White Papers - Audit Information Benefits Managers, Plan Sponsors, Trustees, and Fiduciaries of Self-Funded Health Plans

CTI WHITE PAPERS

AUDIT IDEAS AND INFORMATION YOU CAN USE

Accessible from the links below, CTI White Papers cover a variety of timely topics of interest to benefits managers, plan sponsors, trustees, and fiduciaries of self-funded health plans. Information drawn from outside sources is attributed to them. CTI's insights, ideas, and solutions to problems also are highlighted.

Claims Audit Managment and Fiduciary Issues September, 2011 AUDIT AND CONTROL OF HEALTH PLAN CLAIMS ADMINISTRATION - A BRIEF HISTORY WITH DISCUSSION OF AUDIT APPROACHES, OBJECTIVES, AND TECHNIQUES YIELDING HIGHER R.O.I. Since the advent of self-funding of health plans in the 1980's, plan sponsors have come to recognize the significant and... [ more ]	Comprehensive PBM Audits June, 2011 COMPREHENSIVE PBM AUDITS Benefit managers and claims payers in general consider their health benefits dollars, including their prescription benefit spending, as a valuable asset that must be safeguarded and optimized to ensure their beneficiaries receive the most cost-effective therapies and delivery strategies available. This... [ more ]
Dependent Eligibility Verification January 2011 DEPENDENT ELIGIBILITY VERIFICATION--A DISCUSSION OF THE USE AND ADVANTAGES OF STATISTICAL PROCESS CONTROLS TO IMPROVE ELIGIBILITY VERIFICATION PROCESSES As the high cost associated with covering ineligible dependents on employer-sponsored benefit plans has become clear, approaches for attempting to control it have... [ more ]	Claims Audit Model RFP September, 2011 A DETAILED RFP CONTENT OUTLINE FOR SELF-FUNDED HEALTH PLAN SPONSORS WHO ARE PLANNING TO REQUEST PROPOSALS FOR CLAIMS AUDIT SERVICES CTI's "Model RFP" outlines the elements which, in our experience having seen and responded to hundreds of RFP's over time,... [ more ]

Celebrating our 21st Anniversary Year in 2011. Contact us today about the benefits of our proven audit and control approach.

CTI - Claim Technologies Incorporated provides claim administration audit, including medical claim audit, medical claim review, and medical plan claim audit