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:7/24/2017)... ... July 24, 2017 , ... Axiad IDS , a leading provider of ... with WALLIX to expand its solution to help government contractors more quickly ... number of ways to address the authentication requirements within NIST SP800-171, but no ...
(Date:7/24/2017)... , ... July 24, 2017 , ... ... fat (adipose) transfer systems announces the issuance of United States Patent Number 9,695,398 ... its adipose filtration technology. The '398 and '324 patents cover methods and ...
(Date:7/24/2017)... ... July 24, 2017 , ... ... solution focused on delivering end-to-end sleep health care at scale, indicates record-breaking ... shows that adherence rates for positive airway pressure (PAP) therapy, the most widely ...
(Date:7/24/2017)... ... July 24, 2017 , ... Committed to eliminating clubfoot as ... 100,000 children in their treatment program. Clubfoot is a pervasive problem in the ... is limited or non-existent. Without intervention, these children are destined to grow up ...
(Date:7/24/2017)... ... 24, 2017 , ... On July 19th, the Chinese Academy ... the awarding ceremony was held successfully in Beijing. The State Health Planning Commission, ... system, and national Chinese medicine experts also attended the event, including more than ...
Breaking Medicine News(10 mins):
(Date:7/13/2017)... , July 13, 2017  New York City-based market research ... markets should be aware of.  From new products to new ... detailed in a recently completed study, Potential Pipeline Disruptors ... 1.  Age-Driven Growth - True ... been aware of the impact the growing population and, to ...
(Date:7/12/2017)...  Eli Lilly and Company (NYSE: LLY ) ... resolve pending patent litigation in the U.S. District Court for ... the Cialis ® (tadalafil) unit dose patent. This patent ... part of the agreement, Cialis exclusivity is now expected to ... "The unit dose patent for Cialis is valid and infringed ...
(Date:7/11/2017)... July 11, 2017  Bayer has awarded grants totaling more ... part of its prestigious Bayer Hemophilia Awards Program (BHAP). Four ... Philadelphia and Uniformed Services University of the ... the winners. Grant recipients were announced last night during a ... 2017 Congress, Berlin, Germany . ...
Breaking Medicine Technology: