5 Tips for Healthcare Providers to Better Prevent DRG Downgrades

Tablet computer, laptop, and stethoscope site on desk with medical charts

The clinical downgrading of diagnosis-related groups (DRG), or DRG downgrades, has become an extremely problematic issue for healthcare providers over the past decade. Overall, denials related to DRGs are increasing; downgrading target DRGs without even requesting documentation can also happen. One healthcare system, for example, found that DRG downgrades have increased from an average of […]