map

 

STATISTICAL AUDITING

Lower costs, higher returns

If your processes are leaving money out there, Sagebrush auditors know where to find it. Our professionals have direct experience in the healthcare and managed care fields. We assist you in designing and implementing the right systems and controls to optimize your healthcare dollars.

The Sagebrush advantage

  • Focused, extensive experience in healthcare payer operations and audits.
  • Specialized audit tools, including software and benchmarks.
  • Combined statistical audit and electronic overpayment.

The Sagebrush Audit Report: Beyond the Expected

  • Detail Error Listing
  • Description of operational review and controls tested.
  • Extrapolation of findings (statistical sample to the general population).
  • Recommendations for system and process improvements.
  • Data modeling.

Detection and prevention

The complex managed-care payments process is full of opportunities for error, even in well-administered systems. Partner with Sagebrush professionals to analyze your systems and processes to ensure there are adequate controls to prevent fraud and abuse.

Streamlining

We identify specific process improvements to streamline administrative procedures and costs. Sagebrush auditors have the experience that will guide you to more effective healthcare cost control.

Employer Benefits

  • Ensures proper controls on employee monies.
  • Lowers healthcare costs through system and process improvements.
  • Directly reduces healthcare costs through overpayment recovery.
  • Provides quantifiable, comparative information about administrator services.

Payer Benefits

  • Cost savings and innovation through systems and processes improvements.
  • Lowers healthcare costs through system and process improvements.
  • Directly reduces health care costs through overpayment recovery.
  • Provides quantifiable, comparative information about competition performance.