News

98% bill reduction after audit on acidosis 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. Inverness, FL

Hospital outpatient services for the treatment of acidosis, vomiting blood and altered mental status

High-Dollar Services:

  • CT Scans: $40,365

Savings Summary:

  • Billed Charges: $81,544.27
  • ClaimDOC Allowed: $1,831.37
  • Plan Savings: $79,712.90
  • Reduction: 98%

2. Orlando, FL

Two-day hospital stay for the treatment of prostate cancer and related surgery

  • Operating Room: $169,593
  • Anesthesia: $31,558
  • Pharmacy: $21,939
  • Billed Charges: $268,316.49
  • ClaimDOC Allowed: $23,718.79
  • Plan Savings: $244,597.70
  • Reduction: 91%
High-Dollar Services: Savings Summary:

3. Kingwood, TX

Six-day hospital stay for the treatment of cellulitis right lower leg and heart failure

  • Room and Board: $36,821.10
  • Laboratory: $36,536.41
  • Billed Charges: $162,137.55
  • ClaimDOC Allowed: $15,221.31
  • Plan Savings: $146,916.24
  • Reduction: 91%
High-Dollar Services: Savings Summary:

4. Pittsburgh, PA

Nine-day hospital stay for the treatment of stroke

  • Room and Board: $68,058
  • Billed Charges: $190,144.17
  • ClaimDOC Allowed: $29,267.48
  • Plan Savings: $160,876.69
  • Reduction: 85%
High-Dollar Services: Savings Summary:

5. Peoria, IL

Twenty-six day hospital stay for the treatment of sepsis, lung cancer, and related surgeries

High-Dollar Services:

  • Laboratory: $80,518.00
  • Operating Room: $75,122.00

Savings Summary:

  • Billed Charges: $388,570.55
  • ClaimDOC Allowed: $72,938.10
  • Plan Savings: $315,632.45
  • Reduction: 81%

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.