Red Flags — Egregious Anesthesia Charges Billed to Member
Background In this Claims Audit Spotlight, we focus on recent claims where a ClaimDOC auditor raised red flags and asked the same question on both…
Resources
Member Saves $3,817.09 After Surgery Bill Audit
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…
Medical Debt & Credit Impairment — Fear Tactics Taking a Hit
In case you missed it, the Biden administration recently announced that the Consumer Financial Protection Bureau would work toward removing medical…
Winning the RBP Access War, With or Without Contracts
ClaimTalk Ep. 3 Direct contracts are very different from direct access. In our latest episode of ClaimTalk —Winning the RBP Access War, With or…
So Many Ways to Code and Bill Healthcare Services Improperly
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 medical plans…
High-Cost Cancer/Other Drugs and the Mystery of Hospital Markups
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 Hospital Stay Saves Member $4,923.03
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…
Be a Leader, Protect Member Money
If your company is struggling with the ever-increasing cost of healthcare for your workforce, you must understand that there is no end to it. Changing…
93% Savings After Audit of Eye Hemorrhage and Related Surgery
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…