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For fiscal year 2018, the Centers for Medicare and Medicaid Services (CMS) calculated the improper payment rate as 8.12%, representing $31.62 billion in improper payments. Med Supp insurance providers, just like any other carrier with their own internal transactional errors, are further confounded by the mistakes made by Medicare.
APU will address the inevitable errors associated the Medicare/Medicare Supplement operation by building a variety of data-mining analytics programs that target the unique transaction error issues confronting Medicare and Medicare Supplement payers all the way from the federal administrative level down to the individual payer level. All with no up-front costs to you.
According to the National Association of Dental Plans (NADP), roughly 165 million Americans carry private dental insurance, 90% of which receive their benefits through employers or group programs. Given the trend that people with coverage are more likely to go to the dentist, this means millions of dental claims every year.
To identify and recapture transaction error on behalf of its clients, APU builds a variety of data-mining analytics that target those sources of error that are more common to the world of dental insurance claims and recaptures the associated financial loss.
Around 50 million Americans are over the age of 65, and that number is projected to climb. Long term care insurance kicks in when Medicare won't cover things such as home health care, assisted living, hospice facilities, caregivers, housekeepers, and therapists. Transaction error is not only inevitable, but widespread.
That's where APU comes in. Our mission is to identify and recapture money lost to transaction error in the Long Term Care Market space. To do so, APU builds a variety of data-mining analytics programs that target the vast array of transaction error issues confronting LTC payers. Our auditors ensure proper identification of over-payments.
A recent study by Medical Billing Advocates of America estimated that up to 80% of all medical bills contain errors. Anyone who’s been handed a stack of insurance plan brochures and asked to choose the best one can tell you one thing at a glance—major medical coverage is incredibly complex. It's no wonder the whole system is prone to errors.
APU will come in and recapture money lost to a medical claims insurer by building a variety of data-mining analytics programs that target the transaction error issues unique to the world of major medical claims. Our programs are refined on a client-by-client basis to meet your data and IT needs. And always on a no-cost basis.
Transaction errors are inevitable in Medicare, Dental, Major Medical, and Long Term Care insurance claims. APU's data mining systems help you reduce and recoup lost dollars, providing you with customized analytics to address your company's unique procedures.
APU offers all of this risk-free.
We don’t get paid unless you do.
Whether your staff identifies the overpayments or you hire us to do it, our recovery process works. Using a non-adversarial approach, we're committed to resolving overpaid insurance claims accurately, fairly, and without legal action of any kind. APU typically recoups nearly 80% of recoverable overpayments.
APU offers an extensive suite of process and performance analytics to complement our auditing and recovery service or on a stand-alone basis. Working within your data universe, we analyze your operations to identify strengths and weaknesses that help you make mission-critical decisions. We turn data into information.