10 Common Medical Billing Errors
As healthcare costs continue to skyrocket, an escalated need exists for closer analysis of healthcare claims to identify egregious charges, improper medical coding and…
Resources
Audit of Hospital Stay and Procedure Saves Member $9,018.75
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Exorbitant Charges Billed by Surgeon and Assistant Surgeon for Spine Surgery
In the U.S., back pain is one of the most common reasons people seek medical care and treatment. There are multiple treatment options for back…
Audit of Cesarean Delivery Saves Member $9,978.12
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Why Are There Extreme Differences in the Cost for the Same Procedure?
Hospital charges and hospital costs for the exact same procedure can vary greatly. For the purposes of this article, we compare a…
Audit of 8-Day Hospital Stay Saves Member $10,449.32
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Egregious Physician Charges for Varicose Vein Procedures
There are multiple treatment options for varicose veins, including endovenous laser ablation, sclerotherapy, ligation with or without striping, and others. Some procedures are performed in…
Member Saves $8,093.08 After Audit of Hospital Stay and Surgery
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Egregious Charges, Price Transparency and Pricing Tools
In this month’s Audit Spotlight, we focus on a claim example where our audit team zoomed in closer on the billed services and related charges.