DRG Compliance

your DRG audit experience.

DRG Compliance Associates delivers DRG assignment correction and appeals prevention, unmatched in accuracy AND integrity.  Our team’s combined expertise spans more than half a century in managed care, claims adjudication, cost management and DRG coding / auditing.  Our clients are government based managed care health plans, commercial health plans and self-insured entities, and third-party organizations such as TPAs and managed service organizations.  Our senior management has served as recognized expert witnesses for testimony in provider / payer DRG claim disputes and are frequently invited as presenters and panelists to national industry conferences and educational seminars.

 Crack Team

We are RNs, AHIMA Certified Coders, AHIMA and ACDIS certified clinical documentation specialists, and a panel of Board-Certified Physicians with expertise in coding and evaluating medical record documentation for accuracy and sufficient clinical support to justify assigning a code.

 Intelligent Selection

We review only those claims that are likely to have errors and cost savings.


We work within your timeframes, using regulatory standards, and recognized ICD-10 CM and PCS Official Guidelines.

 Appeal Prevention

No artificial quotas that result in over-aggressive denials; multiple vectors applied to reviews, signed agreements with providers on an acceptable alternate DRG.


Programs tailored to your priorities and the sensitivities of your provider relationships; customized to best suit your corporate culture and philosophy.

We are pleased to answer your questions about DRG Compliance Associates.  If you would like to speak to one of our senior leaders now, feel free to call Renee at 888-826-3348 ext. 814 or send an email: rkrul@drgcompliance.com.  

If you prefer, complete this form and we will respond promptly.