Since HDM has been in business, our focus remains on cost containment services for the self-insured. HDM helps to proactively manage healthcare costs of employers through our healthcare auditing services managed by our senior team and audit staff who collectively have a combined healthcare experience of over 120 years.

Auditing employee healthcare benefits is the quickest and easiest way to begin saving money by reviewing and analyzing the benefits program. HDM's additional auditing services of Hospital Bill and Dependent Eligibility Audits are cost-effective methods for employers to receive further significant savings by monitoring their hospital claims and reviewing dependent enrollment. Our experienced audit team will assess and determine appropriateness for all charges and claims, provide detailed data identifying red flags, and recommend program changes if and when necessary — all to aid in reducing the employer's large dollar exposure.

Hospital Bill Audits
The process of a hospital developing an itemized bill is complex and error prone. Studies show that over 90% of hospital bills have errors with overcharges making up an estimated two-thirds of the errors. The bill reimbursement method relies on the hospital facility to correctly list itemized charges that reflect the services, supplies, equipment and medications actually provided to the patient.

HDM's Hospital Bill Auditing is in response to an ever-increasing need to protect employer's interests by ensuring an accurate and honest billing. Self-insured employers require an effective and efficient program to review large dollar inpatient claims with the purpose of reducing costs. The auditing service is an effective means to monitor processed and denied claims, evaluate claims for appropriate and accurate payments, and identify and lessen overpayments.

Dependent Eligibility Audits
Many self-insured employers unknowingly carry dependents on their employee benefits programs that do not meet their eligibility rules and contract agreement. This is becoming a increasingly growing concern to many of America's employer groups and adding to already-existing worries of escalating healthcare costs.

HDM's Dependent Eligibility Audit is conducted to ensure that only qualified dependents of employees receive benefits by meeting predefined eligibility rules under the contract agreement. It assists employers in reducing premium overpayments and saves managers valuable time from manually processing dependent information.

Overpayment Recovery Audits
Research studies indicate that while 5-10% of all healthcare expenditures may result from errors or inappropriate payments, over 20 U.S. states have government laws restricting the length of time that health plan providers can request the return of overpaid claims from healthcare providers. With this "Catch-22" scenario in place, self-insured employers need to take the necessary steps to ensure that these lost costs are not only identified, but recovered in full.

HDM's Overpayment Recovery Audits provides an essential and financial-savings service for clients to help them regain overpayments of health plan costs. HDM identifies these savings through our claim errors validation and overpayment tracking and then provides the findings and results to the administrator for recovery.

To learn more about our cost containment solutions for self-insured employers, contact HDM today at 800.859.5119 or request information with our online form. You may also send an email to: info@HDMinc.com.