TFGPartners's articles Technology in Claim Auditing Today TFG Partners is a healthcare claims audit and monitoring firm that has been leading the industry for nearly 30 years. September 12, 2023September 12, 2023 Saving Bookmark this article Bookmarked Reporting Matters in Claim Audits In the healthcare insurance world, prescription drug audit companies are receiving more attention in the wake of the COVID-19 pandemic. Highly accurate reviews of claim payments have produced factual data about medical costs and utilization during one of the most unprecedented periods in recent times. As a result, usable and easy-to-read (and understandable) reports have great value. […] March 21, 2023March 21, 2023 Saving Bookmark this article Bookmarked Minor Errors Add Up in Claim Payments Every medical claim paid is a complex endeavor. One way for employer-funded plans to police the accuracy of their payments is a healthcare audit. Reviewing each payment made by a third-party administrator or pharmacy benefits manager is a crucial oversight function. Catching and correcting significant error patterns is vital, but so is finding individual mistakes. […] January 21, 2023January 21, 2023 Saving Bookmark this article Bookmarked Setting Up a Smoother Medical Claims Audit medical benefits plan auditing, medical benefits plan auditors, benefit plan auditing,# medical claims auditing, medical claims auditors, health plan auditing services, August 25, 2022August 25, 2022 Saving Bookmark this article Bookmarked Health Plan Costs Out of Control? Audit the Claims When health care costs skyrocket, medical claim auditing is one of the best ways to review what happened. Large employers, corporate or nonprofit, that self-fund their plans for many good reasons need to keep tabs on costs. Events like the coronavirus can cause budget overages of legendary proportions, and double-checking results from outsourced claim administrators […] August 11, 2022August 11, 2022 Saving Bookmark this article Bookmarked Audit Your Pharmacy Benefit Manager Thoroughly Company Medical and Benefit Claims Auditing | TFG Partners July 21, 2022July 21, 2022 Saving Bookmark this article Bookmarked In Claim Auditing, Independence Means Everything Bigger isn't always better, and when it comes to medical claims auditing, smaller, independent firms are often the best. It's because some firms specialize in claim audits and do nothing else. Their total focus on claim reviews gives them particular expertise that's tough for larger firms to match. Many count executives with prior health plan […] July 12, 2022July 12, 2022 Saving Bookmark this article Bookmarked Here's What's Covered in Medical Claim Audit Company Medical and Benefit Claims Auditing | TFG Partners December 24, 2021December 24, 2021 Saving Bookmark this article Bookmarked Here's What's Covered in Medical Claim Audit Company Medical and Benefit Claims Auditing | TFG Partners December 24, 2021December 24, 2021 Saving Bookmark this article Bookmarked Greater Accuracy is Transforming Benefit Claim Auditing Self-funded corporate medical plans have always been audited routinely to comply with government regulations. Companies are conducting health plan audits more often – and some even monitor claim payments continuously. It's all thanks to the significantly more accurate 100-percent audit methods that are increasingly common today. Plans are serving their employee-members with more accuracy and paying […] January 30, 2021January 30, 2021 Saving Bookmark this article Bookmarked Nothing Matches an Independent Medical Claims Auditor Thorough and scrupulous medical claims auditing is essential to the performance of self-funded corporate medical plans. It's a regulatory requirement and a necessary part of good plan management. Independent auditors who focus solely on medical claims reviews have the best track record of outstanding performance. They have the expertise required and have no agenda other […] January 19, 2021January 19, 2021 Saving Bookmark this article Bookmarked Continuous Claims Monitoring Improves Company Health Plans If you're the person at your company responsible for managing a self-funded medical plan, you owe it to yourself – and your company – to find out more about a continuous claims monitoring service. When it comes to medical claims reviews, it can't be beaten in terms of accuracy. Too many plan managers rely on […] December 30, 2020December 30, 2020 Saving Bookmark this article Bookmarked
Technology in Claim Auditing Today TFG Partners is a healthcare claims audit and monitoring firm that has been leading the industry for nearly 30 years. September 12, 2023September 12, 2023 Saving Bookmark this article Bookmarked
Reporting Matters in Claim Audits In the healthcare insurance world, prescription drug audit companies are receiving more attention in the wake of the COVID-19 pandemic. Highly accurate reviews of claim payments have produced factual data about medical costs and utilization during one of the most unprecedented periods in recent times. As a result, usable and easy-to-read (and understandable) reports have great value. […] March 21, 2023March 21, 2023 Saving Bookmark this article Bookmarked
Minor Errors Add Up in Claim Payments Every medical claim paid is a complex endeavor. One way for employer-funded plans to police the accuracy of their payments is a healthcare audit. Reviewing each payment made by a third-party administrator or pharmacy benefits manager is a crucial oversight function. Catching and correcting significant error patterns is vital, but so is finding individual mistakes. […] January 21, 2023January 21, 2023 Saving Bookmark this article Bookmarked
Setting Up a Smoother Medical Claims Audit medical benefits plan auditing, medical benefits plan auditors, benefit plan auditing,# medical claims auditing, medical claims auditors, health plan auditing services, August 25, 2022August 25, 2022 Saving Bookmark this article Bookmarked
Health Plan Costs Out of Control? Audit the Claims When health care costs skyrocket, medical claim auditing is one of the best ways to review what happened. Large employers, corporate or nonprofit, that self-fund their plans for many good reasons need to keep tabs on costs. Events like the coronavirus can cause budget overages of legendary proportions, and double-checking results from outsourced claim administrators […] August 11, 2022August 11, 2022 Saving Bookmark this article Bookmarked
Audit Your Pharmacy Benefit Manager Thoroughly Company Medical and Benefit Claims Auditing | TFG Partners July 21, 2022July 21, 2022 Saving Bookmark this article Bookmarked
In Claim Auditing, Independence Means Everything Bigger isn't always better, and when it comes to medical claims auditing, smaller, independent firms are often the best. It's because some firms specialize in claim audits and do nothing else. Their total focus on claim reviews gives them particular expertise that's tough for larger firms to match. Many count executives with prior health plan […] July 12, 2022July 12, 2022 Saving Bookmark this article Bookmarked
Here's What's Covered in Medical Claim Audit Company Medical and Benefit Claims Auditing | TFG Partners December 24, 2021December 24, 2021 Saving Bookmark this article Bookmarked
Here's What's Covered in Medical Claim Audit Company Medical and Benefit Claims Auditing | TFG Partners December 24, 2021December 24, 2021 Saving Bookmark this article Bookmarked
Greater Accuracy is Transforming Benefit Claim Auditing Self-funded corporate medical plans have always been audited routinely to comply with government regulations. Companies are conducting health plan audits more often – and some even monitor claim payments continuously. It's all thanks to the significantly more accurate 100-percent audit methods that are increasingly common today. Plans are serving their employee-members with more accuracy and paying […] January 30, 2021January 30, 2021 Saving Bookmark this article Bookmarked
Nothing Matches an Independent Medical Claims Auditor Thorough and scrupulous medical claims auditing is essential to the performance of self-funded corporate medical plans. It's a regulatory requirement and a necessary part of good plan management. Independent auditors who focus solely on medical claims reviews have the best track record of outstanding performance. They have the expertise required and have no agenda other […] January 19, 2021January 19, 2021 Saving Bookmark this article Bookmarked
Continuous Claims Monitoring Improves Company Health Plans If you're the person at your company responsible for managing a self-funded medical plan, you owe it to yourself – and your company – to find out more about a continuous claims monitoring service. When it comes to medical claims reviews, it can't be beaten in terms of accuracy. Too many plan managers rely on […] December 30, 2020December 30, 2020 Saving Bookmark this article Bookmarked
