Errors in medical bills and the claims filed to pay them to add up to millions of dollars annually. Therefore, corporate and nonprofit employers that self-fund their plans increasingly use health plan auditing services for oversight. As claim payments have increasingly moved out of house to third-party processors, sponsors rely more on auditing as their backstop. Health insurance...
There is no doubt that the past ten years have brought a review of nearly every cost center in a large corporation or nonprofit. The reviews, often conducted by management consultants, commonly recommend outsourcing to cut costs. It's meant that many self-funded health plans now have others pay their claims – and medical bill auditing services have immediately become more critical. When a...
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