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Pricing "Intuition and Persistence"
A Connolly auditor was performing an audit of an electronics supplier who did not consistently offer price protection (cost reduction on current inventory due to permanent retail price reductions). The auditor was aware of this, but while reviewing invoices began to question a large promotional purchase made of a particular product. The promotion reduced the product’s retail price, but sales of this product sold during this time period far exceeded the amount purchased for the promotion.

After a detailed analysis of invoices and on-hand inventories it was determined that most of the product received and sold for the promotion was paid for at the higher cost. The auditor verified with the supplier that these invoices should have been billed at a lower cost. The auditor calculated the purchases made of this product and discovered an invoice overcharge.

In this case, the Connolly auditor did not let the normal standard practices of a particular supplier dictate purchases and allowances were audited. Experience and intuition allowed the auditor to notice that an increase in purchases, without any promotional consideration, was incorrect. In addition, the auditor was very diligent and professional in dealing with the supplier’s representative. This experience, professionalism, and persistence allowed the auditor to recover a claim for over $327,000 for the client.

Adjustment Error "Things Aren’t Always as They Appear"
A client attempted to cancel an allowance (previous deduction) that was not due them from their supplier and inadvertently paid back the allowance twice creating an error totaling $151,130. To complicate matters further, the client had several different divisions, three of which were involved in the payment. In addition, 12 different transactions were made in an attempt to correct the numerous errors that occurred with this transaction.

Connolly Consulting’s audit team recognized that because the client had multiple divisions within their company, payment errors may have been likely. While analyzing Connolly’s standard duplicate payment reports, the auditor noticed additional opportunities for recoveries by changing the parameters of the report to hone in on adjustment transactions. This particular transaction did appear on a duplicate payment report with two payments and one credit. Other auditors would have passed by the transaction - as it appeared the duplicate payment was properly corrected. However, with the help of the special customized adjustments report from Connolly’s data analysts, the auditor was able to quickly realize the payment was not for an invoice, but was an attempt to reverse an allowance.

Healthcare "One Thing Leads to Another"
An experienced Connolly healthcare auditor was exploring the possibility of duplicate payments. Working with a Connolly data analyst, the auditor created a customized DecipherTM report to help identify and validate other, similar overpayments. Using the report information and knowledge of the situation, the auditor successfully identified and documented a series of overpayments against a large provider.

During the process the auditor continued to review this comprehensive report and further investigate other areas that looked suspect. With the data and technology to quickly run queries at his disposal, the auditor discovered that there were additional overpayments associated with transactions resulting from the use of incorrect provider numbers on claims related to dialysis treatment. An overpayment totaling $47,280 was initially found, and after conducting further extensive research using Connolly’s proven audit techniques, the auditor identified 80 additional overpayments totaling $1,950,000 dollars in valid recoveries.

This example illustrates that when Connolly auditors research overpayments in one area it often leads to overpayments in other, often unrelated, areas.

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