Excessive Markup of CT Scans — What Is a Fair Charge?
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication do not catch, leading to greater savings for medical plans…
Resources
Audit of Chemotherapy Bill Saves Member $12,676.26
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…
Red Flags — Egregious Anesthesia Charges Billed to Member
Background In this Claims Audit Spotlight, we focus on recent claims where a ClaimDOC auditor raised red flags and asked the same question on both…
Member Saves $3,817.09 After Surgery Bill Audit
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…
So Many Ways to Code and Bill Healthcare Services Improperly
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for medical plans…
High-Cost Cancer/Other Drugs and the Mystery of Hospital Markups
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for health plans…
Audit of Hospital Stay Saves Member $4,923.03
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…
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…
Audit of chest pain treatment leads to 97% savings
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…