About National Health Resources
Established in 1985, National Health Resources, Inc. (NHR) is an operational management firm that specializes in assisting health care providers in assuring the proper billing and payment of claims for health care services.
NHR services include reviews of medical records to verify ICD-10-CM/PCS coding (DRG validation) and CPT-4 coding (hospital, physician and related outpatient billing). NHR has a full roster of experienced validators including credentialed medical record professionals and nurses.
Our DRG validation reviewers have analyzed more than one million medical records over the course of the past 15 years. Clients have included both large teaching hospitals as well as community hospitals, and have experienced the following results:
Elevated performance of hospital coding staff through comprehensive educational programs
Achieved accurate and optimal reimbursements in compliance with federal law and regulations, which has optimized their revenue flow and prevented non-compliance with improper billing
Improved case mix index performance
Increased scores within national and regional hospital rankings
