Finding claim overpayments is easy. Collecting them is not. Claim audits routinely find 5% to 10% in overpayments. But collection efforts typically yield 1% to 3%. Why does this happen? What can be done to improve overpayment collection ... read more

Finding claim overpayments is easy. Collecting them is not. Claim audits routinely find 5% to 10% in overpayments. But collection efforts typically yield 1% to 3%. Why does this happen? What can be done to improve overpayment collection ... read more

Fraud prevention starts with fraud detection. This webinar features two innovators in fraud detection. Rich Lanza is a nationally recognized Certified Fraud Examiner who has developed principles and procedures related to fraud... read more

Fraud prevention starts with fraud detection. This webinar features two innovators in fraud detection. Rich Lanza is a nationally recognized Certified Fraud Examiner who has developed principles and procedures related to fraud... read more

Accurate plan administration requires accurate enrollment information. While dependent audits have become popular, they are only one part of Complete Enrollment Validation. This webinar will present all facets of Complete Enrollment... read more

The new HIPAA accounting regulations are being met with the usual chorus of “too much big government intervention” and “too costly to comply.” Self-funded plan managers that can look beyond this political rhetoric will see a... read more

Why hasn't automation reduced health plan administrative costs? Health claim billing and payment processing is almost all automated. Yet health plan administrative fees have not been reduced - they have skyrocketed! Why is this? What... read more

Dependent eligibility verification (DEV) has risen from obscurity to common practice in the last decade. With these audits now commonplace for group health plans, the question arises – Now what? To help answer this question we have surveyed ... read more

Why can’t claim payment errors be prevented or stopped? Every group health payer has the goal of paying every claim correctly the first time. No payer meets that goal. Despite years of effort and automation, even the most... read more

Self-funded plans are not all the same. They vary widely across a number of dimensions. Is your plan “typical” or “unusual”? In this webinar we will review over a dozen dimensions of self-funded plan performance. Using actual experience... read more