Archive for September 29th, 2009

Hospital Audits Reveal Billing Errors

Tuesday, September 29th, 2009

Jeff Barber- Congressional Testimony

Editor’s Note: Jeff Barber is a forensic auditor in El Paso, Texas. He can be reached at 915-757-7819

Cost Plus Article – Dallas Morning News

Tuesday, September 29th, 2009


Claim administrator ignores hospital’s billed charges – pays cost plus 12%.  Article states that discounts off billed charges have increased over the years, yet costs keep going up. A shell game?

What makes more sense – cost plus 12% or a “discount” off billed charges? 

With hospital’s real costs, insurers, individuals can negotiate prices News for Dallas, Texas Dallas Morning News Jim Landers Business Columnist Dallas Morning News

Editor’s Note: PPO network representatives, carriers, hospital administrators and bloated insurance brokers are seething. Lucrative revenue streams are threatened. If money drives behaviour, how are hospitals going to fight dastardly cost-plus warriors? Will hospitals “play ball”  or gather their marbles and go home?