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Line-Item
Bill Review

H.H.C. Group provides:

  • Free Prescreens
  • Experienced Nurse Reviewers
  • Appeal Support Starting on Day One

Line-Item Bill Review. H.H.C. Group Can Help.

By some estimates 30-40% of Medical bills contain costly errors. Additionally, sometimes charges on the bills are out of line with what is being billed by other providers in the same market for the same services (Usual & Customary). For large out-of-network claims and in-network (when allowed) and, H.H.C.'s clients have us conduct Line-Item Bill Reviews (LIR) to ensure they are not paying for items erroneously included in a bill or at rates that are not appropriate.

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Finding Costly Hospital Bill Errors. H.H.C. Group Delivers.

Line-Item Bill Reviews are intensive reviews performed by high-experienced nurse coders. They scrutinize every line on the claim to identify duplicate charges, improper modifiers, improper quantities, unbundling, and other errors. They also flag items that just don't belong on the claim.

SPEAK TO A SPECIALIST

Determining Reasonableness of Charges. H.H.C. Group Can Help.

For out-of-network claims, we can also determine the usual and customary charges (U&C) for providers for the same or similar services in the same geographic area. Importantly, before asking our clients to commit a dime, we perform a free pre-screen to determine if the potential savings are significant enough to justify an in-depth review.

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Appeal Support From Day 1. H.H.C. Group Is Here.

Of course, should a provider challenge any of the edits once the Line-Item Bill Review results are sent to them by our client, H.H.C. offers appeal support starting on day one at no extra charge.

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Maximizing Client Savings Since 1995


Many clients have us conduct Line-Item Bill Reviews in conjunction with Claims Negotiation and Claims Repricing to maximize their savings.

H.H.C. Group is uniquely well qualified to provide this service given its:
  • 26+ years of experience successfully negotiating settlements on medical bills on behalf of payers nationally;
  • Highly experienced, attorney, licensed health insurance adjustor negotiators;
  • Proprietary database and access to multiple published databases;
  • Panel of Board Certified Physicians and other healthcare professionals to determine whether treatments are medically necessary, medically appropriate, or otherwise qualify or do not qualify for payment. HHC Group is a URAC Independent Review Organization for Internal and External Review.

We'll get the job done for you!

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LINE-ITEM BILL REVIEW RESOURCES

savings is your top priority
SHOW YOUR CLIENTS THAT SAVINGS IS YOUR TOP PRIORITY

As a rule, self-funding health benefits delivers significant savings compared to premiums for a fully-insured health plan. Throughout the years, premiums have increased in fully insured companies. What can you do about it?