FEATURING Janelle Ali-Dinar, PhD; Nancy Beckley, MS, MBA, CHC; David Glaser, Esq.; Emily Evans; Ronald Hirsch, MD, FACP, CHCQM; and Stanley Sokolove, CPA

DRG Downgrades by Commercial Payers: Documentation Defense Tactics
In the current climate of cost containment, commercial payers are increasingly downgrading MS-DRGs after claims are submitted, not disputing the need for inpatient care, but