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Best Practices for Employers to Combat Claims-Related Health Care Fraud

First few Article Sentences

The onset of the COVID-19 pandemic created significant, highly publicized upheaval to the health care delivery system. Equally disruptive, the industry also had to face a delayed impact to COVID-19 payer claims processing workflow and provider revenue cycle.

With the millions of transactions that health care payers process and the billions of dollars paid each year to providers, COVID-19-related claims significantly increased the likelihood of payment integrity risks.

Performing an audit of health care claims could help payers and self-insured employers uncover these mistakes, reduce medical expenses, and improve the member’s experience, which underscores employee overall satisfaction with employer benefit plans and cost controls.

Norris, Will

Orejudos, Francis

Moss Admas

Law, Fraud

November 9, 2021

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