Tag: Bill Review

The Power of Probing: Why You Should Question DRG-Based Claims

It’s not uncommon for facilities or PPO networks to assert that a claim is DRG-based to deter payors from pursuing further review. On the surface, this might seem like a dead end for an Itemized Bill Review, but that’s not always the case. When informed that a claim was repriced at a DRG, it’s crucial The Power of Probing: Why You Should Question DRG-Based Claims