Transfer DRG

VHC pioneered the Transfer DRG review when we first began in 1996. In that time we have collected in excess of $500 million for our clients, performed over 675 engagements across the U.S., and processed over 3 million claims. 

VHC's number one priority has always been compliance. Medicare Transfer DRG regulations are highly complex and require a large amount of documented due diligence to ensure the discharge disposition change is supported. We ensure complete adherence to Medicare rules to keep you safe from audit scrutiny. We go the extra mile to contact each post-acute care provider to verify level of care, coordination of benefits, and patient compliance. 

Because Medicare Advantage contracts typically mirror Medicare IPPS, your managed Medicare claims are also a source of lost revenue VHC has successfully reviewed for Transfer DRG changes. 

Our industry-leading technology platform coupled with our regulatory and clinical expertise, as well as full-service recovery provide a comprehensive and compliant turnkey solution that will uncover every lost dollar your hospital deserves.

Are retrospective claim reviews worth it?

Our clients think so. Our proven revenue recovery process is an integral part of revenue cycles in more than 300 hospitals. Why? Because year in and year out we recover millions of dollars from zero-balance accounts that our clients have earned and deserve.