BESLER’s Inpatient DRG Validation service utilizes the power of our proprietary Revenue Integrity technology platform to rapidly determine ICD-10 CM/PCS and CPT coding accuracy and appropriateness of code selection.
Our platform employs over 1,600 rules to evaluate accuracy. Unlike manual chart audits, our software looks at every single claim to identify potential issues.
Our coding analysts then examine suspect claims to identify coding error trends, overpayment risk, underpayment cost, and to correct coding issues. Additionally, they evaluate the quality of physician clinical documentation for completeness, accuracy, and compliance.
Suggested claim adjustments are then proposed to the hospital and feedback is given on trends and common coding issues encountered.
