Use of Chargemaster Rates in Balance Billing

This study reiterates our position on the use of hospital chargemaster rates in balance billing for out-of-network charges.

What is Balance Billing?

Balance Billing is a term used when an insured patient is responsible for the balance between what their insurance company is contracted to pay and what their physician or the facility wants to charge for a service.  Balance Billing often occurs when an insured patient receives treatment from an out-of-network physician at an in-network facility.  Read more

Negotiations: Tenacity, Experience, and Data Leads to Success

Our tenacity, experience, and proprietary data all come together to provide fair and successful results for our clients in the negotiation process.

You may be wondering what is it that Chapman Consulting does differently to get results that are truly fair and defensible? Why are we so sure of our services?  What gives us an edge? Read more

Health Care Costs

Contracted Discounts Don’t Always Equate to Fair Payments

Contracted discounts don’t always equate to fair payments. Our medical bill review service provides a defensible means to fair charges.

Payors of medical claims are, of course, accustomed to paying their bills according to the rates or percent discount set forth in the contracts with facilities.  But with the rapid rise in hospital charges seen over the last five years or more, how does the payor KNOW the negotiated discount is a fair rate today? Read more

Does Your Bill Review Company Provide Reductions that Stick?

Does your bill review company provide medical bill reductions that stick?

Are their bill reductions defensible?  Substantiated?

Do they stand by their recommendations and strive for reasonableness for you?  Read more

Bill Review Savings for Workers Compensation Claims

Is your medical bill review company simply processing your workers compensation claims?  Or is your medical bill review company helping you process workers compensation claims accurately for the correct reimbursement?

In our experience double digit savings can be very common and justified. The more that providers search to increase revenues from payers, the larger the potential for savings from a quality bill review company. Read more

Hospital Bill Review, Chapman Consulting, LLC – Defendable Reports, Reductions, & Results

Chapman Consulting, LLC – Hospital Bill Review and Healthcare Claims Resolution

We provide defendable bill reductions, reports and results for our clients through high level medical claims analysis and provide expert services for the legal community.

Repeatedly we are hearing from our clients, particularly our attorney and law firm clients, that Chapman Consulting’s medical claims analysis and services are one of a kind.  Read more

Inflated Medical Bills Mask True Cost of Healthcare in the U.S.

How can we get a real sense of the cost of healthcare in the U.S. when medical charges are so incredibly inflated?  These inflated charges mask the true cost of care.

And to make matters more confusing, the charges for a procedure for one patient can vary greatly depending on who is responsible for paying for that procedure.  Is the payor the patient? An insurance company? Medicare? Workers Compensation? Are the charges Out-of-Network?  Medical charges differ vastly depending on who the payor will be.

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Chapman Consulting provides Fairness & Price Transparency in Hospital & Medical Charges

Chapman Consulting provides the data and expertise needed to bring fairness and price transparency in hospital and medical charges for our clients.  If you want to buy most anything in the U.S. it is relatively easy to shop, compare prices and make an informed decision to purchase based on several factors including price options.  But shopping is not so easy when it comes to hospital procedures and services.

However, we may begin to see more transparency emerge in hospital charges as consumers, consumer advocate groups, and the media continue to press for greater transparency from healthcare providers.

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25 years

25 Great Sites for Hospital Reviews

By Editor, Beth Collier

The Health Express

September 21, 2011

The blog post “25 Great Sites for Hospital Reviews” can be found in The Health Express blog.  The blog is found on www.MastersInHealthAdministration.org which is a website dedicated to students who are pursuing their Masters in Health Administration.

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Reviewing Out-of-Network Bills or Medical Bills for Uninsured Patients

Since 2003 we have been reviewing medical bills for uninsured and underinsured patients or patients with out-of-network bills.  We receive calls daily from individuals looking for assistance with their expensive medical bills.

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