It’s crucial for health plans and plan sponsors to verify the accuracy and timeliness of benefit documents, such as Certificates of Coverage, Summary Plan Descriptions, and Evidence of Coverages, as they finalize annual changes to benefit plan designs. Some plans have discovered during audits by a Department
Read More →Highlights from HCCA 2023 Managed Care Compliance Conference Presentation by Amanda Brown, ATTAC Consulting Group | Bailey Wendzel, Epstein, Becker Green Click here to see full presentation
Read More →Market Conduct Examination: How to Prepare for an Unpredictable Audit That Can Result in Major Fines
Many insurers in the commercial space have not yet undergone a market conduct exam, while others have not been tested on elements such as mental health parity Most plans have a well-defined process for responding to common state and federal audits. However, many plans are not as familiar
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