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Essential Oversight for Employer Health PlansManaging employee medical and prescription plans is a complex and important task for large employers, as it involves a significant amount of money and impacts the well-being of their workforce. As a result, a healthcare ...
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Newer Systems Drive Today's Claim AuditsToday, technological advances have significantly impacted various industries, and claim auditing is no exception. Healthcare auditing companies now benefit from advanced systems that can meticulously examine paid claims with ...
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The Trend in Claim Auditing is More OftenThe need for detailed oversight of medical claims auditing and Rx audits has increased. With outside vendors handling administration and making the payments, double-checking is essential. Large employers sponsoring health pl ...
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The Wisdom of Auditing Rx ClaimsMuch is written and said about the complexity of medical billing, but medicines aren't far behind. For large employers sponsoring benefit plans, running an Rx audit at the same time medical claims are reviewed makes excellent sense. ...
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Audits and Oversight in Health Plan ManagementThe coronavirus pandemic put a unique stain on many systems in society and none more heavily than employer-funded health plans. They took a beating, and many lessons were learned, as medical claims auditing has shown us ...
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