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As the days get shorter and the weather takes a very New England turn for the worse, it’s important to keep your health and wellbeing at the forefront of your mind. That’s why we’ve listed a few tips and tricks to help you stay on top form this autumn and keep those winter blues and flus away.

With just a few subtle changes to how you look after yourself this Autumn and Winter, you can go a long way to protecting yourself from sniffles, runny noses and dry eyes.

Fight the flu

For all the golden brown leaves and cozy evenings in we enjoy, autumn also brings about the first cold or flu since the winter for most people. This can be quite a shock to the system and is always unpleasant, whether it’s just a stuffy blocked nose or a chesty cough. Keep the cold at bay by wrapping up in a coat and scarf, particularly during the

evenings when the temperature gets that little bit lower. And, in a more general sense, you’ll find that eating healthy, getting plenty of sleep, exercising regularly and washing your hands regularly won’t just make you feel better, but will boost your immune system and reduce the likelihood of catching a cold.

HealthMeUp offers many good common sense approached and tips that we all need to stay focused on to avoid the risk of serious complications – unplanned expenses, and related risks in the Summertime such as pneumonia, especially in older people. This could result in a trip to a doctor, or emergency room. HealthCare bills, claims and counter-claims result from this, and ClaimReturn works to find improper

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payments, and recovers money lost due to errors in benefit claim administration, provider billing, duplicate payments etc. This recovered money is returned to your insurance provider or employer at no cost to the individual patient, thereby lowering the cost of HealthCare for everyone.

When you fall to illness or injury.

ClaimReturn delivers the nation’s most experienced team of industry professionals, partnering with employers, third party administrators, medical providers, health systems, and insurance carriers. We use a uniquely collaborative approach using today’s most advanced technologies to review plans, payments, protocols, policies, and procedures for compliance with state and federal laws, current industry standards and existing contractual agreements .

ClaimReturn provides the assistance to improve claims payment, review quality, reduce costs, impact policy, and maintain pricing integrity. Ask us about ClaimIQ Duplicate check and niche logic. We find your money by using contextual predictive analytics with decision supported algorithms. ClaimReturn is a value-add process. Today’s employee benefits professional

CLAIMRETURN Fall and Winter
needs strength in a highly competitive marketplace. ClaimReturn offers this value at no cost to the client. No cost in labor, through our project management-based
implementation process. We reduce your medical spend by doing all the heavy lifting for you, your clients and benefits teams.
Whether you are a facility, Provider or TPA – The ClaimReturn difference starts with our extensive ClaimIQ Duplicate check. Based on Business logic at the examined at the unbundled claim level. Our proprietary ASO duplicates check engine, automatically reviews and rejects every claim for incorrect changes and billing errors.

We find your money . The money that has been paid out through improper unbundling of claims where duplicate payments where the checks have been issued. ClaimReturn then recovers the duplicate and returns the money to you or your client.

Let’s face it most claims managers are not trained to comprehensively look at each claim, unbundle it, place it against CPT, CMS standards. They rarely have this valuable time in their workday

ClaimReturn offers an expert adjudication and audit process , which is overseeing by certified medical coders, logic developers, and development team who are industry experts at every detail of your claims management process. Even the challenging task of keeping up to speed with the changing healthcare laws and CMS updates are applied to our logic directly.

We work with your team, as your representative to stay informed within this ever-changing compliance landscape.

Let’s talk numbers.

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1. Historical (post-payment) 100% medical Claims Review range from 3% to 9% of your annual healthcare medical spend on medical paid claims, is based on the health of the client data being reviewed.

2. The average time for data importation is one hour.

3. The service is at no cost. ClaimReturn is compensated from what we recover.

4. AICPA SOC 2 for Service Providers 2018

5. Microsoft Azure Secure

6. HIPPA, PHI and PII compliant.

7. We work exclusively for you.

It is just that simple.

Despite unprecedented efforts by all players in the industry to lower costs and improve quality, healthcare spending in the U.S. hit $3.2 trillion in 2015, an increase of 5.8 percent from the year before. (Centers on Medicare and Medicaid Services, December 2016.) The other half of the story is the explosive and costly developments in medical science.

Today there are exponentially more things a provider can do for patients, and accepted standards of care for the same diagnosis can vary in cost by a factor of 100….” (Becker’s Hospital Review, June 2017).

……. You now imagine “Your” Medical Claims Management Team. They are compliant, certified, competent and have the technology required to win?

As you may know – there are many who finalize medical claims to do a respectable job. Prospective companies, medical claim warehouses, internal recovery staff – all average between 92 and 95% accuracy.

After everyone else looks for accuracy and properly paid medical claims, this is when ClaimReturn starts its workday.

Discover our Client First Difference.

Call (844) 884-1388 or Email
info@claimreturn.com
Schedule a discussion to Meet with our team and let’s discover how we can Help you
From the recipe corner, tips for healthy
CLAIMRETURN Fall and Winter
eating and savory selections.
Make this anytime “chilled” for a summertime delight. Low in calories and loaded with fiber, vitamins and minerals, it’s a healthy treat.

Preparation Time: 5 minutes Cooking Time: 12 minutes

Ingredients • 1/2 cup broccoli florets
• 1/2 cup chopped celery stalks
• 1/8 cup finely chopped onions
• 3-4 garlic cloves, finely chopped
• 1 tsp oil • Salt to taste
• Freshly ground black pepper to taste
Method
• Heat the oil in a pan and cook the onion and garlic for a minute.
• Add the celery and salt and stir well.
• Add 2 cups of water and cover the pan. Let it cook for 5 minutes.
• Add the broccoli and cook for another 5 minutes.
• Remove the pan from the flame and let it cool.
• Blend the soup to a thin consistency in a blender.
Pop into the fridge, served when chilled.
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