Billed Charges = $2,341,142.50. PPO allowed amount = $1.872,530.66. Plan negotiated down to $531,818.53……………Proof that billed charges are bullshit and PPO discounts are bullshit too. The American healthcare finance system is bullshit controlled by bullies……………....
Does this possibly prove there is no such thing as a $1 Million claim?
SOURCE: HCC Group
Securing discounts below the fee schedule on in-network claims is challenging but possible, leading to significant savings, sometimes very significant. A recent case involved a patient with a 2-month-plus hospital stay with billed charges of $2,341,142.50.
| Initially reduced by a 20% PPO discount to $1,872,530.66. Upon the request of the third-party administrator (TPA), H.H.C. Group took on the challenge to further reduce the bill. Our nurse experts meticulously scrutinized the bill for potential errors and our Medical Director thoroughly examined the patient’s medical records. Our attorney negotiator utilized both proprietary and published databases to determine fair pricing for the services provided. With the group and stop-loss carrier on board for expedited funding, our attorney negotiator engaged with the hospital decision-maker. The outcome? The hospital accepted $531,818.53 as payment in full. The mandatory signed agreement arrived promptly the next day. Total savings $1,809,323.97. $1,340,712.23 Incremental Savings Below the PPO Discount Bruce D. Roffe, P.D., M.S., H.I.A. President & CEO (301) 450-7799 broffe@hhcgroup.com |
