This webinar focused on the two distinct DRG revenue problems hiding in the post-bill window that standard workflows rarely address: silent denials, payer-initiated DRG adjustments that arrive with no denial code and no workflow trigger, and undercaptured DRG complexity, paid claims where a blank-slate clinical review finds revenue the documentation supports but the original billing process could not see.
Watch this webinar to learn how to build a complete post-bill DRG strategy:
- Understand why DRG downgrades increased nearly 57% between 2022 and 2023 and why most never show up as a formal denial.
- Identify which DRG clusters payers are targeting most aggressively, including sepsis, AKI, and respiratory failure.
- Discover how to find revenue in paid claims you thought were closed.
- Learn how repeated downgrades silently erode your Case Mix Index over time.
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- Build a combined DRG Validation and Downcode Defense framework that closes the loop between post-bill findings and front-end documentation.
Watch this webinar
