Apr
24
In this tough economic climate, employers around the country are feeling the pressure to reduce expenses. Claim audits are a very effective tool that self-funded plans can use to save on the costs associated with providing healthcare to employees. Claim audits retrospectively look at claims the administrator has already paid to identify potential processing errors [...]
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Apr
19
In general, it’s a good idea for employers to conduct dependent eligibility verification audits (DEVAs) of all plan enrollees every three years. However, to ensure that ineligible dependents aren’t added back onto the plan in the interim, employers should consider conducting ongoing reviews throughout the year. Find out more about follow-up and ongoing audits on [...]
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Apr
17
The Society for Human Resource Management (SHRM) recently published an article by Arika Pierce, HMS’s Divisional Vice President for Federal Government Relations, in its online magazine. The article, “State Insurance Exchanges: What Employers Need to Know” explains how some of the key provisions of health insurance Exchange legislation—including tax credits, penalties, and reporting requirements—will impact [...]
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Apr
12
In a recent article in the American Society for Healthcare Human Resources Administration (ASHHRA) publication, Rich Flaherty, Vice President of Sales and Marketing for HMS Employer Solutions details how a hospital realized significant savings from a dependent eligibility verification audit. Click here to read more on DependentCheck.com.
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