Top 10 Billing Errors We Detect

The Most Common Billing Errors

Medical billing errors are surprisingly common, occurring in an estimated 30-80% of medical bills. Here are the top 10 errors reKUPR's AI is trained to detect.

1. Duplicate Charges

The same service billed multiple times. This can happen due to:

• System errors during claim submission
• Multiple departments billing for the same item
• Resubmission of previously paid claims

What to do: Compare dates and codes. If identical services appear more than once for the same date, request an explanation.

2. Upcoding

Being billed for a more expensive service than you received:

• Office visit level 5 when you had a brief visit
• Complex procedure codes for simple treatments
• Premium supplies when standard were used

What to do: Request your medical records and compare the documentation to the codes billed.

3. Unbundling

Services that should be billed together are separated to increase charges:

• Lab panels broken into individual tests
• Surgical procedures with separately billed components
• Supplies that should be included in procedure fees

What to do: Look up CCI edits (Correct Coding Initiative) to see what should be bundled.

4. Incorrect Quantities

Wrong number of units or items billed:

• 2 IV bags when you received 1
• 10 units of medication when 5 were administered
• Multiple days for a same-day procedure

What to do: Match quantities to your medical records and personal recollection.

5. Services Not Rendered

Charges for services you never received:

• Tests that were ordered but not performed
• Consultations that didn't happen
• Supplies never used

What to do: Request itemized bill and compare to your medical records.

6. Balance Billing Errors

Being billed for amounts insurance should cover:

• Emergency services at in-network rates
• Out-of-network providers at in-network facilities
• Amounts exceeding allowed amounts

What to do: Know your No Surprises Act protections and dispute improper balance bills.

7. Wrong Patient Information

Errors in patient identification:

• Services for another patient on your bill
• Wrong date of birth affecting coverage
• Incorrect insurance information

What to do: Verify all personal information matches your records exactly.

8. Incorrect Date of Service

Wrong dates that can affect coverage:

• Services dated before your coverage started
• Dates that don't match your visit
• Multiple dates for single-day visits

What to do: Cross-reference with your calendar and appointment records.

9. Coverage Denials for Covered Services

Services incorrectly processed as non-covered:

• Preventive care billed as diagnostic
• In-network providers processed as out-of-network
• Missing pre-authorization that was obtained

What to do: Appeal with documentation of coverage and authorization.

10. Math Errors

Simple calculation mistakes:

• Subtotals don't add up to totals
• Percentage calculations are wrong
• Credits not properly applied

What to do: Verify all arithmetic on your bill and EOB.

How reKUPR Helps

Our AI scans for all of these errors automatically:

• Pattern recognition for duplicates and unbundling
• Code verification against documentation
• Amount comparison across bill and EOB
• Mathematical validation

When we find potential errors, we explain them in plain English and suggest next steps.

Take Action

Don't assume your bill is correct. Review it carefully, and use reKUPR to catch errors you might miss. The savings can be substantial.