TFG Partners, LLC
 
Audit Medical Claims When Costs Go Up
Claim processing for large employer-funded health plans by third-party administrators (TPAs) involves advanced systems and performance guarantees. However,...
TFG Partners, LLC     Aug 27 @ 10:49 pm
Audit Claims When Health Care Costs Spiral
With the continuous rise of healthcare costs, self-funded medical and prescription plans increasingly seek ways to manage and control expenses. Running a...
TFG Partners, LLC     Jul 31 @ 11:08 pm
Optimize to Run Better Claim Audits
Companies that handle medical and pharmacy claim processing for employer self-funded plans must undergo periodic audits, ensuring regulatory compliance and...
TFG Partners, LLC     Jul 29 @ 3:52 am
Get Claim Audits Right to the Last Penny
Today, it's widely acknowledged in health plan management that 100-percent claim audits yield more accurate results than random sampling. A healthcare audit...
TFG Partners, LLC     Jun 27 @ 11:15 pm
Few Things Rival Claim Auditing for Oversight
Something new arises with health planning billing errors and related irregularities when you think you've seen it all. Medical claims auditing is one of the...
TFG Partners, LLC     Mar 18 @ 10:25 pm
Beefing Up Health Plan Oversight
When large corporate or nonprofit employers sponsor their employee benefits, they put millions of dollars on the line. Healthcare plans are among the most...
TFG Partners, LLC     Feb 18 @ 10:41 pm
Skip Random and Go for 100% Claim Audits
The thing about any random sample is that it's just that: random (and unpredictable). It means no two random samples turn out alike. Therefore, when reviewing...
TFG Partners, LLC     Jan 23 @ 12:21 am
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