Hospital Bill - Screening Results
$41,208 Savings - A patient received Glucose-Semi Quantative Charge entered as, $41, 332.50. It should have been 3 units each for a total charge of $123.75.
$39,787.50 Savings - While screening an In-patient hospital bill, EPI's nurse screener, questioned hospital on billing four ICD Ventricular Leads. EPI verified only Two were actually used for a credit of $42, 787.50.
Hospital Bill - On Site Audit
$4,017.71 Savings - An on-site audit found $4,017.71 in undocumented charges. The hospital agreed with our findings and EPI obtained a signed agreement.
Fee Negotiation
$4,300.00 Savings - Patient receives monthly dialysis treatment. EPI set up a standing single patient agreement for a 20% discount on a $21,500.00 hospital bill. The agreement includes all future charges received from the dialysis facility concerning this specific patient. Since EPI's negotiation fee of 20% of savings caps out at $500 our client realized added savings.
Medical Review - Surgical Center Claims
$9,834.10 Savings - Patient treated from a free standing surgery center for one-day date of service. Payer received bill for $15,165.00. Our medical reviewer, documented $9,834.00 as excessive and unreasonable and some services medically unnecessary.
Hospital Bill - Excessive and Unreasonable
$55,843.90 Savings - Payer received hospital bill for $124,097.55. Upon conducting a bill analysis, EPI determined that charges in the amount of $55,843.90 were excessive and unreasonable.