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Employer Services
The management of healthcare transactions and claims is an enormous challenge — a specialized understanding of the marketplace is critical.
Due to the complexity of healthcare and increasing costs, employers are often left with a number of questions when it comes to healthcare:
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Why are employee healthcare benefits so expensive?
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Why are healthcare expenditures escalating so rapidly?
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Medical Business Associates, Inc. enables employers to manage, control and reduce their healthcare costs.
Our solutions include, but are not limited to:
- Eligibility/Dependent Audits
- 100% of Claims Audits
- Random Sample Audits
- Claim Surveillance
- Specialty & Custom Audits
- Patient Advocacy
Our independent trusted advisors include:
- Audit & Investigative experts (Certified Public Accountants, Certified Fraud Examiners, Private Investigators, Actuaries)
- Clinical experts (Nurses, Doctors, Pharmacist)
- Information Technology experts (Data Analysts, Software Programmers, Database Administrators)
We help employers understand how and where their healthcare dollars are spent to:
- Adjudication accuracy
- Administrative effectiveness
- Overall plan performance
Healthcare Audit Services
AUDITING
- Understand and reduce healthcare expenditures
- Review operational plan administration
- Results in 3 months
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CONSULTING
- Implement audit findings
- Optimize plan performance
- Forum for questions and answers
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TRAINING
- On-site training of internal audit staff
- On-site and web-based employee wellness
- medical expense management training
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For more information on our Employer Advocacy Services, please fill out a request form.
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