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QBA Consulting Corporation - Innovators in Auditing Health BenefitsAdministration

Innovators in Auditing Health Benefits Administration

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CONTACTS AT QBACC.COM

QBA Consulting Corporation

901 Wa●●●●●●ll Way

Ric●●●son , TX, 75080

US

1.97●●●●3000
1.97●●●●1990
wg●●●●●@QBACC.COM

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QBA Consulting Corporation

Burke, Bill

901 WATE●●●●●●●● STE 201

RIC●●●SON , TX, 75080-6791

US

(972)●●●●●-3000
999 ●●●●9999
wg●●●●●@QBACC.COM

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TAMIZHARASU, TANGASAMY

TAMIZHARASU,, TANGASAMY

5433 Wes●●●●●●●●uite 200

Ho●●on , TX, 77056

US

1.71●●●●0485
1.71●●●●0076
te●●●●●●●@yahoo.com

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QBA Consulting Corporation - Innovators in Auditing Health BenefitsAdministration | qbacc.com Reviews
<META>
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Innovators in Auditing Health Benefits Administration
<META>
KEYWORDS
1 Stohl
2 health
3 benefits
4 health benefit auditing
5 administration
6 audit
7 claims
8 QBA
9 Consulting
10 seminars
CONTENT
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PAGE
qba consulting corporation,administration,risk assessment,considerations,audit and consulting,services,seminars and presentations,audit,findings,controlling healthcare cost article,901 waterfall way,suite,richardson,texas,rmstohl@qbacc com,next page
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QBA Consulting Corporation - Innovators in Auditing Health BenefitsAdministration | qbacc.com Reviews

https://qbacc.com

Innovators in Auditing Health Benefits Administration

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1

WHY AUDIT HEALTH BENEFITS ADMINISTRATION

http://www.qbacc.com/qba003b.htm

WHY AUDIT HEALTH BENEFITS ADMINISTRATION? Self-funded employee welfare plans subject to the Employee Retirement Income Security Act of 1974 ( ERISA ) must pay benefits in accordance with the terms and conditions set forth in the Plan document and the Summary Plan Description ( SPD ). Plan provisions that limit benefits to reasonable and customary charges or usual and customary rates are permissible and, where such provisions have been adopted, they must be enforced. Rising Health Care Cost. The same prov...

2

qba003f

http://www.qbacc.com/qba003f.html

SELECTED EXAMPLES OF QBA AUDIT FINDINGS. The following are some examples of claim-related issues and other problem areas in benefits administration that were identified during audits conducted by QBA:. Claim adjudication system detected overpayments, but clerks overrode edits – $44,508. System edits did not detect duplicate payments - $78,038. Claim not coordinated although other benefit information was submitted - $100,113. Thirty-four percent (34%) over funding of the call-for-funds. In addition to usi...

3

HBA Assessment

http://www.qbacc.com/qba003c.html

What’s Included in Your Organization’s Health Benefit Costs? Health benefit costs not only include payments to providers for goods and services and the cost of administration; but also payment errors, overcharges, fraud, and abuse. The portion of health plan spending attributable to fraud and abuse cannot be quantified precisely; although healthcare experts estimate that a substantial part of the nation’s healthcare spending is lost to such practices. Close scrutiny of y our benefit plan may disclose som...

4

QBA NEWSLETTER

http://www.qbacc.com/qba003a.htm

ABOUT QBA CONSULTING CORPORATION. QBA Consulting Corporation specializes in Quantitative Benefits Administration. Audits, data analysis, and consulting on cost controls and program stewardship in health benefits administration. QBA has the experience of auditing most of major insurance carriers and third‑party. Administrators ( TPA ) in the country. Richard M. Stohl. Based on Richard’s governmental experience in auditing the Federal Employees Health Benefits Program ( FEHBP ). He realized that the tradit...

5

qba003e

http://www.qbacc.com/qba003e.html

QBA Consulting Corporation is affiliated with Courtenay Thompson and Associates www.ctassoc.com. For the purpose of providing professional development training seminars on health benefits administration audits and cost controls. Richard M. Stohl. CPA, Director of Audit Services at QBA is the developer and instructor of several seminars related to health benefits administration audits, cost controls and oversight. The courses are designed to address the situations and issues actually encountered and p...

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Meet Our Instructors | Courtenay Thompson & Associates

http://www.ctassoc.com/node/3

Courtenay Thompson and Associates. A List of Our Courses. Programs for Chapters of Professional Associations. Catch Us Where You Can! Information and Registration for CTA Sponsored Seminars. Join Our Email List. Courtenay M. Thompson Jr. Richard L. Townsend. Richard M. Stohl. Charles E. Wertheimer Jr. Mark R. Kolman. William E. Grieshober. Courtenay M. Thompson Jr. In addition to personally detecting and investigating suspected fraud cases, he established corporate policies for fraud and trained other au...

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QBA Consulting Corporation - Innovators in Auditing Health BenefitsAdministration

Innovators in Auditing Health Benefits Administration. Health benefits costs include not only legitimate payments to providers for goods and services, and administrative expenses; but also payment errors, overcharges, fraud and abuse. Please take a few moments to review what we are about and then email or call on how you can best receive a complete and accurate assessment of the administration of your health benefits plan. About QBA Consulting Corporation. Why Audit Health Benefits.

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