Permedion’s DRG Validation program ensures that hospital bills reflect the appropriate classification of the Diagnosis Related Group (DRG), which is used to establish the correct reimbursement. The process consists of an in-depth independent review of the patient's medical records to validate the diagnosis and procedure codes, and other information that is used to calculate the DRG for the claim being billed.

For payers, Permedion uses customized software to scrutinize each hospital claim and electronically evaluate for coding or grouping errors, and inappropriate DRG up-coding.  We use specific edits to identify and re-sequence the case. Medical record review is usually a critical part of this process.

For Health Care Providers, Permedion can use the same technique to evaluate whether the maximum allowable codes are being assigned.

Permedion’s DRG review personnel are experienced medical coding professionals with formal ICD-9-CM and DRG coding training and credentials. The majority of the staff of Registered Health Information Technicians (RHIT) are also Certified Coding Specialists (CCS). Each coding staff member has a minimum of five years of hospital coding experience.