Problem
A client encountered billing challenges with an outpatient ASC bill concerning a procedure that involved removing a bony growth or "osteophyte." The billing problem arose when fluoroscopy, an imaging technique used during the procedure, was incorrectly billed separately instead of being included in the overall procedure cost. This error by the surgery center led to billing challenges that required correction since the fluoroscopy should not have been charged as an additional service.
Solution
By deploying AuditPro, the billing was scrutinized to ensure that fluoroscopy was deemed integral and not separately billable. AuditPro's advanced system ensures that every code and charge undergoes meticulous validation, detecting errors often overlooked in standard bill reviews.
Outcome
This correction resulted in a total AuditPro reduction of 12%. The deployment of AuditPro not only averted unnecessary excess payments but also reinforced the client’s confidence in their billing procedures.
