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TFGPartners posted a blog post

Skyrocketing Drug Prices Demand Scrutiny

Anyone involved in paying for prescription medicines knows the prices can be shocking. Therefore, you can imagine the impact on employer-funded health plans paying on behalf of members. In the current environment, running an Rx audit routinely makes excellent sense. New medicines come on the market yearly as others go off-patent and become available as generics. While everyone can program their…See More
Monday
TFGPartners posted a blog post

The Big Opportunity of Pharmacy Claim Audits

The ever-higher prices for new medications make news continually large employers self-funding employee benefits often bear the brunt. Therefore, running an Rx audit frequently makes sense to double-check claims paid. More than a few high-priced on-patent medications offer rebates and discounts to volume buyers, and audits help confirm your plan is credited. Today, pharmacy benefit managers…See More
Feb 27
TFGPartners posted a blog post

The Best Claim Audits Review Every Detail

Everyone knows auditing is a numbers game, but medical claim auditors double-check additional factors in the healthcare world. They look for coding errors, duplicate services, and other mistakes that add needless costs without improving member service. The game has changed since more powerful software ushered in an era of 100 percent reviews. It was a leap ahead from the days of random sampling when…See More
Feb 20
TFGPartners posted a blog post

The Discounts and Rebates of Rx Claims

The pricing structure for the pharmaceuticals paid for by employer-sponsored health plans often includes rebates and discounts. They can be deducted from the prices paid or credited later. In either case, tracking them across thousands of transactions is challenging, and an Rx audit can help. With their sophisticated systems, claim auditors can review thousands of transactions for accuracy and…See More
Jan 31
TFGPartners posted a blog post

Get Meaningful Savings from a Claim Audit

The prospects for financial gain are good when you schedule a healthcare audit of your company-funded medical plan. Claim audits often recover as much as four times their price in the mistakes and overpayments they flag. In the early days of such reviews, they were scheduled as a regulatory and compliance function. However, as audit software and systems have grown more accurate and…See More
Nov 29, 2023
TFGPartners posted a blog post

Optimizing Your Claim Audit Timing

Most employer-funded benefit plans audit themselves annually, if not more often, given the value of a claim review. If you're in-house managing a plan and are thinking of scheduling a healthcare audit, do it sooner than later. One of the best times is shortly before you plan and budget for next year. In addition to flagging recoverable errors, an audit provides factual data to compare with…See More
Jul 20, 2023
TFGPartners is now a member of The Word of God Holistic Wellness Institute
Jul 20, 2023

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TFGPartners's Blog

Skyrocketing Drug Prices Demand Scrutiny

Anyone involved in paying for prescription medicines knows the prices can be shocking. Therefore, you can imagine the impact on employer-funded health plans paying on behalf of members. In the current environment, running an Rx audit routinely makes excellent sense. New medicines come on the market yearly as others go off-patent and…

Continue

Posted on May 12, 2024 at 10:21pm

The Big Opportunity of Pharmacy Claim Audits

The ever-higher prices for new medications make news continually large employers self-funding employee benefits often bear the brunt. Therefore, running an Rx audit frequently makes sense to double-check claims paid. More than a few high-priced on-patent medications offer rebates and discounts to volume buyers, and audits help confirm your plan is credited. Today,…

Continue

Posted on February 27, 2024 at 8:41pm

The Best Claim Audits Review Every Detail

Everyone knows auditing is a numbers game, but medical claim auditors double-check additional factors in the healthcare world. They look for coding errors, duplicate services, and other mistakes that add needless costs without improving member service. The game has changed since more powerful software ushered in an era of 100 percent reviews. It was a leap…

Continue

Posted on February 20, 2024 at 10:04pm

The Discounts and Rebates of Rx Claims

The pricing structure for the pharmaceuticals paid for by employer-sponsored health plans often includes rebates and discounts. They can be deducted from the prices paid or credited later. In either case, tracking them across thousands of transactions is challenging, and an Rx audit can help. With their sophisticated systems, claim…

Continue

Posted on January 31, 2024 at 9:23pm

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