Most employer-funded benefit plans conduct annual audits, if... moreMost employer-funded benefit plans conduct annual audits, if not more frequently, due to the value of regularly reviewing claims. If you are managing a plan in-house and scheduling medical claim auditing services, it's wise to act sooner rather than later. A prime opportunity to initiate an audit is just before you begin planning and budgeting for the upcoming year. In addition to identifying recoverable errors, an audit also provides data to analyze against the reports generated by your claims administrator. Having clarity on the most recent year's performance is essential for effective budgeting and forecasting.
One of the advantages of claim audits is the flexibility to include specific requests and inquiries in the review process. Experienced auditors personalize their examinations to focus on the elements that are most significant to you. Ideally, these professionals have extensive field. Their ability to target areas where errors commonly occur in other plans enhances the audit's effectiveness.... less
Most employer-funded benefit plans conduct annual audits, if... moreMost employer-funded benefit plans conduct annual audits, if not more frequently, due to the value of regularly reviewing claims. If you are managing a plan in-house and scheduling medical claim auditing services, it's wise to act sooner rather than later. A prime opportunity to initiate an audit is just before you begin planning and budgeting for the upcoming year. In addition to identifying recoverable errors, an audit also provides data to analyze against the reports generated by your claims administrator. Having clarity on the most recent year's performance is essential for effective budgeting and forecasting.
One of the advantages of claim audits is the flexibility to include specific requests and inquiries in the review process. Experienced auditors personalize their examinations to focus on the elements that are most significant to you. Ideally, these professionals have extensive field. Their ability to target areas where errors commonly occur in other plans enhances the audit's effectiveness.... less
