Healthcare Resource Group (HRG) offers a wide range of auditing aimed at improving data integrity and optimization of revenue.
Our audits can be customized to fit your specific needs. Our teams will identify coding accuracy, clinical documentation deficiencies and their impact on reimbursement. In addition, we will offer recommendations for resolution and assist with the implementation of industry established best practices.
All HRG professionals are Licensed/Credentialed RN, CCDS, CDIP, RHIA, RHIT, CCS, CCS-P or combination thereof.
Types of audits available for providers & hospitals:
MS DRG, APR DRG (Severity of Illness, Risk of Mortality) and APC
HCPCS/CPT (All specialties)
E/M (Hospital, Clinic & Professional for all specialties)
Risk Adjustment (CMS HCC, RxHCC, HHS HCC) to include risk score impact and data validation