PBM Auditing Beyond Just Claims Data – A Valuable Approach. Healthcare Claims Audit, Pharmacy Claims AuditRandy Light, Founder + Executive AdvisorJanuary 8, 2014
Due Diligence Health Plan Audit Produces Unexpected Results Pharmacy Claims Audit, Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorNovember 1, 2013
Health Plan Audits - Immediate Recoveries & Long-Term Corrective Action Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorSeptember 5, 2013
Medical Claims Audit Leads to Path of Corrective Action and Savings Medical Claims Audit, Healthcare Claims AuditRandy Light, Founder + Executive AdvisorJuly 2, 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
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
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
Audit finds $21K in payment errors Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorJune 6, 2012
Audit finds $79K in payment errors Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorMay 5, 2012
Audit Finds Prior Authorization Not Provided Prior to Claims Payment Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorApril 13, 2012
Excluded Hearing Aid Expenses Mistakenly Covered Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorFebruary 8, 2012
Multiple Claims Paid in Error Due to Systemic Flaw Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorJanuary 9, 2012
Prescription Drugs Did Not Get the Required Prior-Authorization Healthcare Claims Audit, Pharmacy Claims AuditRandy Light, Founder + Executive AdvisorDecember 12, 2011
Client Saved an Estimated $151K Healthcare Claims Audit, Dependent Eligibility, Medical Claims AuditRandy Light, Founder + Executive AdvisorNovember 4, 2011
Coordination of Benefits Error Results in Benefits Overpayment of More Than $200,000 Healthcare Claims Audit, Medical Claims AuditRandy Light, Founder + Executive AdvisorOctober 22, 2011
Excluded Prescription Drugs Paid as Covered Benefit While Discount Guarantee Doesn’t Add Up Healthcare Claims Audit, Pharmacy Claims AuditRandy Light, Founder + Executive AdvisorSeptember 2, 2011
