How Health Plans Sponsors Monitor Claims
Large corporate and nonprofit employers self-fund their benefit plans for many good reasons. It also means running oversight on their expenditures, including medical claim audits, is essential. When you consider the dollars on the line, made even more apparent by the recent coronavirus pandemic...
28 January
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TFG Partners, LLC
A Health Plan Cost Containment Opportunity
For every health plan, the eternal challenge is managing the never-ending rise in costs. As a result, plan sponsors should remember the value of medical claim auditing services. With today's tech...
11 January
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TFG Partners, LLC
Audits and Oversight in Health Plan Management
The coronavirus pandemic put a unique stain on many systems in society and none more heavily than employer-funded health plans. They took a beating, and many lessons were learned, as medical claims au...
14 December 2023
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TFG Partners, LLC
Claim Audits Help with Rx Cost Increases
In an era of inflation and relentlessly rising prices, running an Rx audit to double-check claim payments makes excellent sense. It's a tool often used by employer-funded prescription plans relying on...
08 December 2023
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TFG Partners, LLC
Powerful Claim Audits Find More Errors
Claim reviews from healthcare auditing companies continue to become more sophisticated thanks to system improvements. Specifically, more powerful and accurate software and audit setups bring repo...
29 September 2023
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TFG Partners, LLC
How are Medical Claim Audits Most Beneficial?
Financial responsibilities are significant when large corporate or non-profit employers fund their health plans. Outsourcing claim administration is standard practice and brings efficiencies and the n...
02 June 2023
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TFG Partners, LLC
Health Plan Claim Audits are Increasing
The coronavirus pandemic turned things upside down financially for many health plans, with increased utilization and astronomical costs for some treatments. In its wake, medical claims audits are one...
18 January 2023
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TFG Partners, LLC
