DRG Audits

Amenity’s impressive industry knowledge affords a wealth of experience with all institutional DRG claims. We are familiar with nuances of federal, state, and commercial health plan claim processing, benefit design and coverage, medical policy, contracting, and program integrity efforts. And have a comprehensive understanding of various DRG payment methodologies such as DRG, MSDRG, APDRG, APRDRG, as well as per diem, fee schedule or percent of charge. We have established pricing tools and have the deep experience creating algorithms and models to mine for extremely efficient DRG cost containment and recovery.