Tax Day: Double-Check the Details

If you’re like us, before taxes are submitted you will double-check the details several times. It’s smart to give the return one more review to make sure nothing was missed. If it’s important to review your personal finances, isn’t it equally important to review your business’s financial health?

Audits Find Errors

In our business, we all too often see healthcare plans that never receive the benefit of another review. Self-insured employers trust third-party administrators to process and pay claims that are consistent with the plan details and are error-free. In many cases, there is no incentive for the TPA to identify and correct errors. Make sure your agreement allows for audits. It is your money!

Double-Check your Audit is Comprehensive

Does your healthcare service agreement allow for comprehensive audits to find errors and recover funds? Even when a random sample audit is conducted, the odds are against you that it will land on a claim filed in error. Additionally, there is no way to find and resolve systemic issues to prevent future claims paid in error.

That is why we are so passionate about comprehensive claims audits. We want our clients to have the peace of mind that comes with knowing that every claim has been reviewed and that every systemic issue has been corrected. Please contact us to discuss a claims audit for your plan.

*This blog was originally posted 4/18/2106 and has been updated.

Healthcare Horizons is a leading expert in providing healthcare claims audit services, identifying overpaid or erroneous claims through its 100% Difference model, recovering millions of dollars for clients’ bottom lines with uncompromising ethics and accuracy. Since 1999, the Knoxville, Tennessee-based company has provided superior healthcare claims audits for some of the world’s largest self-insured employers, involving all national and most regional payers. We have successfully identified and facilitated the recovery of millions of dollars of overpaid claims for employers.