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President of Employee Benefits Advisory Firm Leads Eye-Opening Workshop on Cost Control at National HR Conference
Date:11/19/2013

Appleton, WI (PRWEB) November 19, 2013

Known for his expertise in the self-funded industry, Tom Doney, president of Wisconsin-based Cypress Benefit Administrators, recently presented about ways employers can successfully contain employee benefit costs at a national HR conference.

Doney led the workshop “Are You Getting Ripped Off? Employee Benefit Best Practices” at Northwest Human Resource Management Association’s 75th annual event in Tacoma, Washington – an educational conference with over 700 business professionals in attendance.

He addressed the current state of health benefits and the fact that as plan costs continue to rise each year, so too do the amount of medical billing inaccuracies.

In his presentation, Doney addressed several points Cypress focuses on – and employers and HR staff need to be aware of – when managing self-funded employee benefits and controlling the associated costs.

Health claim review and management was a main emphasis as Doney referenced the American Medical Association’s 2012 National Health Insurer Report Card and shared that there is a 1 in 5 error rate among the seven largest U.S. health insurance companies. He underscored the importance of scrutinizing health claims for services or supplies that were never provided, the misrepresentation of procedures, unbundled or upcoded charges and much more.

According to Doney, upcharging is among the most costly problems that exist today. He said, “In one example, we reviewed various implant procedures – cardiovascular to orthopedic – and compared the total implant invoice amount to the total implant bill. Those numbers showed upcharges of an alarming 450 to 650%.”

Medical necessity is another area the Cypress tea
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