The overpayment occurred between January 2016 and July 2016. The audit found the county was billed for 26 employees who no longer worked for the county. Another 12 employees were on the invoice for coverage different than coverage indicated on supporting documentation, and two employees were doubled listed on Highmark’s invoice as employees and retirees.
The county controller recommended Franklin County request that Highmark credit the overpayments. In addition, the county controller said the county should shift to electronic monthly billings to develop a more automated method for verifying the monthly invoice against county records.
More articles on payer issues:
Judge blocks $37B Aetna-Humana deal: 5 things to know
Premiums for individual unsubsidized ACA health plans up 22% since last year
House OKs insurance premium relief bill in Minnesota; governor may see legislation next week
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
