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Tips to Improve Your Health Plan Claims Administration Audit
Are you planning to conduct an audit of your health plan claims administration next year? Consider incorporating these recommendations for a more effective engagement.
Global Maternity Services
Global maternity services consist of antepartum and prenatal services, delivery or cesarean section, and postpartum care. Providers tend to use the global code in lieu of billing individual services because some insurance carriers will deny payment due to “unbundling.”
Comprehensive Board Reporting is Vital for Plan Sponsors
In order to properly manage a health plan, the plan sponsor and its board need to receive a good deal of financial and non-financial data. Board reports will come from many sources so compiling this information into a concise reporting package is often difficult, but vital.