Coalition America, Inc.

Atlanta based Coalition America, Inc. (CAI), one of the nation’s leading healthcare cost containment companies, has joined forces with Hazen Consulting Group (HGI), a leading HIPAA compliance specialist in a joint marketing and customer support strategic partnership.

CAI specializes in dramatically reducing costs associated with medical bills while assisting in streamlining the network management and claims payment processes for payors. CAI offers insurance companies, TPAs, large self-insured companies, health plans and other claims payors numerous supplemental PPO networks and negotiations in order to provide the best savings on out-of-networks claims in each market. The result for our clients has been a greater percentage of claim dollars discounted, higher overall savings and enhanced customer loyalty - all through one simple solution.

Additionally, CAI pioneered an approach to primary network analysis, identification and management that is yet to be equaled in the industry. Essentially, employers work with CAI to build their own customized preferred provider organization. CAI has access to over 200 networks nationwide; CAI matches employers with the national, regional or local PPO network that best meet their specific needs in each market. CAI analyzes employees’ usage of particular medical providers and the discounts offered by those providers,and then develops a seamless "quilt" of the best networks geographically. Further, CAI maintains the contracts, fee schedules, demographics and the interface between the providers and the networks on behalf of its clients.

CAI’s ability to provide savings on in-network and out-of-network claims is only rivaled by its ability to provide state-of-the-art solutions for repricing claims. From Internet repricing to EDI and paperless solutions, CAI has the answer for any clients current and future needs.

Meanwhile, Hazen Group offers an array of customized consultative, business support and analytical services. Recently, HGI has built on its experiences in the healthcare management, operations, information systems, medical and network services, and business and financial services in order to better serve its healthcare customers. Recently, the firm has been particularly focused on issues involving the Health Insurance Portability and Accountability Act (HIPAA) cross training. Hazen Group offers the following HIPAA-related services:

AWARENESS TRAINING - Hazen Group's HIPAA Awareness Training Programs can be applied to those new to the HIPAA concept as well as those focusing on specific areas, such as required staff training, senior level and operations level training.

ASSESSMENT - The organization helps healthcare related organizations assess the readiness of their operations in complying with applicable HIPAA rules. After the assessment, Hazen Group helps develop project plans that identify tasks that must be completed by the organization.

REMEDIATION - Remediation begins once gap areas are identified. HGI offers assistance in developing required policies, procedures, and workflow changes to support stated initiatives.

COMPLIANCE MAINTENANCE - Once an entity determines it is in essential compliance with HIPAA requirements, routine monitoring of external and internal changes needs to occur to assure ongoing compliance success. To ensure that this process occurs, HGI conducts periodic HIPAA compliance reviews of its client’s organizations.

"With so many healthcare organizations simultaneously grappling with HIPAA compliance and cost containment strategies, it made perfect sense for Hazen Group and Coalition America to join forces, " said Wynn Hazen, CEO, Hazen Group. "The customers of both organizations will benefit greatly by having two groups working together to help them solve these challenges."

For more information about the benefits of this strategic alliance, contact Coalition America 4151, Ashford-Dunwoody Road, Suite 615, Atlanta, GA 30319, 404/459.7201 or at www.coalitionamerica.com.

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