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:5/26/2017)... ... ... Amir Qureshi, MD is the first physician in Arkansas to implant Nuvecta’s ... Nuvectra™ Algovita SCS System has been FDA approved as a treatment option for chronic ... introduce the most powerful SCS system and the only stretchable lead on the market. ...
(Date:5/26/2017)... (PRWEB) , ... May 26, 2017 , ... ... premium delicatessen foods, is sharing bold recipes for Memorial Day entertaining that are ... menus. , “Boar’s Head fresh sliced meats and cheeses featured in these ...
(Date:5/26/2017)... MD (PRWEB) , ... May 26, 2017 , ... After ... anti-stress Antzy Top gadget will continue to be available at a discounted crowdfunding price ... deal with stress wherever they are, I also wanted to bring a fidget toy ...
(Date:5/26/2017)... ... ... Lowe acts as host and helps educate and inform the public using the “Informed” ... reconnect with America as it explores some of the best places to hike and ... inventive new place for a family vacation, and have discovered hiking. Many will agree ...
(Date:5/26/2017)... , ... May 26, 2017 , ... “THE FLINTHILLS FAMILY-Our Journey to the Cross”: the ... Journey to the Cross” is the creation of published authors, Bob and Margaret Massey. ... to say, he is "panther quick and leather tough." His love for others is ...
Breaking Medicine News(10 mins):
(Date:5/6/2017)... May 5, 2017  May is Stroke Awareness Month ... the most important methods to prevent a stroke: monitor ... for Disease Control and Prevention, undetected and uncontrolled hypertension ... Omron, the global leader in personal heart health technology, ... of heart attack and stroke and is advancing a ...
(Date:5/4/2017)... SAN DIEGO , May 4, 2017 /PRNewswire/ ... is demonstrating its wireless, handheld ultrasound scanners this ... Gynecologists Annual Scientific Meeting (ACOG) in ... 2017. "Clarius is the perfect ... fetal growth and heart rate, and evaluate pregnancy-related ...
(Date:5/4/2017)... 4, 2017   BioLife Solutions , Inc. (NASDAQ: ... marketer of proprietary clinical grade hypothermic storage ... "Company"), today announced that the Company,s first quarter 2017 ... Thursday, May 11, 2017, and that the Company will ... p.m. PT that afternoon. Management will provide an overview ...
Breaking Medicine Technology: