Same Colonoscopy, Different Facilities, Wildly Different Costs
More than 16 million colonoscopies are performed in the United States each year. A common gastrointestinal procedure, colonoscopies are routinely performed as a screening for…
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Member Saves $10K After Complicated Childbirth
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…
Member Saves Over $23K While Audit Reduces Plan Cost by Nearly $117K
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…
Burden of Healthcare Fraud and Abuse Impacts Everyone
Program integrity strategies focus on pricing and reimbursing the correct amount to legitimate providers and suppliers for covered services — reasonable and necessary services provided…
Claim Audit Delivers $48,336.27 in Plan Savings
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…
Outrageous Anesthesia Charges Raise Questions
As healthcare costs continue to climb an upward slope, there is an escalated and ongoing need for closer assessment of healthcare claims to assist in…
Audit Saves Plan $18,412.58 After Member’s Hospital Stay
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…
Time for Change — 2026 Brings New Codes, Guidelines and Medical Billing Considerations
The complexities surrounding medical coding, billing and submitting an accurate claim is a given. Entities in the business of healthcare will attest: keeping up with…
$71,745.06 in Hospital Savings After One-Day Hospital Stay
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…