Pre-Pay
Medical Compliance Review
Review medical bills for billing errors prior to making payment.
Post-Pay
Medical Compliance Review
Identify and collect on overcharges even after making payment.
Diceros
Our Affiliate Law Firm
Secure clients’ plan assets by grounding findings in robust, fair legal strategy.
The Leading Edge of Medical Cost Containment
Companies and employees are both overspending on healthcare due to billing errors. Medliminal helps all payers identify and negotiate down inflated medical costs.
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THE FIVE W’S OF MEDICAL BILL OVERCHARGES
With Medliminal
Why, When, and Where Do Medical Bill Overcharges Occur?
Providers often use third-party billing companies that translate medical records to codes used to determine pricing. These medical billers do not speak with the providers, they simply translate the procedures in the record into codes with specific prices that reflect the treatment given. Those codes, now in the form of a bill, are then sent to the health plan. Since they never speak to the providers, misinterpretations can occur.
The next problem occurs due to the sheer quantity of codes. There are over 70,000 codes used for diagnostics and over 10,000 codes used for services rendered. This creates an easy opportunity to overcharge given the possibilities involved.
Lastly, medical billing companies often charge a percentage of the total amount charged to the patient. In other words, when they bill more, they make more.
Why
When
Where
Who Can Prevent Medical Bill Overcharges?
Through our affiliate law firm, Diceros, proprietary RPA system, H-CAT™, experienced nurses, and certified coders, Medliminal uses a pre-pay compliance review to identify errors before they are paid and a post-pay compliance review to recoup overcharges up to two years after they occur.
Total Billed Charges | $472,302.71 | $1,349,521.44 | $168,644.41 |
Other Vendor Disputed Charges | $60,696.25 | $250,400.00 | $6,127.00 |
Medliminal Disputed Charges | $122,855.50 | $690,185.09 | $22,496.50 |
Other Vendor Savings | 12.85% | 18.55% | 3.63% |
Medliminal Savings | 26.01% | 51.14% | 13.60% |
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