Health Decisions, Inc. Health Decisions Events, Announcements, and Press Releases
IIA Milwaukee Chapter to host a webinar on "The Role of Internal Audit in Monitoring Group Health Expenses" May 24 at 12pm CDT Most internal audits of group health plans focus on confirming the accuracy of payments made for invoices received from the insurer or outside plan administrator. But who confirms if the invoices themselves are correct? This session "de-constructs" the health plan invoice into its five component parts and presents proven techniques for auditing each of those components. It concludes with a discussion on how internal auditors can complement HR professionals at an organization and produce financial returns that help underwrite audit activities.
Health Decisions Virtual Seminar Series – April 15, 2010 1pm EDT: Dependent Auditing in the New Age of Health ReformOne of the most immediate and significant impacts of health reform for employers will be changes to dependent coverage rules. This webinar will explore what these changes mean for employers and, more importantly, what employers should do to prepare for the expected influx of dependent enrollments.
Si Nahra, Ph.D. and John Eggertson to present at theNational Other Party Liability Group (NOPLG) conferenceon April 28 Mr. Nahra and Mr. Eggertson will speak about "Coordinating Medicare Parts A, B, and D" at this invitation-only conference for Blue Cross plans around the country.
Health Decisions President Si Nahra, Ph.D. co-authors chapter in“Cost Recovery: Turning Your Accounts PayableDepartment intoa Profit Center" This book by Richard P. Lanza provides tools to assist organizations generate cash recoveries, stop profit leaks, move away from control issues, and work towards process improvements. The book shows how to incorporate profit recovery technology, and how to pair a company with a recovery expert best suited to the company's needs to achieve bottom line results.
Health Decisions Virtual Seminar Series – March 24, 2010 1pm EDT: Managing Medicare’s Cost Shifting: Coordinating Medicare Parts A, B,and D Medicare is aggressively cost shifting onto Blue Cross Blue Shield and other private group health plans. It has a myriad of programs designed to find out when it is the secondary payer and collecting those payments. However, it makes no effort to determine when it is the primary payer and owes money to a private group health plan. At this session, Si Nahra, Ph.D. will present case studies highlighting proven techniques to document Medicare as the primary payer under Parts A, B, and D. Attendees will gain insights into practical strategies to help balance and address the one-sided cost shift from Medicare.