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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 results bi-monthly. See the savings below and know that together we can make healthcare affordable.

1. San Antonio, TX

Hospital outpatient services for the treatment of rectal cancer

Operating Room: $36,745 Anesthesia: $6,484	Billed Charges: $65,579.00 ClaimDOC Allowed: $3,633.26 Plan Savings: $61,945.74 Reduction: 94%
High-Dollar Services:	Savings Summary:

2. Jacksonville, FL

Hospital outpatient services for the treatment of gallbladder disease and related surgery

Operating Room: $44,025 Anesthesia: $19,133 Recovery Room: $5,839	Billed Charges: $84,382 ClaimDOC Allowed: $5,816.21 Plan Savings: $78,565.79 Reduction: 93%
High-Dollar Services:	Savings Summary:

3. San Antonio, TX

Hospital outpatient services for the treatment of osteoarthritis of left hip and related surgery

Implants: $43,215.83 Operating Room: $43,092 Recovery Room: $19,885	Billed Charges: $122,098.23 ClaimDOC Allowed: $14,202.13 Plan Savings: $107,896.10 Reduction: 88%
High-Dollar Services:	Savings Summary:

4. Indianapolis, IN

One-day hospital stay for the treatment of heart attack

Operating Room: $63,759 Cardiac Cath Lab: $26,01494	Billed Charges: $103,824.54 ClaimDOC Allowed: $16,206.20 Plan Savings: $87,618.34 Reduction: 84%
High-Dollar Services:	Savings Summary:

5. Quakertown, PA

Hospital outpatient service for the treatment of rotator cuff tear of left shoulder and surgery

Operating Room: $29,503 Anesthesia: $11,044 Implants: $10,355	Billed Charges: $60,533.78 ClaimDOC Allowed: $15,947.61 Plan Savings: $44,586.17 Reduction: 74%
High-Dollar Services:	Savings Summary:

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Disclaimer – The analysis of any medical billing or coding is dependent on numerous facts, regulations, payer policies, and codes, as well as the controlling plan description. The information contained herein is intended to provide a real-life example of opportunities for savings through ClaimDOC services but is not intended to provide medical, legal, or financial advice.