About Us
Established in 1985, National Health Resources, Inc. (NHR) is a management consulting firm that specializes in assisting health care providers and third party payers in assuring the proper billing and payment of claims for health care services. NHR services include reviews of medical records to verify ICD-9-CM coding (DRG validation) and CPT-4 coding (hospital, physician and related outpatient billing). NHR has a full roster of experienced consultants including credentialed medical record professionals, nurses, and physicians. NHR's DRG validation reviewers have analyzed over one million medical records over the course of the past 15 years.

NHR's clients have included both large teaching hospitals as well as community hospitals. NHR has also provided consulting services to Federal government agencies (e.g., U.S. Department of Justice and HCFA/DHHS Office of Inspector General), third-party payers, law and accounting firms, PROs, medical societies and other physician organizations.

As part of its training services, NHR has produced multimedia educational programs for physicians and coding personnel (e.g., videotapes on Documentation Guidelines for Evaluation & Management Services - Medicare Part B with accompanying medical specialty specific manuals and forms; pocket guides and wall posters on medical record documentation requirements, etc.).


Concurrent DRG Management Program
Our concurrent validation program for services billed to Medicare and Medicaid programs insure that the coding/billing of such services is accurate and supported by documentation in the medical record.
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Ambulatory Payment Classifications
NHR Provides Ambulatory Patient Classification (APC) Coding compliance audits.
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Physician Documentation Review
Through a thorough review of physician documentation, the NHR staff identifies potential risk areas and determines training needs.
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Multimedia Training in E/M
Our E/M documentation training programs for physicans utilize a multi-media approach.
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60 Cutter Mill Rd. Suite 500, Great Neck NY 11021 Telephone : 516-487-3822 or E-Mail us