Employers aiming to reduce health care plan costs could go back to the dictionary when it comes to their summary plan descriptions. From reviews of …
[Read more...] about Do all physicians have a medical degree?
Reducing healthcare costs for self-funded employers
Employers aiming to reduce health care plan costs could go back to the dictionary when it comes to their summary plan descriptions. From reviews of …
[Read more...] about Do all physicians have a medical degree?
An overview of fraud, waste, and abuse Employers with self-funded employee healthcare plans often see the rising cost of healthcare as the price of doing …
[Read more...] about Identifying Provider Fraud in Employee Healthcare Claims
Three seemingly unrelated imaging providers based in FL were identified in a self-funded employer’s medical claims for what was later verified as phantom …
[Read more...] about Phantom billing: Can you spot it in your claims?
SmartLight Analytics combines the best inferential analytic models with a team of analytic and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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