Claims Audits – Immediate and Long-term Cost Reduction Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorMarch 11, 2014
Finding Ineligible Dependents is Not Limited to Certain Industries Dependent EligibilityRandy Light, Founder + Executive AdvisorFebruary 4, 2014
PBM Auditing Beyond Just Claims Data – A Valuable Approach. Healthcare Claims Audit, Pharmacy Claims AuditRandy Light, Founder + Executive AdvisorJanuary 8, 2014
Spousal Surcharge Audit - An Effective Strategy to Reduce Costs. Spousal Only Audit, Spousal Surcharge, Dependent EligibilityRandy Light, Founder + Executive AdvisorDecember 2, 2013
Due Diligence Health Plan Audit Produces Unexpected Results Pharmacy Claims Audit, Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorNovember 1, 2013
Small Dependent Eligibility Audit, Big Savings. Dependent EligibilityRandy Light, Founder + Executive AdvisorOctober 2, 2013
Health Plan Audits - Immediate Recoveries & Long-Term Corrective Action Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorSeptember 5, 2013
Dependent Eligibility Audit Produces A 10:1 Return on Investment Ratio Dependent EligibilityRandy Light, Founder + Executive AdvisorAugust 6, 2013
Medical Claims Audit Leads to Path of Corrective Action and Savings Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorJuly 2, 2013
Periodic Dependent Eligibility Audit Achieves High ROI Dependent EligibilityRandy Light, Founder + Executive AdvisorJune 3, 2013
Multiple Audits Result in Over $500,000 in Savings and Achieves a 2,000% ROI Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorMay 6, 2013
Health Plan Audit Reveals Payment of Excluded Services and Lack of Documented Medical Necessity Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorApril 8, 2013
Pharmacy Benefit Manager's Claims Payment Errors Corrected Pharmacy Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorMarch 11, 2013
Dependent Eligibility Audit Achieves 1,200% ROI Ratio Dependent EligibilityRandy Light, Founder + Executive AdvisorFebruary 5, 2013
Claims Administrator Payment Errors Exceed 160k Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorJanuary 8, 2013
Prescription Drug Payment Errors Prove Costly Following Audit Pharmacy Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorDecember 3, 2012
Client Achieves a 1,200% Return of Investment Ratio Dependent EligibilityRandy Light, Founder + Executive AdvisorNovember 1, 2012
Internal Audit Department Partners with BMI Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorOctober 16, 2012
PBM’s System Not Correctly Programmed: Approvals Given Despite No Prior Authorization Pharmacy Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorOctober 16, 2012
