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a.
50% of all physician claims have coding errors
b.
98% of all hospital claims have coding errors
c.
Line item documentation reflecting errors
d.
Reduce your healthcare expenditures by 6% to 10%
a.
Solutions powered by PMCS
www.pmcsonline.com
b.
Out-of-network medical claims are 12% to 25% of all claims
c.
85% of all medical claims are below $5,000
d.
Average discounts are 20% below allowable charges
e.
Nearly 400,000 providers under contract
f.
Reduce your healthcare expenditures by 3% to 5%
a.
Solution powered by PMCS/AMPS
www.advancedpricing.com
b.
Physician desk top review
c.
We identify undocumented charges
d.
Reduce your healthcare expenditures by 3% to 4%
a.
Powered by PNPS
www.pnpsonline.com
b.
Pharmacy Benefit Managers ("PBM's") are not transparent
c.
Plan Sponsors receive 100% of verifiable rebates
d.
Payer pays acquisition costs plus a dispensing fee
e.
Reduce your pharmacy expenditures by 6.8% to 10.5%
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