Resources

Jun 7, 2021

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…

Jun 7, 2021

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…

May 20, 2021

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…

May 20, 2021

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…

May 4, 2021

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…

May 4, 2021

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…

Apr 19, 2021

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…

Apr 19, 2021

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…

Apr 5, 2021

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…

Apr 5, 2021

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…