OON INTRA-OPERATIVE MONITORING

CHALLENGE

  • Notified administrator of unusual OON charges for diagnostic services
  • Billed charges for the technical and professional components totaled $446,566

SOLUTION

  • Contacted the administrator prior to payment and notified of price benchmarking and the patterns of the unusual billing
  • Contacted state government agencies about unusual IONM billing trends
  • Encouraged administrator to have their Special Investigative Unit and wrap network review the charges

CLIENT WIN

  • After a post-payment review, the network deemed the charges excessive and requested a refund

Estimated Recovery of
$167,980