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2023-08-10 05:23:52 - Translate -

Budget Your Health Plan Expenses Accurately
Annual employee healthcare costs are a significant budgetary line item for corporate and nonprofit employers alike. One approach is to factor in a fixed percentage and hope for the best. Another is to employ methods like medical claim auditing to understand your expenses more clearly. Because most self-funded plans today outsource claim processing, it keeps them one step removed from the data....

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2024-11-07 04:58:16 - Translate -

Claim Administration Accuracy = Better Plan Performance
Self-funded medical and pharmacy plans offered by mid and large-sized corporate and nonprofit employers provide excellent employee benefits but represent a considerable financial liability. This highlights the importance of running a medical and Rx audit to review claims and ensure they are being accurately processed and paid. Today's auditing "best practices" review all claims...

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2024-08-13 04:41:13 - Translate -

Claim Audits Have Myriad Benefits
It's essential to consider the value of medical claims auditing in reviewing the claims your plan has paid because it can provide valuable insights, improve performance, and ultimately save money. Proper management is crucial for large corporate and nonprofit employers who self-fund their benefit plans. Ensuring accuracy in prior authorizations and the payment process is essential for success....

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2023-09-13 07:23:03 - Translate -

The Best Oversight for Medical Claim Payments
When millions of dollars are on the line annually, oversight is essential. Nowhere is it more apparent than with medical claims auditing for self-funded health plans. Pharmacy claims deserve a similar close review. Continuing improvement in electronic audit systems brings significant advances and keeps pace with changes in medical billing. It's a vast industry, and employer-funded health plans...

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