Posts in pre-implementation audit
Pre-Implementation Audit Prevents Costly Mistakes
Pre-Implementation Audit Prevents Costly Mistakes

This communications sector client with 3,500 employees approached BMI to conduct a pre-implementation audit after a segment of the company was carved out and paired with a new third-party administrator (“TPA”) for their health plans. The primary objective was to verify whether the new TPA’s system was set up appropriately according to each plan’s stated benefits.

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Audit Finding of the M..., AUDiT iQ, BMI Audit Services, claims administrator, cost-containment solution, health care benefits a..., health care claims, health plan audit, internal audit department, Medical Claims Audits, pre-implementation audit, prior authorization, Self-Insurance Programs, Third-Party Administrator, TPA auditRobert Temples
Pre-Implementation Audit Prevents Costly Mistakes
Pre-Implementation Audit Prevents Costly Mistakes

A client within the healthcare sector approached BMI to conduct a pre-implementation audit after deciding to consolidate two different existing plans with a single third-party administrator (“TPA”) in order to verify whether the TPA’s system was set up appropriately according to each plan’s benefits.

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Audit Finding of the M..., BMI Audit Services, claims administrator, cost-containment solution, health care benefits a..., health care claims, health plan audit, pre-implementation audit, Third-Party Administrator, TPA auditRobert Temples
Pre-Implementation Audit Uncovers Hidden Discrepancies
Pre-Implementation Audit Uncovers Hidden Discrepancies

A client within the financial services industry approached BMI to conduct a pre-implementation audit after moving to a new carrier. Their primary objective was to verify whether the carrier’s system was set up appropriately to administrate their claims according to plan benefits.

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Audit Finding of the M..., BMI Audit Services, claims administrator, cost-containment solution, health care benefits a..., health care claims, health plan audit, internal audit department, Medical Claims Audits, payment errors, pre-implementation auditRobert Temples