This month’s Lost Benjamin Award nominee exposes a practice that is on the rise.
Recently, Healthcare Horizons personnel found medical claims from a provider that had vaccine medications billed by both the physician and the outpatient facility. When we asked for a review, the third-party administrator (TPA) responded that the claims were paid correctly. When we pointed out that patients were being billed twice for the same vaccination during the same visit, the TPA realized it had double-paid for the vaccine for those patients. The overpayments are now in recovery and the provider is under compliance review, an important step in preventing systemic errors.
As more medical providers’ practices are being acquired by corporate entities, including hospitals, Healthcare Horizons is witnessing a rise in double charges – one by the provider and a second by the medical facility. Don’t be a victim of double-paid expenses! Engage Healthcare Horizons to perform a comprehensive audit of 100% of your medical claims. You will be glad you did.