Auditing and Monitoring — A Necessity for Effective Compliance and Ethics
Everyone working in the field of healthcare compliance understands one of the seven key elements of an effective compliance and ethics program is auditing and…
Resources
Shutting Down New Sales
It’s bittersweet for me as the senior vice president of growth to announce ClaimDOC is shutting down new sales for the year. We are selectively…
Audit Saves Plan $16,116.80 on Claim
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…
Vetting Your Vendors’ Cyber Vulnerability
If your organization sponsors a self-funded health plan and cybersecurity isn’t part of your vendor evaluation criteria, it’s time to reassess. Protecting your own…
Medical Billing Errors on Healthcare Claims — Fraud or Abuse?
In the context of medical coding, fraud involves intentional misrepresentation of services billed. Abuse refers to the falsification of information that was likely an innocent…
Dual Option: Cut Costs, Not Employee Satisfaction
Traditionally, the best of both worlds has been out of reach for employees and companies when it comes to health plan design. Plans…
Making Sense of Cash Pay
Paying cash for healthcare services is not a new concept, but it’s also an option that is not widely used. The reason is because…
Patient Saves $5,738.68 After Surgery to Fix Broken Hip Prosthesis
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…
The Truth About Reference-Based Pricing: What Employees Really Experience
In Part 2 of her appearance on The Business of Benefits podcast, ClaimDOC Vice President of Business Development Danielle Young discusses with host Chelsea Ryckis…