Fraud prevention starts with fraud detection. This webinar features two innovators in fraud detection.  Rich Lanza is a nationally recognized Certified Fraud Examiner who has developed principles and procedures related to fraud... read more

  Accurate plan administration requires accurate enrollment information. While dependent audits have become popular, they are only one part of Complete Enrollment Validation.  This webinar will present all facets of Complete Enrollment ... read more

  The new HIPAA accounting regulations are being met with the usual chorus of “too much big government intervention” and “too costly to comply.” Self-funded plan managers that can look beyond this political rhetoric will see a... read more

Why hasn't automation reduced health plan administrative costs? Health claim billing and payment processing is almost all automated. Yet health plan administrative fees have not been reduced - they have skyrocketed! Why is this? What makes... read more

  Dependent eligibility verification (DEV) has risen from obscurity to common practice in the last decade. With these audits now commonplace for group health plans, the question arises – Now what? To help answer this question we have surveyed ... read more

  Why can’t claim payment errors be prevented or stopped? Every group health payer has the goal of paying every claim correctly the first time. No payer meets that goal. Despite years of effort and automation, even the most sophisticated... read more

  Self-funded plans are not all the same.  They vary widely across a number of dimensions.  Is your plan “typical” or “unusual”?  In this webinar we will review over a dozen dimensions of self-funded plan performance. ... read more

  “I’m from the government; I’m here to help” seems comical.  The funny thing is that when it comes to monitoring health plan performance and provider payment, it can be true. Medicare is America’s dominant payer.  Its importance... read more

  Why hasn't automation reduced health plan administrative costs? Health claim billing and payment processing is almost all automated. Yet health plan administrative fees have not been reduced - they have skyrocketed! Why is this? What... read more

  Do the self-funded health plans you work with have a management plan for 2011 (that goes beyond waiting for crises, open enrollment and renewal)?  Whether they do or not, this webinar can be of help.  If there is a 2011 plan,... read more