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Accu-Rate is an independent consulting firm, which provides healthcare cost containment services.
We assist self-insured groups and insurance companies by identifying overcharges in healthcare bills. When we find invalid or inflated charges, we negotiate with providers on our clients' behalf. We arrange to have overcharges deducted before our clients pay their bills.
Our Mission:
To help our clients control costs, improve internal controls, and reduce risk by paying for valid and accurate healthcare charges only. Our goal, quite simply, is to be the best at what we do. In 2006, we found overcharges in every bill we reviewed. Our team identified overcharges that averaged 16.05% per bill (after applicable discounts had been applied).
Fraud Prevention:
According to the National White Collar Crime Center, healthcare fraud amounts to $170 billion per year (based on GAO estimates). Healthcare overcharges amount to over $500 for every man, woman, and child in the nation.
Even top insurance companies (including GEICO and State Farm) have paid millions of dollars in fraudulent claims to a single clinic in Florida.
We can assist you in identifying excessive healthcare charges that are damaging your firm, your employees, and your shareholders.
In the News
- In March 2006, President Bush called for more transparency in healthcare.
- In speaking to the Vice President of Government Relations for Tenet Healthcare (March, 2006), Allan Hubbard, Director of the White House's National Economic Policy Council, stated, "I can't understand how you can look at yourself in the mirror and say, `I should not provide pricing and quality information to prospective customers.'" ... "We don't consider anything in our society without considering price" ... "That's the American way."
- In a "60 Minutes" exposé, Dan Rather revealed that hospitals were charging uninsured patients 400%-500% more than they were charging insurance companies.
(Note: We find that Property & Casualty insurance companies and self-insured groups are also being overcharged by healthcare providers. Many hospitals are inflating their prices by as much as 1,000%, before giving P&C insurance companies their negotiated "discounts.")
Accu-Rate's team serves as advocates for our self-insured clients and their employees. We also assist Property & Casualty insurance companies with bodily injury and Workers' Compensation claims. Our clients range from self-funded plans with fewer than 800 employees to multi-billion dollar insurance companies.
In addition to auditing hospital bills, we work with Audit Committees and internal auditors of publicly traded firms, to develop healthcare accounting internal controls that are compliant with SOX 404 and HIPAA.
We invite you to tour our site and give us a call. We would be pleased to discuss your specific billing and compliance issues in greater detail.