More than three-quarters of the nation’s inpatient acute care hospitals are paid under the Inpatient Prospective Payment System (IPPS). The IPPS methodology pays a flat rate based on the average charges across all hospitals for specific diagnoses, regardless of whether that particular patient costs more or less.
Correct DRG assignment is critical to the health of your organization. Coding audits, as well as using the proper tools, will allow financial and compliant stability.
The ReviewMate platform assists medical coding auditors analyze specific elements affecting DRG assignment and reimbursement.