Health Information Personnel Practice Test

What task is performed by DRG Validators?

1. Analyze laboratory results

2. Assist in surgeries

3. Manage patient intake

4. Oversee insurance claims

5. Perform quality review of coded records and data

6. Schedule appointments

The correct answer is: Perform quality review of coded records and data

The task performed by DRG Validators focuses on the quality review of coded records and data. This role is essential in ensuring that medical records are accurately coded, which directly impacts reimbursement rates and compliance with healthcare regulations. DRG Validators evaluate the medical coding associated with Diagnosis-Related Groups (DRGs) to confirm that the codes assigned reflect the severity of the patient's condition and the services provided. By validating DRG assignments, these professionals help maintain the integrity of health data, contributing to better patient care management and financial accuracy for healthcare facilities. Their work is critical for both quality assurance and adherence to coding standards in the healthcare system.