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Best Practices

Health plan audits drive employer savings

The growing range of audits available serves to establish best practices going forward that keep plan costs down.

Spreadsheet, calculator and magnifying glass Audits are particularly important for public employee plans, where employers have a fiduciary responsibility to taxpayers to ensure a clean plan population.(Photo: Shutterstock)

It was a happy, but not-so happy, moment for benefits advisor Kalli Ortega, managing partner and vice president at Corkill Benefits, when she learned that a couple on one of her employer health plans had been charged for two circumcisions on the invoice for their daughter’s birth. She knew then that she was making progress with educating about the need for health care bill auditing, but also the degree to which facility bills were totally out of hand.

As she tells the story, the couple had finally been able to have a child after repeated unsuccessful attempts. When the bill from the hospital arrived, they didn’t just blindly pay it. They asked for an itemized bill.

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Dan Cook

Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.

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