State:: Arizona

Occupation:: Expert Author

During 2006-2007, I wrote a white-paper for Southwest Medical Bill Review & Recovery about errors in hospital bills and a solution to audit billing codes to match to physician prescribed treatments and to standard CMS pricing. Our research indicated approximately 91% of all bills were incorrect. Secondly, the errors were in the hospital’s favor 95% of the time and thirdly, erroneous billing and charges comprised as much as 45% of the total bill. Our response was beyond lackluster with no one interested in challenging the existing structure of health care billing and insurance payment. The investment in the wrong and corrupt appeared to trump interest in improvement, let alone change.