Direct Contracts & Healthcare Pricing Complexities – Part 1
Healthcare access can be the biggest hurdle to successfully implementing a reference-based pricing plan. Sometimes it requires creating an agreement called a direct contract…
Resources
10 Common Medical Billing Errors
As healthcare costs continue to skyrocket, an escalated need exists for closer analysis of healthcare claims to identify egregious charges, improper medical coding and…
As Data Breaches Surge, Is Employee Information Safe?
Cybersecurity threats to sensitive customer and financial information should not be a new topic for anyone. Whether you are a broker or an employer, the…
Audit of Hospital Stay and Procedure Saves Member $9,018.75
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Claim Denials: Their Rippling Effect on Health Plans
Claim denials are a complex piece of the healthcare system, and they can cause frustration for patients and providers alike. There are many…
Exorbitant Charges Billed by Surgeon and Assistant Surgeon for Spine Surgery
In the U.S., back pain is one of the most common reasons people seek medical care and treatment. There are multiple treatment options for back…
Navigating NSA Nightmares
Navigating the No Surprises Act often feels like a perilous fight for insurers/payors. While it may be unfair to call the system rigged, the independent…
Balance Bill Protection: Often Promised, Rarely Executed
A strong balance bill defense is essential to a successful reference-based pricing health plan. But what does that look like?…
Audit of Cesarean Delivery Saves Member $9,978.12
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…