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Top 10 Medical Claims Audit Questions

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

Your 2024 Lost Benjamin Award Winners

three-way tie for winner

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

Control Rising Healthcare Costs by Reviewing Data

stethoscope over lines showing rising healthcare costs

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

Fight Inflation in the New Year

inflation letters cutting through a hundred dollar bill

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

A World Full of Celebrations

globe with world celebration lights in background

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

Thankful Thoughts from Our Clients

woman with eyes closed clasping hands and smiling

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

Your Wake-Up Call

Ticking Clock in a field

It is important that human resources leadership and corporate counsels be mindful of the growing efforts by disgruntled employees and employee advocacy groups to utilize ERISA regulations to initiate class-action lawsuits related to alleged failures to appropriately manage medical costs.  Motivated by the escalating impact on employees and their families from annual increases in health … Read more

Relying on Luck Can Cost a Self-Funded Company Millions

money in a green hat

It’s fun to search for four-leaf clovers in the hopes of finding unexpected luck. But if you rely on wishes and leprechauns to keep self-funded healthcare expenses in check, your luck is going to run out. Each year businesses lose millions of dollars from incorrectly paid medical claims. Even the best benefits administrators don’t always … Read more

“Winner” of Our Lost Benjamins Award and how to avoid being on the list

The Winner is – Clients that Found Benjamins! Our new biggest loser competition – the Lost Benjamins Award – hit the ground running in 2022. Drum roll please…our 2022 winner is Man Glows After Hundreds of X-Rays on Same Day. It seems everyone agrees that not noticing a bill for 850 x-rays on the same … Read more

End Each Year with Big Savings on Healthcare Claims

insurance savings with medical claims audits

Finding Savings for Your Bottom Line Has No Season While the end of the year is the time many people evaluate their personal and professional finances, saving money isn’t limited to a calendar date. However, particularly in business, end-of-year financial reviews set the stage for the upcoming budget process. If your company is self-insured, reviewing … Read more