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Hospital Bill Analysis is a full service medical bill review firm
working with the self-funded and fully insured markets. We
specialize in reviewing all types of claims:
v
Out of Network Claims
v
In-Network Claims
·
Greater than $25,000
for PPO discount < 10%
·
Greater than $50,000
for PPO discount < 15%
·
Greater than $75,000
for PPO discount < 25%
v
In-patient Daily
Charges of $2,000 or more
v
Implantable Devices
v
Chemotherapy \
Radiation Therapy Claims
v
Dialysis Claims
v
Claims with Extensive
Laboratory and Pharmacy
HBA performs various types of
reviews which can be customized to meet the client’s needs. Some of
these include but are not limited too:
1.
Identifying billing
errors
2.
Unbundling practices
3.
Medical Records review
for medical necessity
4.
Itemization
inconsistencies
5.
Overcharges
6.
Non-covered services
7.
Plan specific
discrepancies
8.
Transplant Contracting
Client’s will receive a detailed
analysis report from HBA with line by line defensible rationale
supporting any reductions made.
HBA handles all reviews from
initiation through closure. In the unlikely event that a provider
disputes a review, our clinical and legal teams work hand-in-hand to
defend our findings. HBA strives to settle a 100% of our findings. A
signed settlement is our ultimate goal.
Fees are based on a contingency
model. If there are no savings there are no fees to our clients.
HBA Delivers Results!
Here are some recent examples of Savings:
|
Claim Type State
|
Dates of Service |
Billed Charges
|
Revised Charges
|
Savings Amount
|
Percent of Savings
|
HBA Fee 15 Percent of
Savings |
|
Dialysis
Patient V Texas |
01/2006 -
08/2006 |
422,999.48 |
122,842.60 |
300,156.88 |
72% |
45,585.24 |
|
Out of
Network Patient E Georgia |
01/2006 -
05/2006 |
300,100.92 |
210,070.64 |
90,030.28 |
30% |
13,504.54 |
|
In Network
Patient A Illinois |
11/2005 -
02/2006 |
523,095.01 |
366,166.50 |
156,928.51 |
10% |
7,846.43 |
|
Chemotherapy Patient M
New Jersey |
01/2006 -
06/2006 |
102,329.42 |
61,936.82 |
40,392.60 |
39% |
6,058.89 |
|
Radiation
Therapy Patient F California |
09/2005 -
10/2005 |
150,000.00 |
54,000.00 |
96,000.00 |
64% |
14,400.00 |
|
Cardiac
Implants Patient B Indiana |
12/28/2005 |
72,648.25 |
45,540.00 |
26,563.75 |
37% |
3,984.56 |
|
Spinal
Implants Patient P Texas |
1/26/2006 |
82,894.00 |
58,710.93 |
24,183.07 |
69% |
3,984.56 |
|
Joint
Implants Patient C Kansas |
6/13/2006 |
49,375.50 |
24,687.50 |
24,687.50 |
50% |
3,703.13 |
Please contact us at:
Hospital Bill
Analysis
P. O. Box 952679,
Lake Mary, FL 32795-2679
International
Parkway, Suite 220, Lake Mary, FL 32746
PH: 1-800-890-2843
Fax: 407-562-0044
Paula.Kaur-Mullinax@HospitalBillAnalysis.com
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