- Process

Connolly Healthcare works with each client to customize an audit plan. An approach is decided upon by choosing from the suite of healthcare specific data mining services Connolly provides, including eligibility, pricing, coordination of benefits, multiple and duplicate payments, contract compliance, and more. After understanding the many sources of claim information and technical requirements, Connolly will engage an audit team to begin the recovery audit. Connolly performs these thorough audits with minimal impact to your day-to-day operations. This is recovery without interruption.

Connolly leverages the best technology resources in the industry (both software tools and hardware), but does not use technology as a substitute for highly skilled and experienced healthcare auditors necessary for the most successful audit. Connolly auditors take creative, investigative approaches which give them the ability to look closer and thoroughly analyze claim information to identify and recover the most overpayments possible.

Process Improvements and Recommendations
Connolly Healthcare looks closer to find the root cause of medical claim errors. Root cause analysis clearly identifies areas in your process, technology, or operations that are deficient. As part of Connolly's audit, this information is continuously presented to clients with proposed solutions in order to improve operational efficiencies and reduce the occurrence of future errors.

Resolution with Sensitivity
Maintaining provider relationships is an essential aspect of recovery auditing. Because Connolly auditors come from all levels of the healthcare industry, they understand the importance of provider and member relationships. Companies trust that Connolly's experience will guide them to recover funds with the maximum level of sensitivity to provider relations.
Connolly's audit process and data handling procedures obey the strict parameters of the Health Insurance Portability and Accountability Act (HIPAA). All data remains secure and confidential as per HIPAA regulations.

Learn more about Connolly Healthcare's Policy on Adherence to HIPAA Standards.