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
Trust, but Verify Through BMI’s Implementation Audits Implementation AuditRandy Light, Founder + Executive AdvisorAugust 7, 2012
Comprehensive Documentation Based Dependent Eligibility Audit Proves Effective Dependent EligibilityRandy Light, Founder + Executive AdvisorJuly 9, 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
Dependents Fail Full-Time Student Status Eligibility Requirement Dependent EligibilityRandy Light, Founder + Executive AdvisorMarch 2, 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
