Case study: Surgical Implant Cost Management

Procedure type

Open reduction internal fixation, radius

What Paradigm’s audit found

• Our procedure and vendor construct analysis flagged excessive charges and determined the accurate cost of all component parts billed was $550 (plus a 15% markup)
• A non-implantable splint (DME) was billed inappropriately as an implant and denied

Total billed charges

$9,674

Paradigm recommended allowable

$643

Savings

$9,031 or 93%