One of our medical bill verification experts, Maureen Callahan, recently caught some billing errors that could have easily been missed in a standard review. There were therapy charges on a facility (hospital) where the hospital billing department charged $278.00 for a 15 minute increment just for the therapist walking in the patient’s room. After reverification of the claim with the medical records submitted by the facility, the reduction of $278.00 was upheld by Hopewell. The hospital medical records show that the therapist’s notes document the patient was in surgery that day. No therapy services were performed on the patient, this charge should have never been on this bill.
This is just one short example of the kinds of errors we frequently see on medical bills. While $278 doesn’t seem like a huge amount, these errors can add up over the course of a prolonged treatment and across a larger covered population.