Diagnosis Related Group

SMCA's reviews are targeted based on the DRG-linked terms of each client's contracts

Signed agreement with provider on each claim; minimal appeals and back-end "noise"

No minimum claim size threshold

DRG Validation is a "must" if reimbursement terms with providers are based on DRGs.

SMCA has assembled a combination of computerized screening, technical coding expertise, and in-depth medical knowledge, which is unmatched in the medical cost control arena.

SMCA adheres to nationally established coding guidelines (AHA, AHIMA, CMS and NCHS)