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claims

14 items

  • Is the industry seeing any resolution with inaccurate and fraudulent health claim billing?

    Unfortunately, the health care industry has long been plagued by widespread issues of mis-billing. Think about it for a minute. How

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  • How can benefit plans gain some control over the high cost drivers in health care?

    This is an age-old question that we’ll probably be asking for years – decades even – to come. But before we

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  • What can employers do to be part of the solution in addressing health care waste within their benefit plans?

    It’s been reported that health care waste carries a price tag of $750 billion in the U.S. each year. That’s an

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  • Why is medical necessity a factor when reviewing health claims?

    As employers work to get more control of the health plan dollars they’re spending, closer claim review has become a key

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  • Where could we be missing some savings opportunities in our company’s health plan?

    When employers take a closer look at their health plans and break down the various elements, the savings opportunities start to

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  • When Reviewing Health Claims, Do Only the Ones That Total Large Dollar Amounts Need Closer Scrutiny?

    The way we have always approached this at Cypress, each health claim should receive careful review. Sure, it’s not as likely

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  • In Reviewing Two Separate Health Claims for the Same MRI Procedure, How Can the Charges Be So Drastically Different?

    We see cases of this all the time. The same procedure is performed at two different locations (sometimes within just a

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  • Compared to Traditional Health Plans, How Is the Claims Review Process Different in Self-Funding?

    With a self-funded plan, employers aren’t cutting a check for the same amount every month to cover health claims. Instead, the

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