Welcome and thank you for visiting us online. I’m Randy King (Click here to hear my personal welcome), President of Healthcare Horizons, where people and relationships come first. We would love to connect with you in person, but until we do, let me tell you what we can do for you.
When most people hear the term “audit,” they generally have a negative response. They likely do not realize benefit plan audits can actually be a way to keep skyrocketing healthcare claims in check. Every organization is looking for new sources of revenue, but some may not be fully aware that a healthcare claims audit can result in a positive return on investment. We tackle the audit challenge full-on because we love helping our clients discover money that can be returned right to their bottom line.
Many organizations choose to self-insure their employees’ medical expenses to save money and maintain greater plan control by having a third-party administrator manage claims processing. However, one of the unintended consequences of self-insuring is that claims payers have no financial incentive to control costs, which may result in the overpayment or erroneous payment of employers’ claims. Our clients trust us and know that we are committed to asking the right questions and protecting their financial interest. We focus on all claims, but especially those that can really drain a client’s resources. Errors that may seem small to others can really add up when multiplied.
To quote our founder, Ed Pershing, “Every carrier makes mistakes, and it is really the only industry where this level of errors is accepted and understood as part of it. The magnitude of the healthcare cost dilemma is great, and high costs are on a growth path. Embracing the capability of claims auditing is one way to address one of the many variables in healthcare costs.”
Healthcare Horizons focuses exclusively on self-insured employers. It is what we do. Our number one priority is your financial interest.
We have been performing healthcare claims audits for self-insured employers since 1999. Healthcare Horizons has recovered millions of dollars for some of the world’s largest self-insured employers, and auditing claims paid by all national and most regional payers.
During the audit process, you decide how hands-on you want to be. You determine which claims to recover. We keep you informed and up to date on the process, and we take special care to alert you, so recovery decisions are made with an understanding of member impact (if any). We work with your TPA to identify errors, monitor collections, and help negotiate for direct credit or settlements. Systemic errors are identified that lead to future savings. We help your Human Resources department become a bottom-line contributor.
We make it simple. Little time is required by you during the audit process, allowing you to focus on your business and productivity, increasing ROI for your company. Performing an annual healthcare claims audit protects your financial interest and fulfills the duty of care for your stakeholders, ensuring their trust and confidence.
The Difference is in Knowing.
Choose us as your audit partner. You will have access to our leadership, assuring you that your business is important to us.
Sincerely,
Randy King
hhadmin@healthcarehorizons.com