Delivery of a Managed Review Two Weeks Ahead of Schedule and More Than $85k Below Budget
Delivery of a Managed Review Two Weeks Ahead of Schedule and More Than $85k Below Budget
2 PagesDelivery of a Managed Review Two Weeks Ahead of Schedule and More Than $85k Below Budget Summary Client Industry: Healthcare Insurance Business Challenge: During a review to remedy overpayments, Special Counsel found incomplete emails and after further investigation, discovered additional documents in a separate repository. Highlights/Outcome: Completed the project two weeks ahead of schedule, saving the client approximately $88,000 and with a 97.9% accuracy rate. Opportunity Special Counsel’s client, a large health insurance provider, was party to specific retail pharmacy agreements related to their administration of pharmacy claims. Amendments to these agreements led to complaints about unequal pharmacy reimbursement rates for generic drugs dispensed to USVI Medicaid members
