DRG Benchmarking

BKD Health Care Group offers diagnosis-related group (DRG) benchmarking that compares your hospital’s data with national and peer data to help identify case-mix problems. Analyzing specific DRG databases helps pinpoint difficulties with medical record documentation, earmarks trends and compares local, regional and national lengths of stay and charges. Statistical analysis helps identify potential improvements in the delivery of patient care services.

BKD Health Care Group provides the following services as part of our DRG benchmarking process:

Potential Benefits to You
  • Identifies trends and reimbursement problems
  • Improves compliance
  • Assesses proper coding
  • Compares number of outliers and complications to peers
  • Proactively addresses critical areas for OIG audit
  • Compares against select and immediate geographic area peers
  • Compare DRG assignments to industry peers
  • Evaluate DRG ratios for significant outliers
  • Select outliers for assessment
  • Assess appropriateness of current documentation and coding processes
  • Determine opportunities to improve data integrity in medical record documentation and billing
    • Review inpatient chart sample for documentation and coding quality
    • Review ICD-9-CM code(s) assigned to chart for appropriate level of specificity
    • Examine patterns for complication and co-morbidity documentation
      and code assignment
    • Interview staff to understand current documentation and coding procedures
    • Evaluate operational issues related to DRG assignment
    • Identify tools used for coding
    • Customize a plan to address each identified issue with staff
    • Build staff awareness through educational sessions
Request a call from a BKD advisor

For More Information

Contact your BKD advisor or:

R. Scott Vaughn
800.581.4290