Recent Entries

• Auditing Medical and Rx Claims Often is Wise

  by TFG PartnersLLC 12 hours ago

  In the past, self-funded medical and pharmacy benefit plans used random sampling to audit claims, accepting a level of accuracy that was less than ideal. With the evolution of audit software, however, auditing transformed from a simple compliance exercise into a powerful strategic tool. The introduc...
• Health Plan Budgeting and Claim Audits

  by TFG PartnersLLC May 7

  Auditing a company-funded medical plan is a regulatory requirement and a sound financial practice. Organizations that offer these plans commit to providing employees with quality healthcare, which comes with considerable costs. As a result, medical claim auditors have become indispensable for plan m...