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93% Savings After Audit of Eye Hemorrhage and Related 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 bimonthly. See the savings below and know that together we can make healthcare affordable.

1. Inverness, Florida

Hospital outpatient services for the treatment of vitreous hemorrhage (left eye) and related surgery.

High-Dollar Services Operating Room: $41,361.10

Savings Summary Billed Charges: $69,993.52 ClaimDOC Allowed: $4,678.51 Plan Savings: $65,315.01 Reduction: 93%

2. Kingwood, Texas

Four-day hospital stay for the treatment of gallstones and related surgery.

CT Scan: $30,991.20	Billed Charges: $187,766.65 ClaimDOC Allowed: $14,389.48 Plan Savings: $173,377.17 Reduction: 92%
High-Dollar Services	Savings Summary

3. Blacksburg, Virginia

Hospital outpatient services for the treatment of rotator cuff injury right shoulder and related surgery

Implants: $69,425.00	Billed Charges: $152,547.00 ClaimDOC Allowed: $12,095.58 Plan Savings: $140,451.42 Reduction: 92%
High-Dollar Services	Savings Summary

4. Tallahassee, Florida

Four-day hospital stay for the treatment of liver/biliary tract disorder, cholecystitis in pregnancy and related surgery.

Operating Room: $39,147.50	Billed Charges: $141,288.10 ClaimDOC Allowed: $14,172.58 Plan Savings: $127,115.52 Reduction: 90%
High-Dollar Services	Savings Summary

5. Phoenix, Arizona

Hospital outpatient services for the treatment of endometriosis of left ovary and related surgery.

High-Dollar Services Operating Room: $36,153.20 Recovery Room: $24,255.00

Savings Summary Billed Charges: $158,183.00 ClaimDOC Allowed: $22,159.51 Plan Savings: $136,023.49 Reduction: 86%

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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.