Keep improving for long-lasting value
Partner with Cloudmed to tackle DRG complexities and help your team work smarter. Here’s a look at how we work together:
You provide high-level inpatient information using our universal data spec (UDS). Automated file extracts are delivered to your Cloudmed team weekly. Pre-bill or post-bill flexibility complements current clinical documentation improvement (CDI), computer assisted coding (CAC), or coding processes.
We validate the information and run it through our proprietary rules and machine learning algorithms. We review medical records and provide justification for all recommended DRG shifts and New Technology Add-On Payment (NTAP) opportunities.
Intuitive dashboards monitor and identify DRG shifts for staff to review, change, and bill in real-time. Our invoicing team monitors rebilling and resolution to maximize reimbursement.
Robust reporting and root cause analysis equip you to better manage your workflow, team, and ongoing education efforts. Leverage Cloudmed’s deep expertise across multiple payers and providers to implement changes quickly.