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The ERISA Explained

The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established...

Leverage payment integrity solutions to ensure proper billing of tele-health services

Don’t be surprised if the U.S. Department of Health and Human Services continues the COVID-19 public health emergency in mid-July, based...

Stephen Carrabba President & Co-Founder of CI Featured in The Self Insurer Magazine

We’re excited to announce that Stephen Carrabba, our President and co-founder, was featured in the most recent edition of The Self...

Blue Cross Blue Shield hit with $5M - largest insurance fine in state history

Georgia's insurance commissioner has fined Blue Cross Blue Shield $5 million for violations of state laws and agency rules and...

Trend Toward More Expensive Inpatient Hospital Stays in Medicare Emerged Before COVID-19 and Warrant

Code Creeping or Upcoding. It's all the same and the damage this has to employer plans across the country far exceeds the impact to...

The doctor didn't show up, but the hospital ER still billed $1,012

Martand Bhatt's parents weren't sure he needed immediate medical care when the energetic toddler burned his hand on the kitchen stove one...

We Asked Prosecutors if Health Insurance Companies Care About Fraud. They Laughed at Us.

To protect their networks and bottom lines, health insurers don’t aggressively pursue widespread fraud, making it easy for scammers....

Ruling Gives Ammunition in Fights Over Health Insurer Clawbacks

Doctors, hospitals, and other medical providers now have a loaded arsenal to fight back with when health insurers try to claw back money...

Medicaid billing errors over several years cost state $1.5 billion

State Comptroller Thomas P. DiNapoli announced that errors in billing may have exposed patients to unqualified and uncredentialed...

Why this benefits CEO thinks the healthcare system may be working against employers

Employers and employees alike have witnessed the consequences of what happens when prices render healthcare inaccessible. Yet, it seems...

Federal and State Prosecutors Target BUCAHs with Legal Action

2020 was a landmark year in healthcare – and not just because of Covid-19. Over the last 18 months, multiple government agencies have...

ERISA 101: The Five Defining Questions Plan Fiduciaries Should be Ready to Answer

The Employee Retirement Income Security Act (ERISA), enacted in 1974, is one of the defining laws guiding the administration of...

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