medical benefits plan auditing
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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 technology, they can double-check every claim paid for...
TFG Partners, LLC · 11 January · 3
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 auditing has shown us in the pandemic's aftermath. T...
TFG Partners, LLC · 14 December 2023 · 2
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 pharmacy benefit managers to handle their claims....
TFG Partners, LLC · 08 December 2023 · 4
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 reports more quickly and are packed with factual...
TFG Partners, LLC · 29 September 2023 · 4
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 need for oversight. It's where medical claim a...
TFG Partners, LLC · 02 June 2023 · 6
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 of the ways plans have conducted post-mortems on t...
TFG Partners, LLC · 18 January 2023 · 1