Facility and DRG coding requires detailed understanding of inpatient documentation, diagnoses, procedures, complications, comorbidities, and discharge information. Our facility coding services help healthcare organizations accurately represent the complexity and resources associated with inpatient encounters.
Our coding teams review clinical documentation and assign appropriate diagnosis and procedure codes while supporting accurate DRG classification.
Comprehensive coding for acute care inpatient hospital stays, capturing the full spectrum of patient care and hospital resource consumption.
Learn moreAccurate assignment and validation of Medicare Severity Diagnosis Related Groups (MS-DRGs) and All-Patient Refined DRGs (APR-DRGs).
Learn moreIn-depth clinical review ensuring correct application of ICD-10-CM diagnosis codes and complex ICD-10-PCS procedural codes.
Learn morePrecise identification and validation of the condition established after study to be chiefly responsible for occasioning the admission.
Learn moreThorough identification of all co-existing conditions, chronic illnesses, and manifestations affecting inpatient length of stay and treatment.
Learn moreAccurate capture of Complications/Comorbidities (CC) and Major Complications/Comorbidities (MCC) reflecting genuine patient clinical acuity.
Learn moreDetailed extraction and coding of surgical and non-surgical inpatient therapeutic and diagnostic procedures adhering to coding conventions.
Learn morePre-bill clinical review and validation verifying that documented clinical criteria substantiate the assigned DRG before claim generation.
Learn moreComprehensive review of discharge summaries, operative reports, and physician progress notes to ensure complete encounter documentation.
Learn moreDual-level peer audits and continuous accuracy benchmarking maintaining high compliance with CMS inpatient prospective payment standards.
Learn moreDetailed clinical and coding review supports appropriate DRG assignment.
Structured validation helps identify inconsistencies and documentation gaps.
Accurate facility coding helps ensure that inpatient services are appropriately represented.
Consistent coding review supports adherence to inpatient coding standards.
Connect with our certified inpatient coding specialists today to discuss facility coding, DRG validation, and revenue integrity.
