Buzzkill Part II: Health Care Quality Measures
Last month, I wrote a short article about healthcare pricing transparency and the opportunities and challenges presented by the newly available pricing…
Resources
IV Acetaminophen Was Not Administered– Why Did It Show Up on the Billed Charges?
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…
96% bill reduction after outpatient dialysis 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…
Audit of outpatient hospital services for hemorrhoid treatment 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…
Price Transparency Buzzkill?
The last couple Industry Perspectives have been somewhat introspective, so I thought I’d share some views on an external topic which is top-of-mind for a…
99% bill reduction after outpatient treatment for neck and back pain
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…
Air Ambulance Mileage on Claim Raises Auditor’s Red Flag
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 outpatient hospital services for neck pain treatment results in 99% 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…
Navigating Market Preference – Substance over Style
Five years ago, I joined a call with an experienced broker with a strong firm out of Kansas City. She had a client struggling with…