Whether your company is new to recovery auditing or is supplementing an existing internal effort, Connolly Healthcare augments your existing audit and expands it into new areas. Our dedicated teams use the most advanced technology and processes to explore and locate the most promising recovery opportunities.
We know what to look for, which means minimal disruption to your sensitive provider relationships. And our vast experience in the healthcare industry gives us the knowledge and techniques to provide you with the most effective healthcare recovery auditing solutions available.
And if you are a health plan with ASO business, Connolly can help too. Many health plans with self-insured business face a paradox. Despite a seemingly significant volume of claims overpayments, many insurers do not provide recovery audit services for their ASO plans, consequently costing the plan sponsors millions of dollars every year. Our experience suggests that nearly $1 billion is lost annually for self-insured plans due to overpayments, in spite of various pre-payment systems and processes in place to mitigate those losses.
As more and more self-insured plan sponsors look for ways to reduce healthcare costs, they are using third party auditors to determine whether the plan administrators are correctly applying benefits and eligibility based upon the plan documents. You can pre-empt negative results from these audits by using Connolly to conduct a recovery audit proactively. Connolly will review the plan sponsor documents to ensure that benefit limitations and eligibility requirements are being met. To read more about the paradox of auditing ASO business, click here.