No Surprises Act
In a bipartisan effort to end balance billing, the No Surprises Act was written into the most recent coronavirus relief package. “Balance bills” are bills…
Resources
92% claim reduction after audit of outpatient treatment of knee osteoarthritis
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 outpatient treatment of malignant melanoma results in plan savings
Background ClaimDOC’ s comprehensive line-by-line auditing of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings to health…
Audit of four-day hospital stay results in 87% claim 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…
6 Questions About Making the Switch to Reference Based Pricing
Healthcare costs continue to increase annually at a rate far above the national cost of living percentage. Health insurance is one of the largest expenses…
90% claim reduction after an audit of treatment of ovarian cyst
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 outpatient laparoscopic hysterectomy results in 78% plan savings
Case Scenario Member underwent outpatient surgery for a laparoscopic hysterectomy at a medical center located in Georgia. The hospital submitted their facility claim to insurance…
Audit of dialysis treatment results in a 99% claim 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…
My Journey From BUCA to ClaimDOC
The US healthcare system provides an undeniable quality of care, technology, and providers. Yet, these providers are disconnected from the member by a maze of…