More than 50% of Acute Care providers’ Medicare claims are impacted by the Transfer DRG Regulations. Since the beginning of this program, McBee has been supporting our clients around the country to ensure that they do not miss any revenue to which they are entitled by helping them identify underpayments. We recover reimbursement from transfer DRG underpayments that rightfully belong to your organization.
In addition, our overpayment reviews, where we validate Transfer DRG claims assigned a discharge to home status (01), will assist with confirming if your full DRG payments received were correct. Our fully compliant Transfer DRG Review verifies the correct reimbursement of Medicare claims that are subject to the Post-Acute Care Transfer Policy.
Our Transfer DRG Team has worked with hundreds of hospitals across the country, including some major health systems, and has over 20 years of experience identifying transfer DRG over and underpayments. McBee takes a holistic approach to address our client’s unique needs. Our process encompasses claims reprocessing and includes validation that can be used to update your billing files and support claim adjustments. McBee will submit corrected claims, verify acceptance of the corrected claim, and track the claim to final transfer DRG payments.