The New York City Health + Hospitals Corporation is seeking a consulting firm or contractor that has extensive experience in successfully appealing DRG downgrade denials at acute care hospitals. The firm must have expertise in documentation, coding guidelines and reimbursement rules. The firm will work under the supervision of the NYC Health + Hospitals’ Central Office of Revenue Cycle Services/Health Information Management. It is anticipated that the selected firm will be called upon to provide the ten NYC Health + Hospitals acute care facilities with assistance on appealing DRG downgrade denials and follow up. The selected firm is also expected to give feedback on trends in facilities and identify steps to take to reduce denials.