Low-dollar, high-volume claims can result in high-dollar, high-impact losses.
In this Perspective, David Cardelle, R.Ph., vice president of Payment Integrity Solutions for Change Healthcare, shares what we know today about the root causes of E/M (Evaluation and Management) over-billing and the extent of this problem. David shares results from an internal study on low-dollar, high volume claims, and reveals how a new approach is producing impressive outcomes.
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