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<br />J. Cost-Containment Effectiveness <br />George Hills Percentile: 95% <br />In-House Percentile: 100% <br /> <br />Best practices require establishing an approved billing methodology and reviewing bills <br />against reports and documentation in the claim file for appropriateness. Claims handling <br />In-House and by George Hills meet best practices by: <br /> <br />· Complying with contracted billing methodology for administrative <br />services, legal services and independent claims adjustor activities. <br /> <br />· Reviewing claims and service bills for reasonableness. <br /> <br />We graded this component based upon the following criteria: <br /> <br />Grade <br /> <br />Criteria <br /> <br />4 <br /> <br />Cost-containment activities are effective. <br /> <br />Cost-containment methodology is in place and compliance requires <br />follow up to ensure effective implementation. <br /> <br />Cost-containment implementation requires immediate action to avoid <br />increased costs. <br /> <br />Cost.containment implementation is ineffective resulting in increased <br />costs. <br /> <br />3 <br /> <br />2 <br /> <br />1 <br /> <br />Seven exceptions for George Hills are shown in Table II-II. Cost-containment <br />effectiveness performance is assessed as commendable. <br /> <br /> <br />Table 11-11 <br />Cost-Containment Effectiveness Exceptions <br /> <br />1 <br /> <br />2003010 12/26/2002 <br /> <br />Trees <br /> <br />Cost containment would be improved by: <br />· Reviewing defense attorney charges against <br />the contracted billing guideline and budget. <br />· Requiring purchase orders and invoices for <br />supplies included in the estimate. <br />· Requiring 3 competitive bids for property <br />repairs. <br />· Analyzing actual cash value to avoid paying <br />betterment. <br /> <br />26 <br /> <br />ARM <br /> <br />Tee h <br />