Navigation Links
OCI Analytic Uncovers Duplicate Billing in Over 4% Of Workers' Comp Claims
Date:7/2/2009

DENVER, July 2 /PRNewswire/ -- An analytic study by OCI found that over 4% of all workers' comp claims have a duplicate bill sent to a group health plan. OCI conducted the analyses on a large employer from their proprietary Reference Database on duplicate workers' compensation and healthcare payments. The purpose of the study was to determine how frequently and how much greater costs occur if and when providers are billing both workers' comp and healthcare for the same services, patient or claimant.

The results of the study were presented at a recent meeting of the Fraud Assessment Commission, under the California Department of Insurance Fraud Program. The study found the following:

  • 4.2% of ALL workers' comp claims have a duplicate healthcare claim
  • Over half of the duplicate claims filed received payment
  • The employer paid over $1.2 million dollars in duplicate payments
  • One-third of the duplicate claims filed were paid more than what was billed
  • The employer paid over $100,000 in overpayments on duplicate claims

"There is an occurrence of duplicate billing on the exact same workers' comp claim, same date of service, same ICD-9, same billing codes, same provider also billing to group health," says Archie Anderson, President of OCI. "This was an aged claim analysis, meaning all the payments have been made. This particular employer was not even aware."

The cause of duplication cannot be determined from the data, however the claim set is easily identified for follow up. To prevent duplicate claims, an employer or organization must commit to integrating its workers' comp and healthcare billing and claims data to identify where the duplicate billing and payments occur.

OCI's Information Management Solutions provides the data integration necessary to complete this analytic study for any organization or company. In addition, OCI also provides ongoing tracking and detection capability, which allows employers to stop duplicate payments before they are paid or recover overpayments sooner.

OCI's Workers' Compensation & Healthcare Duplicate Payments Analysis has been featured in greater detail by Workers' Comp Executive and Workers' Comp Central. For more information or to view these articles, please visit www.oci.com.

About OCI - OCI is an information management solutions provider that helps companies make better-informed decisions about their risk management and employee benefit programs.

OCI has designed and delivered integrated health and productivity solutions to Fortune 1000 companies since 1984. Using secure web-based applications, a flexible, client-centric approach and deep industry experience, our solutions transform data into information and knowledge, giving our customers the power to increase administrative efficiency, reduce expenditures and improve productivity. www.oci.com


'/>"/>
SOURCE OCI
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Covance Expands Analytical and Stability Service Capacity in North America
2. Understand ARRA Spending Allocations with HIMSS Analytics™ Market Intelligence
3. University HealthSystem Consortium Adds Price Competitive Index to Its Spend Analytics Tool
4. HIMSS Analytics and NetMotion Wireless Release Study Findings on Key Challenges for Wireless Healthcare Deployments
5. Advanced Analytical Reveals New Platform for Rapid Genotypic Identification of Microorganisms at ASM 2009
6. Strategic Analytics Reports Stress Test Achievements
7. MDS Analytical Technologies Releases MetaXpressPowerCore(TM) and MetaXpress(R) 3.0 Cellular Imaging Software
8. GfK Healthcare Implements DecisionQs FasterAnalytics(TM) Modeling Software
9. UnitedLex Announces Strategic Alliance with Oval Ideas to Enable Superior Patent Analytics
10. IntegriChain Announces Measurement of Retail Inventory(TM) (MRI) Analytic
11. WuXi AppTec Bioanalytical Services Unit Passes FDA Inspection
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... NJ (PRWEB) , ... October 13, 2017 , ... Global ... at scenic Alexandria Park in Milford, NJ. This free event, sponsored by Global ... physical activity. The fun run is geared towards children of all ages; it ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... giving viewers the lowdown on sciatica in a new episode of "Success Files," ... on current events and innovation and investigates each subject in-depth with passion and ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains to the Mission ... lost souls in the Philippines. “The Journey: From the Mountains to the Mission Field” ... the Bible. She has taught all ages and currently teaches a class of ladies ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare Compliance (FHC), ... will showcase a range of technology and learning solutions at the 68th Annual ... Expo to be held October 14–18, 2017 at the Mandalay Bay Resort in ...
(Date:10/12/2017)... ... 2017 , ... Planet Fitness, one of the largest and fastest growing franchisors ... a flagship location in Covington, LA at 401 N. U.S. Highway 190, in January ... Office Depot in the Holiday Square shopping center. Its location allows it to serve ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... , Oct. 2, 2017  AllianceRx Walgreens Prime, ... formed by Walgreens and pharmacy benefit manager Prime Therapeutics ... new brand, which included the unveiling of new signage ... , as well as at a few other company-owned ... new brand to patients, some of whom will begin ...
(Date:10/2/2017)... , Oct. 2, 2017 The Rebound mobile app ... struggle to reverse the tide of prescription drug addiction. The ... their medicine intake and stepping down their dosage in a ... launch in December 2017; the first 100,000 people to sign ... at http://www.rebound-solution.com/ ...
(Date:9/28/2017)... Cohen Veterans Bioscience and Early Signal Foundation announce a ... sensors for real-time monitoring of patients with trauma-related and ... focused on disruptive health solutions for rare disorders and ... record and integrate behavioral, cognitive, physiological and contextual data. ... ...
Breaking Medicine Technology: