HR Best Practices

Containing Health costs through Data Mining

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Welcome to HR Best Practices!

Costs Get More Scrutiny

  

 NJBIZ       Soaring Health Costs Get More Scrutiny and companies are resorting to audits to spot ineligible people who are tapping into employee benefits. by Evelyn Lee

As health care costs continue to spiral upward, New Jersey employers are taking a hard look at their health insurance plans. In particular, companies are going after employees or dependents who are not eligible to be on those plans, but can account for a sizable portion of a firm’s health care expenses, benefits experts say.  Continued.

 

Welcome to HR Best Practices!

HR Best Practices is America’s leading healthcare eligibility technology and auditing specialist.  Our proprietary algorithms are designed to find costly eligibility-based financial leakage across 100% of a client’s medical and prescription drug claims. Our turnkey solution has helped numerous clients since 2001.

Eligibility leakage is a “dirty little secret” that costs plans approximately 5% of their health care spend. The driving factor behind this follows: medical and prescription drug claims are not reconciled to each respective member’s eligibility 100% of the time.

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Dependent Audit Secrets!

Dependent audits appear to be one of those “too good to be true” ways to contain healthcare costs.  There’s a lot of industry buzz about ROI, amnesty periods and dependent documentation, but that’s it.   As you read through our secrets, think about how these answers can help your plan optimize success!

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ROI Guarantee

One of the many ways we differentiate ourselves is “we walk our talk.” In order to show how serious we are, we are prepared to offer our clients an ROI guarantee up to 100%.

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NEWSFLASH:  Subrogation specialists “estimate that between 1% and 3% of health-care spending is potentially recoverable to the health plan.” Wall Street Journal, November 20, 2007 Read More (subscription required) - Learn More about Subrogation


Differentiators

  • Change Agents
  • Independence
  • Comprehensiveness
  • Technology
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Audit Working Spouses

Removing working spouses or adding a spousal surcharge provision provides greater savings than a dependent audit.

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Customer Quote

Chief Internal Auditor

“HR Best Practices goes beyond the normal practice of manual sampling and testing of claims by using advanced software they have developed to do extensive data mining and analysis of your full population of claims.  The HR Best Practices team is not only expert in the health care field; but the team also has a real passion for healthcare auditing and cost containment”.