Purchasing Power: The Economics of Caring about Employees
With 2022 coming to a close, we continue to watch the economic winds affecting our customers with concern for 2023. While inflation seems to be…
Resources
Audit of outpatient dialysis services 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…
High-Cost Drug Charges are Questioned – Physician Reply is Surprising
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…
Medicare Reductions from a Lame-Duck Congress? Not likely!
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final rule cutting Medicare payments by 4.5% for physicians (including physicians,…
Substantial Disparities Among Charges for CT Scans – What is a Reasonable Fee?
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…
99% bill reduction after audit of ASC services for treatment of osteoarthritis of the spine
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 services for treatment of rib fractures results in 96% 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…
The Art of Persuasion – RBP is Bad for Members
Human Resources Teams are tasked with developing benefit solutions that meet many needs. They recruit new employees with competitive offerings and retain employees by meeting…
Audit Reveals Varied Costs for Spinal Surgery
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…
86% bill reduction after audit of hospital outpatient services for spinal instabilities 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…