13d90e9ca3486efd0f026f728c764450

TFG Partners, LLC

@tfgpartners
13d90e9ca3486efd0f026f728c764450 TFG Partners, LLC @tfgpartners - 3 months ago
Review Your Plan's Claims as They Are Paid
Watching payments continuously is one of the newest trends in medical claim audits. It allows plan sponsors (large corporate and nonprofit employers self-funding their benefit plans) to keep closer tabs on their cash outflow. Benefit claim administration established a sce...continued
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13d90e9ca3486efd0f026f728c764450 TFG Partners, LLC @tfgpartners - 5 months ago
When Claim Administrators Change, Audit Them
It’s a meaningful event when large employer-funded benefit plans change claim administrators. Since medical and pharmacy claims are the most significant expenses, healthcare auditing companies. should be involved. Implementation auditing is one of the most significant opp...continued
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13d90e9ca3486efd0f026f728c764450 TFG Partners, LLC @tfgpartners - 6 months ago
When Change Happens, Claim Audits Help
Large employers self-funding their benefit plans do so in an era of never-ending change. It affects health plans most significantly, and healthcare auditing companies are essential to oversight and management. With nearly all claim administration outsourced today, an inde...continued
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13d90e9ca3486efd0f026f728c764450 TFG Partners, LLC @tfgpartners - 7 months ago
Holding the Reins on Prescription Costs
The modern pharmaceutical industry, with billions in profits on the line, strongly advocates for its self-interests. The industry's investment in research and development is cited as the reason for high costs, but profits are also built into the equation. An Rx audit is o...continued
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13d90e9ca3486efd0f026f728c764450 TFG Partners, LLC @tfgpartners - 8 months ago
The Many Ways Claim Audits Help Health Plans
Given the cost containment they can support, a healthcare audit is a wise idea for all employer-funded medical plans. But don't overlook the regulatory and compliance functions as well. Plans have fiduciary responsibilities, and audit reports give you documentation for do...continued
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