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Audit Results – What’s Important to You?
The audit process has three primary elements that are foundational [...]
Test event
This is just a test
Corrective Action Plans – When Process Workflows Really Matter
So, you’ve got a financial error that was tagged by [...]
Auditing Benefit Configuration
Over 20% of claim audit errors relate to incorrect benefit [...]
Turning Errors into Recoveries – Are You Dropping the Ball?
Over 28% of financial errors uncovered in claim audits are [...]
Managing Performance Guarantees / Employer Audits
Most insurers have clients that have either engaged their own [...]
Auditing Adjustments
Typically an estimated 5% of posted claims represent an adjusted [...]
Claim Prepayment Audits — High dollars and beyond.
-- 33% of audited dollars are typically reviewed in Prepayment [...]
Provider Appeal Audits — What is really driving appeals?
-- Over 90% of Provider denials are preventable -- according [...]
Errors Are Actually Gold — Turning errors into recoveries
-- Over 30% of Financial Errors Uncovered in Audit are [...]
