#medical benefits plan auditing
Setup a Claim Audit and Get the Facts
Posted on 16 March, 2024 by TFG Partners, LLC
When administrators pay thousands of claims daily, even the most accurate ones will make errors. Scheduling and running a healthcare audit routinely makes sense and helps double-check their work. Today's best claim auditors are more like management consultants who analyze plan performance and suggest improvements – along with the standard work of flagging errors. Medical billing is necessarily complex, and large employers that self-fund their benefits plans have millions of dollars on...
Optimize to Run Better Claim Audits
Posted on 29 July, 2024 by TFG Partners, LLC
Companies that handle medical and pharmacy claim processing for employer self-funded plans must undergo periodic audits, ensuring regulatory compliance and financial oversight. Medical claims auditing is becoming increasingly frequent each year and is vital for overseeing the complex process of medical claims payment. The value of medical claims auditing is particularly significant for larger plans, where the impact of inaccuracies can be substantial. Doublechecking coding accuracy is a...
Optimize to Run Better Claim Audits
Posted on 29 July, 2024 by TFG Partners, LLC
Companies that handle medical and pharmacy claim processing for employer self-funded plans must undergo periodic audits, ensuring regulatory compliance and financial oversight. Medical claims auditing is becoming increasingly frequent each year and is vital for overseeing the complex process of medical claims payment. The value of medical claims auditing is particularly significant for larger plans, where the impact of inaccuracies can be substantial. Doublechecking coding accuracy is a...
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31 July, 2018