Overview of
DRG Validation Consulting
TogetherMD CDIs leverage GapAI™, employing deep NLP and machine learning algorithms to prioritize high-value claims. Our CDI experts then review these claims for underpayment and clinical quality, ultimately delivering substantial returns for healthcare providers.
And if we don’t succeed, you don’t pay. That’s the TogetherMD Guarantee!
Key Results of
DRG / APC Validation Consulting
Our TMD experts scour patient accounts to enhance DRG precision and revenue potential, attaining exceptional clinical revenue cycle outcomes within a matter of weeks.
350%
Improved
Productivity
17%
Opportunity
Find Rate
$2.1 M
Revenue Capture per
10,000 discharges
Key Benefits of
DRG / APC Validation Consulting
Our advanced SaaS platform integrates GapAI™ technology and CDI strategy for streamlined, automated case selection, empowering hospital CDI teams.
Increased Reimbursement
Recoup under-coded patient claims and realize about $4,900 per inpatient claim and $390 per outpatient claim
Improved Quality Scores
Ensures optimal coding & documentation, improving quality scores, as judged by payers, by 20 – 45% per claim
Guaranteed Impact
Engage us on a contingency basis; if we don’t find opportunity, clients pay nothing
Simple Interoperability
Our IT staff integrate via clients’ preferred methods such as EDI, HL7, SFTP, ensuring effortless connectivity
Quick, One-Time Setup
Our team onboards a client in hours and not days, including data interoperability and process alignment
Minimal Time Commitment
The average 250-bed hospital spends less than 2 hours per week on the inpatient or outpatient integrity process
Built-in Intelligence for
DRG / APC Validation Consulting
Our consulting solution empowers TMD CDIs with advanced GapAI™ technology. This AI engine integrates 2,000 diagnostic criteria, evolving with ongoing reviews, client input, and regulatory shifts. This ensures precise documentation and coding tailored to each hospital’s unique environment.
