Managing an employer-funded health plan requires medical claims auditing, which serves as an essential tune-up for the program. Comprehensively reviewing claim payments—an approach now common in auditing—can provide valuable insights into the plan's performance. Traditionally, audits relied on random sampling; this method barely scratched the surface of identifying recurring errors....

If you're involved in corporate benefits management, the type of review you select for your medical plan can significantly influence outcomes. Medical claim auditing services that perform comprehensive audits—checking 100% of claims instead of relying on random sampling—tend to yield much more precise results. By incorporating continuous monitoring into your strategy, you can...