82% bill reduction after audit of hospital outpatient services
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 hospital inpatient care uncovers coding errors and over-inflated hospital charges
Background ClaimDOC’ s comprehensive line-by-line auditing of healthcare claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings to…
Audit of outpatient surgery results in an 84% plan savings
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…
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…
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…