ORQ

ORQ Health Revenue OS

Recover what's owed. Prove it.

ORQ helps hospital teams prevent avoidable DRG downgrades by finding supported documentation gaps before reimbursement is lost.

Start ORQ DRG Guard Pilot See the workflow

Start with de-identified or approved documentation.

DRG review queue
Evidence-led

Review focus

Potential DRG downgrade

Documentation specificity may need review before final coding.

Priority

REVIEW

Evidence available

Documented evidence

Clinical indicators identified in source record

Next action

Validate specificity with the appropriate clinical reviewer.

Review path

Not another black box

Revenue recovery that your clinical teams can stand behind.

ORQ is built for the hard handoff between the chart, clinical documentation, coding, utilization review, and finance. The output is an evidence-led review—not a claim that every signal is recoverable revenue.

Clinical context first

Start with what the record supports, not a billing target. ORQ helps teams focus their review on clinically grounded documentation gaps.

Evidence stays visible

Potential opportunities point back to the source documentation so physicians, CDI, and coding can evaluate the why behind the signal.

Impact is prioritized

Review queues connect documentation specificity to potential DRG movement, helping teams decide what deserves attention first.

Protect · Recover · Prove

Stop letting the chart and the revenue cycle work in different directions.

ORQ creates a clear review path for the documentation that can influence DRG integrity—before it becomes a downstream denial, downgrade, or missed appeal opportunity.

Plan a focused pilot
  1. 01

    01

    Ingest the record

    Begin with de-identified or approved documentation, including an H&P and related clinical context.

  2. 02

    02

    Surface supported gaps

    ORQ identifies diagnoses and specificity gaps that may warrant a clinical, CDI, or coding review.

  3. 03

    03

    Prove the next move

    Each signal is organized around evidence, suggested follow-up, and potential revenue relevance—not an opaque score.

A focused first deployment

Begin with the cases where you need more certainty.

Bring a defined set of admissions. ORQ organizes the documentation and DRG signals worth reviewing so your team can decide what to pursue next.

  • De-identified or approved document review
  • Potential DRG and specificity signals
  • Traceable clinical evidence
  • Clear next-step recommendations for review