Podcast

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Thankful Thoughts from Our Clients

A twine circles the word thankful

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 received.

Why Our Clients are Thankful for Us

Thoroughness

Our comprehensive claims review means that we find more errors than random sample audits do – returning more dollars to our clients. When we say Every Claim, we mean it.

“If there is an issue, Healthcare Horizons is going to find it.”

“Healthcare Horizons looks at issues that few other vendors address.”

Exceptional Communications

We know that audits are our business, not yours. We also know that you have a final responsibility to understand the process and make the decisions that result in the best ROI. Our detailed reports and interaction with our senior auditors mean you get the information you need in a way you can understand.

“Thank you for providing the updated report. I appreciate your efforts and commend you for your diligence and commitment to completing the task.”

Attention to Detail

With experienced auditors teaming with technology advances, we spot red flags that are often missed. We are familiar with errors stemming from human mistakes, systemic process fallacies and fraud. When you know what you’re looking for, you have a better chance of finding it!

“This has been the highest quality of audit performed on our behalf.”

Professionalism

We know that our clients are working with other professionals to administer their self-funded healthcare plans. When errors are found, it’s important to remember that everyone makes mistakes. The essential next step is to work with all parties to fix the problem and reimburse the company.

“Our experience has shown that we can trust Healthcare Horizons not to disrupt our relationship with our third-party administrator.”

Flexibility

Time is money and money is what keeps you in business. While our clients can be involved in the audit process as much or as little as they would like, most of them find that once they give Healthcare Horizons the go ahead, they can simply look forward to reports and receiving their returned dollars.

“We use Healthcare Horizons on an annual basis and are grateful for the minimal time commitment required on our part to monitor our plan.”

”I appreciate your flexibility in accommodating my schedule for a future discussion of the final report.”

“One reason we selected Healthcare Horizons was due to their timely responses and level of commitment.”

Our Commitment to You

We are thankful for our relationships with our clients. Some have become more than business acquaintances and are now friends. This happens as a direct result of our company philosophy.

“We will never lose sight of the fact that our clients are the very heart of our business, and that our success hinges upon theirs. This is why client satisfaction is a key focus of our company, and why we make outstanding service our top priority.”

If you are ready to make sure you are not overpaying on healthcare claims, we would be thankful for the opportunity to help. Contact us for a complimentary evaluation. 800-646-9987

Healthcare Horizons is a leading expert in providing healthcare claims audit services, identifying overpaid or erroneous claims through our 100% Difference model and recovering millions of dollars for clients’ bottom lines while upholding the highest ethical standards. Since 1999, the Knoxville, Tennessee-based company has provided superior healthcare claims audits for some of the world’s largest self-insured employers. We have successfully identified and facilitated the recovery of millions of dollars of overpaid claims for our customers.
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Grateful Season

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November ushers in two things: the grateful season and a flurry of year-end activity. We are thankful for many things this past year, all of which have a part in helping shape portions of the healthcare industry into a more accurate and less wasteful system.

  • The return to in-person events, from conferences like SHRM to leadership presentations, allowed us to reconnect with new and old friends.
  • We saw new legislation that made the healthcare industry more transparent, better protecting all participants, including
    • the “No Surprises” bill that ensures consumers know how much procedures will cost and
      eliminates balance billing for out-of-network ambulance service, and
    • the mandated inclusion of fees paid to suppliers and conduits so that employers can
      objectively evaluate the best healthcare plan for their situation.
  • Our team has worked exceptionally hard to provide even better service to our expanding client base.
  • Partners, like benefits brokers and human resources managers, have been supportive of our initiatives and acted as true ambassadors to decision-makers to see the importance and value of medical claims audits.

And of course, we are most thankful for our clients. The relationships we develop through our unique comprehensive audit process allow us to interact with so many wonderful individuals and companies. These relationships make our job more rewarding and allow us to provide even better results because of the belief in our system.

Grateful but Busy

While we would all like to slow down for the holiday season and simply count our blessings, the end of the year also means deadlines. From a healthcare perspective, patients are trying to squeeze in last-minute appointments to use any benefits that expire on December 31. Most practitioners are doing their best to accommodate as many people as possible. However, increased volume and tight deadlines are a bad combination and can lead to administrative errors. It is important to have a review process in place to ensure the claims made through a healthcare plan are filed accurately. Specifically, medical claims audits can find overpayments that can save an employer-funded plan thousands of dollars. (For an overview of how overpayments impact both a company and the employees, read more here.)

Another deadline to be aware of as it pertains to healthcare claims is the statute of limitations for evaluating claims and seeking reimbursement for any overpayment. Most plans have a set time frame for claims to be reviewed, often 18 or 24 months. Most claims reviewed outside of this limit will not be eligible for corrective action. So, if many more claims are filed leading up to December 31, the deadline for reviewing a large number of claims is also coming up. If between one and three percent of claims under normal circumstances have inaccuracies, that is a significant number of potential overpaid claims and corresponding dollars that your self-funded healthcare plan could miss recovering.

We wish everyone a season of gratitude. We hope you enjoy time with family and friends, count many blessings, and rejuvenate for the upcoming new year. As you look forward to next year, we welcome the opportunity to help your company provide better benefits for employees through medical claims cost savings. That is something everyone would be grateful to see!

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.