Medicare Overpays as Hospital Prices Rise

Medicare Overpays as Hospital Prices Rise

Soaring bills for sickest patients can throw payment formula out of whack 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

Patients take frustrating, labyrinthine journey to uncover hospital costs

Patients experience a daunting task when trying to understand hospital charges.  Although high dollar hospital bills are seen all over the country, this article written by Mary Ann Roser with the Austin American-Statesman on July 21, 2012 points to the inflated hospital charges in the Austin, TX area particularly for the uninsured patient and how difficult it is to navigate and comparison shop due to the complexities of the system.  Read more

Travelers to USA Are Susceptible to High Cost Hospital Bills

Travelers to the USA are susceptible to high cost hospital bills if they have not secured appropriate insurance before traveling. If you are sick or injured while traveling in the U.S. and now have an expensive hospital bill,  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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Beware: Urgent Care Clinics May Charge Emergency Room Rates

Insist on knowing charges and billing practices before treatment at an Urgent Care Clinic.  Many patients are surprised when they are charged Emergency Room rates at these facilities.

The Urgent Care Association of America released a report in 2011 estimating there are 9000 urgent care clinics in the U.S. with 300 new centers opening each year.  Use of these clinics has gained in popularity due to many factors such as not requiring appointments, short wait times, open 7 days a week, offering a wide range of non-emergency non-life threatening services, and billed charges similar to a physician office visit.

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Inflated Hospital Liens

Injured Patients Discover Hospitals Seeking a Piece of Their Accident Settlements

Lawyers state that liens often are much higher than what hospital would normally be paid for services.

By Mary Ann Roser

AMERICAN-STATESMAN

March 28, 2011

A hospital official admits that the hospital’s list price is a starting point for negotiations.  No one should be paying those over-inflated hospital list prices.  Hospitals have become more creative in determining the price of services and more aggressive in collecting their charges.  This has lead to inflated hospital liens.

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Time Article – Bitter Pill: Why Medical Bills Are Killing Us

Bitter Pill: Why Medical Bills Are Killing Us
By Steven Brill
Time Health & Family
February 20, 2013

Rarely do we see a health care related article cause such a stir. This well researched article written by Steven Brill is a must read. Colleagues sent us emails making sure we read it. Twitter, LinkedIn, and other social sites had thousands of reposts. And just after one week, many related articles and commentary have quickly been published based on Brill’s research and report. Of particular interest to all readers is the lack of transparency in hospital charges. But Brill’s research exposes the lack of relevance of the hospitals’ “Chargemaster”. Read more

Observation vs Inpatient: Maximizing Reimbursement for Hospital Stays

By Marc Chapman

The way work comp patients are classified as “observation” or “inpatient” can have an effect on the amount the hospital is reimbursed. We reviewed one claim that was classified and billed as an inpatient to a work comp carrier, where the patient was in the hospital a total of 4 hours.

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