Historic $1 Million Fine – What to Know
What is the best way to enforce regulations in an already heavily regulated industry like healthcare? Is it the carrot a la non-profit tax breaks…
Resources
Red Flags Raise Questions: Egregious Charges or Billing Errors?
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 for health plans…
91% bill reduction after audit for treatment of benign tumor and surgery
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…
ClaimDOC Pave the Way
Pave the Way is ClaimDOC’s trademarked proactive healthcare provider outreach program, which begins during the implementation phase, before the effective date, and continues throughout the…
Audit of sepsis and tachycardia treatments results in 91% bill reduction
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…
Welcome to the Party
Transparency legislation has created a new wave of data-driven companies, resources, and information that have stakeholders in the industry drooling over access to this once-secretive,…
Significant Laboratory Test Charges for Controlled Substance Monitoring and Drugs of Abuse
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 for health plans…
96% bill reduction after audit of treatment of end-stage renal disease
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 osteoarthritis treatment results in 90% bill reduction
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…
DPC & RBP- Because it works
For those in the benefits world, you know the acronyms. DPC – direct primary care and RBP – reference based pricing. The former is a…