A 56 year old male was admitted to a tertiary care hospital for a 25 day inpatient stay.  The eligible billed charges were $614,000 dollars. An existing PPO discount was lost on the case. AMS had the bill complimentarily screened for excess charges and billing errors. The stop loss carrier elected to move forward with an audit on AMS’ recommendation due to the inflated charges.  AMS’ audit partners conducted a line-by-line charge audit which saved the client $245,000. The bill audit reductions totaled $340,000 but the stop loss carrier’s remaining liability was only $245,000.

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