Transfer DRG’s

In certain circumstances, a hospital receives less than the full DRG payment where Medicare patients are transferred to another institution or transferred home to receive home health care services. Sometimes, Medicare incorrectly reimburses the hospital on a per diem rather than the full DRG payment. Jzanus has developed a proven approach to assist in identifying these cases where an underpayment may have occurred and provide hands on assistance is obtaining the appropriate payments for these services. Using a combination of Data Analysis and researching SNF/HHA information, Jzanus will secure the appropriate level of reimbursement that the hospital is entitled to under the Medicare Transfer payment methodology.