HealthCare Insight

As a payor, you may not share the humor that springs from overcharges that bloat 99 percent of hospital bills. But there’s something you can do about it, and that’s the focus of this thirty-minute edition of our ClaimSaver Webinar Series.

The problem

While comprehensive, well-defined rules allow professional claims to be auto-adjudicated, facility claims lack the structure necessary to protect your interests. With that in mind, pause before you cut your next facility charges reimbursement check—you could pay less.

The solution

Without changing your existing facility claim review program, you can take one small additional step an reap significant savings off your payable charges. More than most types of claims, facility charges require a hand-on approach to clinical review. Surprisingly, that kind of expertise-intensive review is available in a form that’s:

• Quick—with rapid turnaround that doesn’t bump against prompt-pay regulation.
• Accurate—performed by nurses, physicians, accountants, and certified coders.
• Prospective—occurring post-adjudication and pre-payment.
• Comprehensive—with line-by-line review.

Who should attend

Our discussion will be of direct relevance to cost-containment directors and managers; directors of claims; chief financial officers; chief medical officers; vice presidents of cost containment; and anyone responsible for hospital claims.

This Webinar can help you:

• Save up to 25 percent off payable charges after any discounts.
• Drill down to line-item clinical review of itemized UB04.
• See real-time online review status verification.
• Negotiate and resolve line item bill discrepancies leading to signed settlement agreements.