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:
Why are employee healthcare benefits so expensive?
Why are healthcare expenditures escalating so rapidly?
Medical Business Associates, Inc. enables employers to manage, control and reduce their healthcare costs.
Our employer 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:
- Claims auditor & 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)
Web-based employer audit tools:
- Subscriber/Dependent Eligibility Audit
- Bill Alert Program
Healthcare Audit Services
- Understand and reduce healthcare expenditures
- Review operational plan administration
- Results in 3 months
- Implement audit findings
- Optimize plan performance
- Forum for questions and answers
- On-site training of internal audit staff
- On-site and web-based employee wellness
- medical expense management training
For more information on our Employer Advocacy Services, please fill out a request form.