Keeping Claims Honest — The Role of a Fiduciary

In order to fulfill fiduciary responsibility, it's necessary to hold medical providers accountable when it comes to billing. In the latest episode of ClaimTalk, Cynthia Swanson and Amy Pellegrin join Danielle Young to discuss the role fiduciaries play and how they manage risk.

They discuss the fraud, waste and abuse they see in medical bills; how plan sponsors, whether they realize it or not, are fiduciaries; the role auditing plays in fulfilling fiduciary duties; and more.

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Apple: https://podcasts.apple.com/us/podcast/claimtalk/id1739171006

Spotify: https://open.spotify.com/show/3R9oj2rvSv3GPDSyCLzrEr

YouTube: https://www.youtube.com/@claimdoc/podcasts

Check out more episodes at Claim-DOC.com .

Chapters:

• 0:00 —?Introduction
• 3:30 —?Plan sponsors as fiduciaries
• 6:12 — How healthcare environment has changed
• 6:58 —?What constitutes fraud and abuse in healthcare billing?
• 14:15 —?Challenges with providers
• 18:32 — Lawsuits
• 23:10 —?All about auditing
• 32:29 —?Closing