Every wrong DRG costs you thousands. We fight back.
Expert DRG appeal specialists who challenge incorrect Diagnosis-Related Group assignments, ensuring your facility receives the reimbursement it deserves.
DRG appeals that actually recover revenue
Thorough Clinical Review
We analyze medical records against DRG assignment criteria to identify underpayments and incorrect groupings that cost your facility revenue.
Expert Appeal Letters
Detailed, evidence-based appeals written by certified coding professionals who understand the clinical language payers need to see.
Payer-Specific Strategy
Customized appeal approaches for each payer's review process. We know what works with each insurance company.
Revenue Recovery Tracking
Track every dollar recovered from successful DRG appeals through your ClaimGuard portal with real-time dashboards.
From wrong DRG to recovered revenue in four steps
Submit Your Case
Upload your case with the original DRG assignment and your proposed DRG through our secure portal.
Clinical Documentation Review
Our team of certified coding specialists reviews the clinical documentation to build the strongest possible case.
Build & Submit Appeal
We craft a detailed, evidence-based appeal letter with clinical justification and submit it to the payer.
Track Recovery
Monitor the status of your appeal and track recovered revenue in real-time through your ClaimGuard portal.
Stop losing revenue to incorrect DRG assignments
Every misclassified DRG is money your facility earned but never received. Let our specialists fight for the reimbursement you deserve.