Audits are particularly important for publicemployee plans, where employers have a fiduciary responsibility totaxpayers to ensure a clean plan population.(Photo:Shutterstock)
It was a happy, but not-so happy, moment for benefits advisorKalli Ortega, managing partner and vice president at CorkillBenefits, when she learned that a couple on one of her employerhealth plans had been charged for two circumcisions on the invoicefor their daughter's birth. She knew then that she was makingprogress with educating about the need for health care billauditing, 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 havea child after repeated unsuccessful attempts. When the bill fromthe hospital arrived, they didn't just blindly pay it. They askedfor an itemized bill.
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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.
