DRG Compliance

The Centers for Medicare & Medicaid Services is proposing enormous changes to its inpatient services payment system — most notably clearer definitions of a patient’s condition severity via Medicare Severity DRGs (MS-DRGs).

We can help you prepare your staff and internal systems for the change so that you don’t miss out on reimbursement.

With OptumInsight, you can avoid disruptions to revenue cycle management:

• Identify financial and coding impact
• Safeguard cash flow
• Protect operational efficiency