Navigation Links
In-Depth Health Claim Review Saves Client Up to $15,000 on Surgery that Fails to Meet Standards for Medical Necessity
Date:9/30/2013

Appleton, WI (PRWEB) September 30, 2013

Health care waste continues to be a growing problem in the U.S. with medical necessity as one of the core issues related to overspending. Today, more than ever before, consumers are undergoing tests, surgeries and procedures that aren’t considered necessary.

The Argus Claim Review division of Cypress Benefit Administrators is working to change this. It aims to proactively prevent these unnecessary medical treatments and uncover other costly health claim discrepancies to save employer-clients from excessive charges.

In a recent example, Argus Claim Review received a health claim that included electrodiagnostic (EDX) testing for a plan member with a resulting primary diagnosis of carpal tunnel syndrome (CTS). After two board-certified medical professionals further reviewed the case, there was insufficient documentation to warrant the EDX testing and the CTS diagnosis was deemed inconclusive.

The bilateral surgery recommended – carrying an average price tag of $10,000 to $15,000 – was also found to be unnecessary.

Tom Doney, president and CEO of employee benefits specialist Cypress Benefit Administrators, said that these types of cases are becoming all too common in the health care industry. “Our medical claim review specialists have always been meticulous about catching the typical coding and billing mistakes, but in recent years, they’ve had to start considering medical necessity as part of the equation.”

Upon seeing the CTS diagnosis and noting the lack of a full neurological exam after referral, an in-depth claim investigation by Cypress’s URAC-accredited partners was prompted by the Argus team. With several years of medical claim revie
'/>"/>

Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Page: 1 2 3

Related medicine news :

1. CBT News Announces In-Depth Coverage of NADA Convention in New Orleans
2. AED.com Releases In-Depth Buyer's Guide
3. Info Security Leader Larry Brock to Provide In-Depth Insight on How to Protect Intellectual Property Against Insider and Cyber Threat
4. Report offers an in-depth examination of health centers role in family planning
5. Society of Interventional Radiologys new IR Quarterly focuses on features, in-depth news
6. Knoji Launches In-Depth Consumer Report Covering Leading DNA Testing Services.
7. AIUM 2013 Annual Convention provides an in-depth look into ultrasound first
8. "What is FOMO? – Social Media & Mental Health" Article Released by Birmingham Maple Clinic
9. Hormone Treatments / Diet Doc Hormone Diets & Weight Loss Plans Reveals the Keys to Extreme Weight Loss Diet Plans for Improved Knee Health and Less Knee Pain
10. Diet Doc Hormone Diets & Weight Loss Plans Introduce New Appetite Suppressants that Encourage Patients to Eat Healthy Food for Fast Weight Loss
11. Voxiva, Leader in Mobile Health and Wellness, Reaches Milestone
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/1/2015)... (PRWEB) , ... July 01, 2015 , ... ... natural forms, such as organically raised chickens and eggs. Eating organic foods and ... chickens is cleaner and more environmentally friendly than production chicken farming. Choosing home ...
(Date:7/1/2015)... ... July 01, 2015 , ... ... cancer enterprise of Hospital Corporation of America (HCA), as it further expands its ... announced today. , With this new partnership, OncLive’s editorial and marketing teams ...
(Date:7/1/2015)... ... - (PRWEB) July 01, 2015 , ... Lisa Keys, the widow of U.S. ... 15-16th (MSG Keys’ birthday) in memory of her late husband and all of America’s ... of the Bronze Star Medal, died during a Special Forces training exercise in December ...
(Date:7/1/2015)... ... July 01, 2015 , ... RowdMap Inc. is a proud ... paper: “Pro-actively Identifying the High-Cost Patient Population: Insights from the Health Care Transformation ... http://www.hcttf.org/resouces-tools . , The Healthcare Transformation Task Force is a group of ...
(Date:7/1/2015)... ... July 01, 2015 , ... A Priority ... published a top ten list they hope will guide future mesothelioma research. Surviving ... read it now. , More than 450 mesothelioma patients, caregivers, and ...
Breaking Medicine News(10 mins):Health News:Chicken Coop Condo Offer New Chicken Coop Designs 2Health News:OncLive® Welcomes Sarah Cannon Cancer Network to Its Strategic Alliance Partnership Program 2Health News:OncLive® Welcomes Sarah Cannon Cancer Network to Its Strategic Alliance Partnership Program 3Health News:Wife of Fallen Special Forces Soldier to Host Nationwide ‘Virtual 5K’ for Charity 2Health News:Wife of Fallen Special Forces Soldier to Host Nationwide ‘Virtual 5K’ for Charity 3Health News:A Population Based Approach to Pay for Value: RowdMap, Inc. Contributes to Health Care Transformation Task Force White Paper 2Health News:A Population Based Approach to Pay for Value: RowdMap, Inc. Contributes to Health Care Transformation Task Force White Paper 3Health News:New Report Identifies Top 10 Mesothelioma Research Priorities, According to Surviving Mesothelioma 2
... mental health workers gauge patient,s state of mind, researchers ... widely used psychological test has the potential to gauge ... more insight into what their patients are thinking, a ... used to show whether people automatically associate things with ...
... ... pharmaceutical ingredients into silicones in a safe and controlled environment , ... Carpinteria, CA (Vocus) ... and manufacturer of silicone compounds for the healthcare and pharmaceutical industries, announces the ...
... Cell Research Center scientists are exploring the mysteries of human ... repairing damaged organs, and drug development. Center staff also offer ... cells. The center was established with a grant to Professors ... Jersey through its Commission on Science and Technology. The ...
... ... Medical Records , ... 14, 2010 -- WebLOQ, Inc ., a leader in privacy solutions for secure and ... Medical Audit Resource Service, Inc. (MARSI) to ensure the security of its ...
... Long hours and strict cigarette policies may explain the ... stress may actually lower smokers, nicotine dependence, finds a ... boost levels of smoking. , German researchers used an ... the smoking habits of 197 employed participants in the ...
... ... ... Md. (Vocus) April 14, 2010 -- PMSI , one of the nation’s largest ... , the nation’s leader in pain medication monitoring solutions, today announced a strategic partnership ...
Cached Medicine News:Health News:Test May Measure Suicidal Tendencies 2Health News:NuSil Technology Announces Completion of Clean Room Facilities 2Health News:Rutgers' Stem Cell Research Center derives new cell lines and trains stem cell scientists 2Health News:WebLOQ Selected By MARSI to Streamline Medical Audit Reviews From Dispersed Healthcare Community 2Health News:WebLOQ Selected By MARSI to Streamline Medical Audit Reviews From Dispersed Healthcare Community 3Health News:WebLOQ Selected By MARSI to Streamline Medical Audit Reviews From Dispersed Healthcare Community 4Health News:PMSI and Ameritox Launch Program to Enhance Quality and Effectiveness of Opioid Therapy 2Health News:PMSI and Ameritox Launch Program to Enhance Quality and Effectiveness of Opioid Therapy 3
(Date:7/1/2015)... , July 1, 2015 Qiming Venture ... to Managing Partner effective immediately. William ... has lead and participated in many Qiming healthcare deals, ... in the Chinese market. Qiming, s success in healthcare ... he has distinguished himself with his outstanding advocacy and ...
(Date:7/1/2015)... 1, 2015 ExeGi Pharma, a company focused ... announced today that it has been granted a product ... Products Directorate (NNHPD) to sell Visbiome™ in ... by Professor Claudio De Simone , MD, PhD ... Professor De Simone recently signed an exclusive agreement with ...
(Date:7/1/2015)... -- According to a new market research ... (Calcium Phosphate, Lipofection, Dendrimers), Physical (Electroporation, Nucleofection), Viral), by ... to 2020", published by MarketsandMarkets, the Transfection Reagents and ... by 2020 with a CAGR of 7.2% from 2014 ... ables and 33 F igures ...
Breaking Medicine Technology:Qiming Announces the Promotion of William Hu to Managing Partner 2ExeGi Pharma Secures Canadian Approval For Well Studied Probiotic 2ExeGi Pharma Secures Canadian Approval For Well Studied Probiotic 3Transfection Reagents and Equipment Market Worth $957.9 Million by 2020 2Transfection Reagents and Equipment Market Worth $957.9 Million by 2020 3Transfection Reagents and Equipment Market Worth $957.9 Million by 2020 4
Our soft guedel airway is clear and has a color coded bite block. Airway has a smooth finish and is Latex Free. Recommended for single use. Non-Sterile....
Rsch color coded Guedel airways offer our best value on oropharyngeal airways. They uniquely combine color coding for size and flexible material without a premium price. Color coded airways are latex...
New - Color Coded Berman Airways. A simple idea makes size identification easier for you., ,Premium upgrade without a premium price. Color Coded Berman airways are latex-free., ,Plastic. Single use...
Plastic. Economical. Single use. Non-Sterile....
Medicine Products: