DRG CLAIMS MANAGEMENT

DRG Claims Management is a privately held company headquartered in Brooklyn, New York. Employing 18 people, the company generates approximately $5 million in annual revenue. DRG Claims Management specializes in providing customized pre-payment DRG claims review services. Their services cater to various DRG claims payers, including Medicare Advantage, Medicaid Managed Care plans, and commercial payers. Their expertise spans all 50 states and Puerto Rico, ensuring nationwide coverage. DRG Claims Management utilizes proprietary algorithm-based auditing processes to identify claims with high recovery potential. Their team reviews medical records for accuracy, ensuring compliance with regulatory mandates, guidelines, and conventions. A key differentiator for DRG Claims Management is their commitment to preserving provider relationships. Their approach involves maintaining professional dialogue with providers until securing signed confirmations of DRG revisions. This proactive strategy minimizes costly appeals and ensures smooth resolution, saving clients valuable time and resources. Clients interested in learning more about DRG Claims Management's services can visit their website at drgclaims.com.