Claim of the Week: $8,907 Saved

A patient presented at a free standing ER for upper respiratory symptoms and tachycardia. The provider charged a level 4 E&M visit, a critical care charge, and interpretation charges for an EKG and a chest CT.

After our team reviewed the records, we found that the critical care charge was not supported, and there was no documentation that the professional fee for the CT was supported (the provider did not actually do the interpretation of the CT scan even though the claim reported they had).

Ultimately this review saved our client a total of $8,907.