Underpayment reviews may not amount more than the total overpayments owed, but it can reduce the bill. Every dollar counts as healthcare dollars are being heavily scrutinized by the payer. Why should providers not do the same? Revenue leakage needs to be plugged at every level, and there are numerous underpayments that can be identified.
The Office of the Inspector General (OIG) regularly conducts investigations regarding payments by law. In turn, there is some slight assurance that CMS operates in good faith and to their best effort. However, mistakes do occur.
http://consova.com/wp-content/uploads/2016/10/dependent.jpg5501920consovasupporthttp://consova.com/wp-content/uploads/2016/10/consova_logo.pngconsovasupport2016-09-20 17:13:162016-09-20 17:13:16How much is your hospital losing in underpayments?
When it comes to dependent eligibility verification, most employer-sponsored health plans think of it merely as a cost containment tool. While it certainly delivers cost containment, quite effectively we might add, it is important not to overlook the risk mitigation benefits of a dependent eligibility audit.
http://consova.com/wp-content/uploads/2016/07/blog-bg.png5501920Ron Kubithttp://consova.com/wp-content/uploads/2016/10/consova_logo.pngRon Kubit2016-07-20 17:16:412016-07-20 17:16:41What We Can Learn From the Titanic
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As part of our standard audit process, Consova establishes a dedicated, toll-free phone number for employees to contact our call center team. During the audit period, call center representatives are available to answer questions concerning the process.
Experienced call center staff makes all the difference.
http://consova.com/wp-content/uploads/2016/07/blog-bg.png5501920Consovahttp://consova.com/wp-content/uploads/2016/10/consova_logo.pngConsova2016-03-09 17:25:192016-03-09 17:25:19The Audit Front Line - The Call Center
Beyond the audit approach, success in dependent eligibility verification comes down to three things—communication, communication, and communication. Crafting and distributing customized, data-driven employee communications improves audit compliance and creates a more employee-friendly audit experience.
As widely predicted, the adoption of working spouse provisions is continuing to climb. This trend is expected to continue in 2016, with 40% of employers planning to implement some version of a working spouse provision in the next two years.
http://consova.com/wp-content/uploads/2016/07/blog-bg.png5501920Consovahttp://consova.com/wp-content/uploads/2016/10/consova_logo.pngConsova2016-02-10 17:47:432016-02-10 17:47:432016 Trend - Continued Adoption of Working Spouse Provisions