We know comprehensive medical claims audits are the best way to protect your company’s self-funded health insurance investment. We also know that the claims audit process can seem intimidating. But it doesn’t have to be! Here are some of the most common questions we are asked. We would love to talk with you about claims … Read more
It’s a Three-Way Tie Our 2nd annual Lost Benjamin Award voting ended in a three-way tie! The most interesting thing about the winners is that they address each of the fundamental issues we commonly see in healthcare claim errors. Systemic Errors Add Up Benefit Errors Cost More Than 7 Million Dollars – Healthcare Horizons Errors … Read more
Rising Healthcare Costs Can be Tamed In a recent blog we talked about the impact of inflation on businesses and how prudent executives are seeking ways to save money that will then help fund desired employee programs. Unfortunately, as reported in this SHRM article, rising healthcare costs are outpacing inflation. The cost of medical … Read more
Don’t Let Inflation Impact Your Healthcare Offering Every year, saving money or better managing finances is in the top five on New Year’s resolutions lists. Businesses are no different. Your company may have just finished its budget review, or you may be planning during Q1, but the goal is the same: end 2024 with more … Read more
Winter celebrations are as diverse as the world we live in. While some revel in festive gatherings, others cherish quiet moments with loved ones. No matter how you choose to celebrate, this time of year is a time to come together with loved ones, to make special memories and to cherish the bonds we share. … Read more
For nearly thirty years we have had the opportunity to work with a wonderful group of clients in multiple industries across the country. We are thankful for their confidence in our services, and we are equally thankful and humbled by their words of appreciation. Read below for a sampling of the kind affirmation we have … Read more
Imagine if you will, an employee has surgery for a freak chainsaw accident. Assisting in the patient’s care are a masked surgeon, an anesthesiologist with a large wart on the nose, a post-op nurse (who happens to always have a broom with her) and administrative staff who appear to have dead eyes. The total cost … Read more
There are plenty of things to make us go “hmmm,” but health insurance payments shouldn’t be one of them! Our job, every day, is to identify mistakes in healthcare claims payments and occasionally we run across a case where there just doesn’t seem to be a logical explanation for an overpayment. In 99% of these … Read more
There is no GOOD hidden fee in your self-funded healthcare plan. We’re all familiar with hidden fees or undisclosed costs. We see the “extra charges” once we’re ready to check out on Ticketmaster, VRBO or any major airline, to name a few. These charges are so common that they really aren’t “hidden” anymore. We know … Read more
Have you ever had rabbits in your yard? One or two may seem harmless, but left unchecked, they will quickly multiply and destroy your landscaping, garden and grass, leaving you with a big bill to fix the mess. Systemic errors in a self-funded health insurance plan work the same way. One error that costs your company … Read more