Health Claims Assurance Service
We don’t have to tell you that the scrutiny of the health care industry in today’s society is daunting. Across a multitude of medical professions, health plans and networks, the need for an independent assessment of a Company’s health claims billing, processing and payment systems is growing in importance. And our practice is growing with it.
Compliance driven engagements are stringent. Regulations often govern how to test the claims billing, processing, or payment systems and determine the reporting format to the proper governmental or regulatory agencies. The experienced staff of Hansen Hunter & Co. offers a unique advantage to meet these requirements.
Agreed upon procedures engagements for internal purposes offer more flexibility. The client sets the scope of examination. For example, such parameters may include determining the sample size, setting the threshold for error rates, or identifying the direction of focus for testing (e.g., types of claims or contracts). Client discretion also determines the format of the report.
We tailor all engagements to be client specific with the goal of meeting your needs and exceeding your expectations.
Please contact Jeff Moore at our office (800) 547-3159 for more information.