McBee has found that most vendors conduct Transfer DRG reviews shortly after a patient’s discharge from the hospital. This may not allow sufficient time for post-acute providers to submit claims to Medicare and obtain a complete picture of a patient’s continuum of care. The benefits of a secondary review are not only to identify potential revenue recovery opportunities but also for a compliance review to ensure the correct discharge status assignment for the patient is accurately indicated. One multi-hospital health system requested a secondary review to recover any additional revenue not captured. Learn how a partnership with McBee resulted in:
- Recovering over $152k in additional underpayments
- Opportunities for discharge status code correction
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