FACT:
Many plans have a minimum hours worked provision, such as 32 hours per week.
PERCEPTION:
Plans or administrators are administering time and attendance related eligibility data correctly.
REALITY:
Medical and pharmacy claims are being paid out erroneously due to insufficient hours worked. In fact, we recently audited T&A data on behalf of a self-insured client. One member received medical benefits exceeding $140,000 and shortly thereafter, left the employer.
OPPORTUNITY:
HR Best Practices is the only auditing firm in America that audits time and attendance data. In order to prevent this from happening in the future, clients can hire HR Best Practices to verify eligibility on a pre-pay basis or hire HR Best Practices to reconcile eligibility on a post-pay basis.
Contact us now to arrange for a demo.
