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…
Resources
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.
Audit of Hospital Stay and Surgery Saves Member $10,391.10
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…
New Codes, Guidelines, Medical Billing Considerations in 2025
The complexities surrounding medical coding, billing and submitting an accurate claim the first time is a given. Anyone in the business of healthcare will attest…
Audit of 5-Day Hospital Stay Results in $2,730.01 in Member 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…