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Traditional Insurance Radiologist Sends Bill Anesthesiologist Sends - PowerPoint PPT Presentation

Traditional Insurance Radiologist Sends Bill Anesthesiologist Sends Surgeon Sends Bill Hospital Sends Bill Bill Insurance Patient Insurance Patient Insurance HCFA- Insurance Patient Patient Bill HCFA- Bill HCFA- 1500 UB-40 Bill


  1. Traditional Insurance Radiologist Sends Bill Anesthesiologist Sends Surgeon Sends Bill Hospital Sends Bill Bill Insurance Patient Insurance Patient Insurance HCFA- Insurance Patient Patient Bill HCFA- Bill HCFA- 1500 UB-40 Bill 1500 1500

  2. The Solution Anesthesiologist Radiologist Surgeon

  3. Cost Comparison Bundled Historical 20% EE Bundled Total Plan Procedure or Surgery Payment Co-Insurance Price Savings Hysterectomy with Endometrial Ablation $24,316 $4,863 $3,800 ($20,516) Total Lobectomy Unilateral $24,692 $4,938 $6,160 ($18,532) Laparoscopy Hysterectomy $43,446 $8,689 $8,000 ($35,446) Breast MRI $2,365 $473 $1,052 ($1,313) Diagnostic Mammography $1,200 $240 $164 ($1,036) CT Abdomen $3,049 $610 $526 ($2,523) Laparoscopy Gallbladder Removal $17,418 $3,484 $5,865 ($11,553) Spinal Fusion $27,558 $5,512 $9,500 ($18,058) Knee Replacement $40,000 $8,000 $19,000 ($21,000) Chemo Treatment $137,748 $27,550 $72,358 ($65,390) Epidural Steroid Injections $3,126 $625 $900 ($2,226) ($197,593)

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