Proven in practice since 1990, CTI's audit services provide accurate, easy-to-understand, and independent analysis to help our clients assure that their health plan claims are being paid effectively and in accordance with their plan specifications.
The unique and compelling advantage of our approach, however, is the information we also provide for improved administrator accountability and control. CTI's management tools enable you to "look behind the averages", to see recovery opportunities and costly process weaknesses, and to focus administrator attention on actions to address them. The payback from doing so can be substantial.
To learn more about our services you can use the links provided below to access brief descriptions and request additional information or a proposal.
For More Information
Director, Benefits and Compensation
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Medical Plan Audits September, 2011
CTI's
audit and control approach is designed specifically to help self-funded
health plan sponsors address the control risk and quality of service
concerns inherent in third party claims administration. Use of
CTI's approach makes it possible not only to identify ...
PBM Audits June, 2011
The primary objective of our PBM Audit approach is to
identify errors and/or problems in the administration of the plan for
immediate corrective action, or possible reimbursement. Additionally,
our findings will verify contract adherence, identify problem causes, and
provide recommended actions for future savings. Compared...
Dental Plan Audits September, 2011
Differences
between medical and dental plan claims data and documentation
not withstanding, CTI's basic audit methodology is used for Dental Plan
Audits. The same proven audit systems, including ESAS® are used;
as are identical protocols for data collection, analysis and
quantification, prioritization, and reporting.
Behavioral Health Plan Audits September, 2011
As
with CTI's Dental Plan Audits, the same basic claims audit methodology
for Medical Plan Audits is used for our Behavioral Health Plan
Audits. Again, the same audit systems, including ESAS® are used;
as are identical protocols for data collection, analysis and
quantification, prioritization, and reporting.
Specific & Aggregate Reinsurance Audits September, 2011
Please call Gloria Martin at (888) 220-2445 to discuss how CTI can help you meet your specific needs.
Other Specialized Audit and Consulting Services September, 2011
A particular advantage of CTI’s audit approach is that it provides accurate data and analysis upon which to assess the need for cost of, and benefits achievable with additional services including, but not limited to, the following:
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| Celebrating our 21st Anniversary Year in 2011. Contact us today about the benefits of our proven audit and control approach. |