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As healthcare costs continue to rise, ensuring that costly inpatient care is paid accurately is a top concern for plans. DRG validation plays a crucial part in ensuring plans pay accurately—and members don’t incur more out-of-pocket expenses than necessary.
Enter Cotiviti’s prospective Clinical Chart Validation solution—a game-changing innovation designed to complement retrospective paid claims approaches, increase recovery rates, elevate medical record receipt rates, and reduce administrative costs by as much as 15%.
Read our case study to learn how prospective DRG review:
• Reduces errors and helps ensure correct payments
• Delivers higher recovery rates and cost savings
• Streamlines processes and reduces administrative burden
Learn the different ways that Clinical Chart Validation can help your organization to streamline and optimize DRG review to bolster payment integrity while improving quality and the provider experience.