Reducing Revenue Leakage Through DRG Reconciliation and Clinical Documentation Improvement Measures

Revenue leakage is a big issue for healthcare organizations in part thanks to inaccurate coding or clinical documentation. It’s critical each final coded inpatient DRG is validated through a thorough review process to ensure the coded data and actual clinical scenario match and are properly documented, which must occur after a patient is discharged but before the final bill is sent. These reviews are often a time-consuming, costly manual process. With an overwhelming amount of work for clinical documentation improvement (CDI) professionals who have limited time and resources, this informative white paper addresses ways to ensure diagnostic-related group (DRG) reconciliation, accurate clinical documentation and optimized reimbursement.