Recent content by tfgpartners

If there's one thing that's certain about medical claims auditing, it provides oversight that's second to none. Employer-funded health plans pay millions of dollars in monthly claims, and keeping tabs on the administrators making the payments is essential. Auditors with experience in the field...

Finding another category with as many price variables as prescription medicines would be challenging. Name brands, generics, discounts, and rebates are all factors, and you can quickly see why an Rx audit makes sense for employer-funded plans. With thousands of claims going through the system...

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 most effective ways for employer-funded plans to run oversight and keep their claim administrators working at peak accuracy. Many TPA...