Contents
Careful Record Keeping Pays Off
Further Reading
NIHP Claims Handling Earns High Marks
Quick Poll–Vote
Contact Information
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Check out the
NIHP website
at www.nihp.com. It's your online source for service overviews, provider information, helpful links, and more!
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Careful Record Keeping Pays Off
—Both employers and healthcare plans must be meticulous
As healthcare costs continue to rise, the importance of accurate and up-to-date record keeping also increases. Seemingly minor mistakes can cost your business considerable amounts of money in overpayments and labor expenses.
Employers play an important role. Data entry should be done with a keen focus on accuracy, and then updates (including retirements, births, etc.) must be completed in a timely and thorough fashion. Most importantly, the claims administrator must be notified of these changes, or work out a system to regularly make these updates. One way or the other, it is imperative that the system contains accurate data.
In addition, healthcare providers shoulder a great deal of responsibility for accurate record keeping—especially when it comes to claims handling, where careful attention to detail and innovative processes are paramount. Quality IT systems, diligent monitoring, and accurate fee schedules help ensure proper handling and stellar internal controls.
As you focus on reliable record keeping and account reviews, especially watch out for:
- Eligibility problems, such as incorrect hiring dates and termination dates
- Payments to ineligible dependents
- Improper plan classification
Further Reading
- Stop Paying for Ineligible Beneficiary Health Care
- More information about eligibility issues and a helpful "pop quiz."
NIHP Claims Handling Earns High Marks
—2005 measurements show nearly 100% accuracy
As you consider whether or not you need to review your internal record-keeping practices, you can rest assured that NIHP carefully measures our performance in areas important to you. In 2005, we continued to focus on claims handling accuracy, procedural accuracy, financial accuracy, and several other important categories. With claims handling accuracy hovering near the 100% mark, you can count on us to closely monitor your plan and work with you to keep your accounts as current as possible…saving you headaches and helping to control costs every step of the way.
Quick Poll–Vote
How often do you confirm your employees' list of dependents?
(Click a response to vote. Answers are strictly anonymous.)
Then, visit the NIHP website to view the quick poll results.
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