allows us to identify and make definitive determinations on every single claim impacted by Medicare’s Post-Acute Transfer Rule. This means that we can investigate and validate claims that other vendors or processes may have missed – and full assurance that your hospital is recovering all of its earned revenue.

• While some companies claim to perform clinical reviews, BESLER actually employs RNs who examine certain scenarios to ensure clinical compliance before an underpayment determination is made – giving you peace of mind and delivering a more complete recovery effort.

• We start off on the right foot – and with the right foundation. As a matter of fact, BESLER has an entire team dedicated to onboarding new customers because we know just how important the right beginning is to ensuring a successful partnership. Our onboarding experts are troubleshooters who understand the complexities of CMS data and the nuances of hospital organizations. Our commitment to personalized onboarding is particularly impactful to Transfer DRG recovery projects – allowing us to facilitate full team alignment, smoothly navigate potential roadblocks, and work quickly and efficiently so we can recover revenue faster.

Great start. Great partnership. Great outcome.

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