96% bill reduction after outpatient dialysis treatment
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…
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Audit of outpatient hospital services for hemorrhoid treatment results in 95% bill reduction
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…
Price Transparency Buzzkill?
The last couple Industry Perspectives have been somewhat introspective, so I thought I’d share some views on an external topic which is top-of-mind for a…
99% bill reduction after outpatient treatment for neck and back pain
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…
Air Ambulance Mileage on Claim Raises Auditor’s Red Flag
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 outpatient hospital services for neck pain treatment results in 99% bill reduction
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…
Navigating Market Preference – Substance over Style
Five years ago, I joined a call with an experienced broker with a strong firm out of Kansas City. She had a client struggling with…
Medical Coding and Billing Errors – Innocent Mistake or Intentional Misrepresentation?
Background The complexities surrounding medical coding, billing, and submitting an “accurate” claim are a given. Those in the business of healthcare will affirm that keeping…
93% bill reduction after audit of ASC services for endometriosis
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…