DRG CLAIMS MANAGEMENT

United States · 11 Employees
DRG Claims Management provides an unprecedented, customized pre-payment DRG claims review services for any DRG claims payer, especially Medicare Advantage and Medicaid Managed Care plans as well as other commercial payers. We provide our services to dozens of payers on a national level and have experience with providers in all 50 states and Puerto Rico. Our expertise and proven results are achieved consistently across all DRG methodologies inclusive of APR-DRG, MS-DRG, AP DRG and all federal, commercial, and state specific pricing schedules. We've designed state-of-the-art workflow applications and developed a proprietary algorithm-based auditing process screen and identify claims with the highest potential for recovery results. We review medical record documentation for the accuracy of the assigned DRG and payment based on correct application of regulatory mandates and official guidelines and conventions. - all at no financial risk to our clients. • Our team is highly specialized in the intricacies of DRG methodology and coding and we find coding errors and overpayments of up to 60% of a claim's original billed amount. The majority of overpayments are found in the mid-range of claims priced from $10,000 to $80,000. • Unlike the majority of our competitors, we preserve important provider relationships and maintain the professional dialogue until we obtain a signed provider confirmation of the DRG revision. • Provider "sign-offs" effectively eliminate costly appeals and overturning of the audit determination, thereby relieving the health plan of addressing resolution in a formal and resource-consuming appeal process. • On average, we achieve a yearly savings of $3-6 million of verified over-payments for every 100,000 members in a typical DRG payment environment, relative to the Plan's demographics and membership case mix. Savings for Managed Medicaid/Family/Children's plans is the range of $3M per 100k members.

概述

国家 United States
成立时间 2009
总部 10 mountainview road, upper saddle river, new jersey, united states
电话号码 +1 888-406-4711
网站 http://www.drgclaims.com
LinkedIn http://www.linkedin.com/company/drg-claims-management
Twitter https://www.twitter.com/drgclaims
Facebook https://facebook.com/drgclaims
员工数 11
行业 hospital & health care,
简介 DRG Claims Management provides an unprecedented, customized pre-payment DRG claims review services for any DRG claims payer, especially Medicare Advantage and Medicaid Managed Care plans as well as other commercial payers. We provide our services to dozens of payers on a national level and have experience with providers in all 50 states and Puerto Rico. Our expertise and proven results are achieved consistently across all DRG methodologies inclusive of APR-DRG, MS-DRG, AP DRG and all federal, commercial, and state specific pricing schedules. We've designed state-of-the-art workflow applications and developed a proprietary algorithm-based auditing process screen and identify claims with the highest potential for recovery results. We review medical record documentation for the accuracy of the assigned DRG and payment based on correct application of regulatory mandates and official guidelines and conventions. - all at no financial risk to our clients. • Our team is highly specialized in the intricacies of DRG methodology and coding and we find coding errors and overpayments of up to 60% of a claim's original billed amount. The majority of overpayments are found in the mid-range of claims priced from $10,000 to $80,000. • Unlike the majority of our competitors, we preserve important provider relationships and maintain the professional dialogue until we obtain a signed provider confirmation of the DRG revision. • Provider "sign-offs" effectively eliminate costly appeals and overturning of the audit determination, thereby relieving the health plan of addressing resolution in a formal and resource-consuming appeal process. • On average, we achieve a yearly savings of $3-6 million of verified over-payments for every 100,000 members in a typical DRG payment environment, relative to the Plan's demographics and membership case mix. Savings for Managed Medicaid/Family/Children's plans is the range of $3M per 100k members.

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常见问题

DRG CLAIMS MANAGEMENT 在哪里?

DRG CLAIMS MANAGEMENT 的总部位于 10 mountainview road, upper saddle river, new jersey, united states

DRG CLAIMS MANAGEMENT 的电话号码是多少?

DRG CLAIMS MANAGEMENT 的电话号码是 +1 888-406-4711

DRG CLAIMS MANAGEMENT 的官方网站是什么?

DRG CLAIMS MANAGEMENT 的公司官方网站是 http://www.drgclaims.com

DRG CLAIMS MANAGEMENT 是做什么的?

DRG CLAIMS MANAGEMENT 的业务有哪些?

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DRG CLAIMS MANAGEMENT 的年收入是多少?

DRG CLAIMS MANAGEMENT 的收入是 7000000美元

DRG CLAIMS MANAGEMENT 有多少员工?

DRG CLAIMS MANAGEMENT 有 11 名员工

DRG CLAIMS MANAGEMENT 属于哪个行业?

DRG CLAIMS MANAGEMENT 从事以下行业: hospital & health care

DRG CLAIMS MANAGEMENT 使用什么技术?

DRG CLAIMS MANAGEMENT 使用的一些流行技术包括: ASP.NET,Apache,Bootstrap Framework,Google Font API,Google Tag Manager,Microsoft-IIS,Mobile Friendly,Outlook,Shutterstock,WordPress.org,reCAPTCHA

如何联系 DRG CLAIMS MANAGEMENT?

DRG CLAIMS MANAGEMENT 联系信息: 电话号码:+1 888-406-4711， 网站:http://www.drgclaims.com， 邮箱：lba***@***.com

DRG CLAIMS MANAGEMENT 的社交媒体链接是什么?

DRG CLAIMS MANAGEMENT 领英：http://www.linkedin.com/company/drg-claims-management,fackbook：https://facebook.com/drgclaims,twitte:https://www.twitter.com/drgclaims

DRG CLAIMS MANAGEMENT 是一家上市公司吗?

不是

DRG CLAIMS MANAGEMENT 的最后一轮融资是什么时候?

暂无最近投资信息

谁投资 DRG CLAIMS MANAGEMENT?

DRG CLAIMS MANAGEMENT 有 0 家投资者,包括 。

管理层

Lanita Baker

AVP Clinical Operations

Lisa Delman

Audit Account Manager

Yosef Grossman

Communications Manager

Shia Reiss

Network Administrator & Security Assistant Director

Dawn Fagerness

Manager

员工

Bernie Klein

Chief Executive Officer

Josh Korman

Chief Operating Officer

Abraham Kaufman

CIO

Joel Hirsch

Application Developer

Chesky Berkovits

Executive Assistant

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