Recover Medicare underpayments and receive full reimbursement on Transfer DRG claims.

An average of 6-8% of all 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. Our fully compliant Transfer DRG Review verifies correct reimbursement of Medicare claims that are subject to the Post-Acute Care Transfer Policy. We then recover reimbursement from transfer DRG underpayments that rightfully belong to your organization.

Our Transfer DRG Team has worked with hundreds of hospitals across the country, including some major chains, and has over 15 years of experience recovering transfer DRG underpayments and providing revenue recovery services to the healthcare industry. McBee takes a holistic approach to address each of our client’s unique needs. Our process encompasses total claims reprocessing and includes validation that can be used to update your billing files and supports the adjustments. McBee will submit corrected claims, verify acceptance of the correct claim, and track the claim to final transfer DRG payments.

The McBee Advantage

Our approach to Transfer DRGs ensures our clients have complete control over which claims are adjusted and a total understanding of the reasons they are recommended for adjustment. Our consultants research each claim to identify the exact status of each discharge in the claim universe and ensure a fast turnaround. Our process is significantly more robust than simply comparing your data to the common working file.  We verify our findings with post-acute providers so there is never any doubt about our recommendations.  Your organization retains absolute and final control over which claims are adjusted and our fees are based upon recoveries. We recover the full DRG payments with minimal disruption to your staff, allowing you to keep business on track without daily operations being interrupted.  Over the years, our team has recovered approximately 15% more than either internal efforts, or those of other third parties.

  • Average of $3,000+ recovery per claim

  • Gain a dedicated team of McBee consultants and leadership

  • Engrain best practice into culture with staff education

  • Receive initial findings in 24 to 48 hours to ensure transfer DRGs are accurate

  • Fully Medicare-compliant approach

Blog post Blog Approaches to Revenue Integrity in Revenue Cycle Management Read

Discharge/Transferred to:

  • Home with Home Health or Hospice Care

  • Hospice Care at Inpatient Facility

  • Skilled Nursing

  • Rehabilitation Hospital or Rehabilitation Unit of Acute Care Hospital

  • Psychiatric Hospital or Psychiatric Unit of Acute Care Hospital

  • Long-Term Acute Care Hospital

  • Children’s Hospital

  • Cancer Hospital

Contact us and receive a free estimate today for our Transfer DRG Review services.

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