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89% bill reduction after audit of nine-day hospital stay 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 results bi-monthly. See the savings below and know that together we can make healthcare affordable.

1. Los Angeles, CA

Nine-day hospital stay for the treatment of spinal stenosis and related surgery

  • Operating Room: $77,735
  • Pharmacy: $73,522
  • Room and Board: $73,224
  • Laboratory: $17,831
  • Anesthesia: $15,454
  • Billed Charges: $276,275
  • ClaimDOC Allowed: $28,758.66
  • Plan Savings: $247,516.34
  • Reduction: 89%
High-Dollar Services: Savings Summary:

2. Blacksburg, VA

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

  • Operating Room: $28,724
  • Medical/Surgical Supplies: $12,235
  • Billed Charges: $53,522
  • ClaimDOC Allowed: $5,898.89
  • Plan Savings: $47,623.11
  • Reduction: 88%
High-Dollar Services: Savings Summary:

3. Brooksville, FL

Six-day hospital stay for the treatment of osteomyelitis

  • CT Scans: $29,479
  • Room and Board: $23,805.50
  • Pharmacy: $10,330.44
  • Billed Charges: $81,120.32
  • ClaimDOC Allowed: $9,081.66
  • Plan Savings: $72,038.66
  • Reduction: 88%
High-Dollar Services: Savings Summary:

4. St. Louis, MO

Five-day hospital stay for the treatment of left femur fractures

  • Operating Room: $26,500
  • Trauma Level 1: $15,000
  • CT Scan: $11,100
  • Room and Board: $10,500
  • Billed Charges: $103,807.82
  • ClaimDOC Allowed: $25,261.14
  • Plan Savings: $78,546.68
  • Reduction: 75%
High-Dollar Services: Savings Summary:

5. Madison, WI

Eight-day hospital stay for the treatment of acute pancreatitis, diabetes, and morbid obesity

High-Dollar Services:

  • Room and Board: $24,840
  • Laboratory: $12,631
  • Pharmacy: $12,315.05

Savings Summary:

  • Billed Charges: $66,542.70
  • ClaimDOC Allowed: $17,482.81
  • Plan Savings: $49,059.89
  • Reduction: 73.73%

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.