DRG: The Secret to Higher Payment Recoveries and Lower Provider Abrasion
Audits can be stressful and tense for both sides of the table. The sheer nature of recovering money already paid makes overpaid claims recovery a tumultuous task. Payers are pressured to identify overpaid claims, retrieve medical records, schedule audits, and expedite payment recovery. Providers are inundated with record requests from multiple sources, resulting in a huge administrative burden. Tensions are high, and the relationship between payer and provider is set up to fail.