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Transfer DRG
The first and best Transfer DRG solution
SPEAK WITH AN EXPERTRecover more fee-for-service and Medicare Advantage revenue with our best-in-class combination of technology and expertise. Our platform mines the Centers for Medicare and Medicaid Services (CMS) eligibility databases with pinpoint precision, exposing more revenue opportunities than our competitors can – up to 70% more.
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Collect the money you’re owed
Find and recover revenue through our expert analysis of discharges against the Transfer DRG ruling where the hospital should have received full reimbursement. We bring the expertise you need with an elite team boasting decades of experience in post-acute care, Medicare and managed care billing, compliance and regulation.
Learn how our Transfer DRG solution helps optimize the back-end revenue cycle to enable patient financial services, revenue cycle and health information leaders recover more revenue.
Improve compliance and quality
Rely on comprehensive compliance checks and quality assurance performed by our multi-disciplined team with decades of experience.
Unburden your team
Allow us to do 100% of the work with a single pull of your data. You begin recovering revenue within 90 days.
Avoid overpayments
Avoid overpayments and audits with our comprehensive overpayment review. We can even handle your re-billing.
Keep improving and maximize results
Realize measurable improvements in accuracy, compliance and quality. There’s zero risk with our 100% contingency fee-based model.
You provide the data pull of all paid claims, grant direct data entry (DDE) access for our research and electronic medical record (EMR) access to review medical records.
We validate the data and run it through our proprietary rules and machine learning algorithms. Our expert team reviews the resulting worklists for additional recovery opportunities. Our initial review includes a four-year lookback.
We prepare and verify the pre-bill list with the Medicare Administrative Contractor (MAC). We can perform the re-billing or follow-up weekly with your team to ensure re-billing is occurring. We monitor payments throughout the entire lifecycle within the Medicare system.
Robust reporting and root cause analysis equip you to better manage your workflow, team and ongoing education efforts. Plus, we provide custom education sessions from a former chief compliance officer.
Recover revenue and drive real results
High agreement rate
98%
average findings agreement rate
Collect more
Up to
70%
more revenue recovered than competitors
Speed matters
90
days to revenue recovery
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