When one is young it is difficult to comprehend why older adults frequently comment on how quickly time passes. As we grow older, we come to sense that time passes faster. At Healthcare Horizons we often find claims filed for very long patient stays, some over several months. Providers often file claims that fail to recognize limitations of coverage based on the number of days of service. A common example is limitations on inpatient services, including subacute care. Failure to recognize the implications of so many days of service can lead to significant overpayments if the claim is not filed and adjudicated appropriately. This results in large overpayments incurred by self-insured employers and their employees. Maybe no one realized just how much time had “flown by” while the patient was being treated.
At Healthcare Horizons, we take the necessary time to ensure that 100% of claims payments are only for covered days of services, regardless how fast, or slow, the days passed! Our diligence has saved our clients many millions of dollars. Let us save your company from overpayments that reduce your bottom line and unfairly cost your employees.
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