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31% of total healthcare costs are spent on hospital payments.


Diagnosis Related Groups (DRGs) prospective payment system is a system of classifying inpatient hospital patients who have similar hospital resource use and length of stay into distinct groupings. The groupings are based on diagnoses, procedures, age, sex, discharge status and the presence of complications or comorbidities. The DRGs are used to determine acute hospital reimbursement.

Our audit services validate the diagnosis, procedures, age, sex, discharge status and presence of complications or comorbidities for accuracy of payment.

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