DPC & RBP – Because it works
For those in the benefits world, you know the acronyms. DPC – direct primary care and RBP – reference based pricing. The former is a…
Resources
Freestanding Emergency Departments vs Urgent Care Clinics
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 for health plans…
Provider Relations Unicorn
Prior to joining ClaimDOC in May of 2021, I spent most of the last 25 years negotiating transactions on behalf of health systems, hospitals and…
Audits uncover extreme cost variation in hip replacement surgeries
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…
99% bill reduction after audit of breast cancer 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 dialysis 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…
RBP Takeovers
Reference based (RBP) pricing is making its way to the forefront of conversations between employers and their benefits consultant. Opinions vary drastically on whether or…
97% bill reduction after audit of treatment for end-stage renal disease
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…
Hospital bills vary for treatment of COVID-19, including charges for Veklury® (Remdesivir)
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 for health plans…