The Whole Package

Audit

Health Decisions, Inc.

• 100% of all claims reviewed
• Use existing and new information
• Report of findings and complete inventory of recoverable claims
• Follow-up collection and accounting included
• Full software suite available for internal use

Our Competitors

• Statistical sample
• Use only existing information
• Report of findings only
• Follow-up not included
• Internal response not included

Claim Recovery

Health Decisions, Inc.

• Over 40 areas reviewed
• New areas of review included
• Review all claims over $10 and pursue all cases over $300 for both collection and management feedback
• Performance guarantees and lesser of service fees or contingency feeds assure lowest cost to client
• Full software suite available for internal use

Our Competitors

• Under 5 areas reviewed
• New areas of review cost extra
• Focus on a few high dollar cases for collection
• Contingency fee pricing
• Little or no software for internal use

Information Technology

Health Decisions, Inc.

• Low-cost set-up and conversion costs
• Convert data to Microsoft® platform
• Link to original claim payment and provider billing always maintained
• Practical uses for quick data request and response for all interested users
• Hard savings documented and returned by recoveries

Our Competitors

• Expensive set-up and conversion costs
• Convert data to proprietary platform
• Link to original payment and provider billing not routinely maintained
• Sophisticated analyses offered for high-end users
• Hypothetical savings identified by analysis