Resources
94% bill reduction after audit of outpatient cancer treatment
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
Audit of outpatient cataract surgery uncovers egregious charges
Background ClaimDOC’ s comprehensive line-by-line auditing of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings to health…
Audit of outpatient for knee dislocation results in an 81% plan savings
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
What About the Members?
SOURCE: Kaiser Family Foundation calculations using NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health…
82% bill reduction after audit of hospital outpatient services
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
Audit of hospital inpatient care uncovers coding errors and over-inflated hospital charges
Background ClaimDOC’ s comprehensive line-by-line auditing of healthcare claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings to…
Audit of outpatient surgery results in an 84% plan savings
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
No Surprises Act
In a bipartisan effort to end balance billing, the No Surprises Act was written into the most recent coronavirus relief package. “Balance bills” are bills…
92% claim reduction after audit of outpatient treatment of knee osteoarthritis
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
Audit of outpatient treatment of malignant melanoma results in plan savings
Background ClaimDOC’ s comprehensive line-by-line auditing of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings to health…