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Fixing their billing procedures and optimizing their price list for services. This is pretty tricky stuff and easy to get wrong, because there are many factors
by johnzabroski 16y ago
Fixing their billing procedures and optimizing their price list for services. This is pretty tricky stuff and easy to get wrong, because there are many factors that influence how hospitals get paid, such as stoploss rules, carve outs, worker's compensation groupers, various mother-baby rules, etc.
Often times hospitals receive $0 for something they should be getting $10 million per year for, just because nobody ever contests the NOPAY response. Finding that sort of error isn't easy.