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.LEARN MORE
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
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.LEARN MORE
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.CONTACT H.H.C. GROUP TODAY
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:
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?