**WE HAVE A WINNER! Click here to see who was chosen by voters as the biggest culprit of Lost Benjamins!**
This year, we have been presenting case studies of egregious errors we have found in our audits. Some of these have recovered vast sums of money. Some involve errors that are hard to believe happened. All demonstrate the power of a comprehensive audit that looks at 100% of medical claims to recover your money.
Please help us crown the 2022 Lost Benjamins Awards Winner. You decide if that means the most money recovered or the craziest story, or any other metric you want to apply. Below, we offer a brief description of each month’s nominee with a link to the full description if you’d like more information.
SKIP TO VOTING
January: Man Glows After X-Rays: A patient was billed for 850 X-rays of his knee on a single day. When we recovered the cost of 849 X-Rays, we got glowing reviews.
February: Five Colonoscopies: Rather than billing for a single colonoscopy, a provider billed for 5 separate colonoscopies on the same patient on the same day. While random sampling missed this error, our comprehensive audit was able to find and adjust it to recover the money.
March: Cryotherapy Blast: A provider submitted a claim for more than 50 cryotherapy procedures performed on the same patient, on the same extremity, on the same day! Our audit recovered over $5,000. (and the patient’s extremity is healthy, too)
April: COVID Billings Equal Lost Benjamins: A systemic error revealed over 22,000 COVID-19 claims were attributed to a single provider in a single clinic, a logistical impossibility. The identification and correction of this error recovered more than $2.6M.
May: Lip Stitches Shouldn’t Equal Lost Benjamins: A $26,900 claim for a cut lip is paid. Our comprehensive audit challenged the charges and the claim was paid to a reasonable amount.
June: The Cost of a Good Night’s Sleep: Our 100% audit found that claims for a sleep study were being paid at 10 times the normal rate, recovering over $25,000.
July: Ambulance Adjustment: Error confusing ground ambulance charges with air ambulance results in $698,000 recovered.
August: A Tale of Two Audits: A random sample audit reviews 300 claims, and finds 4 errors resulting in $1,000. Healthcare Horizons performs a 100% audit, finds 74 errors for $670,000!
September: Duplicate, Duplicate: Claim is paid twice, resulting in $1M overpayment.
October: Two Heads are Better than One: A claims processor pays an assistant surgeon more than 19 times what the lead surgeon is paid, resulting in a $57,310 error.
November: Small Errors Bring Big Mistakes: Small math error adds up when a claims processor takes a 16% discount instead of paying 16% of the claim, resulting in a $1.7M error.