Search found 2 matches

by tfgpartners
Wed Jun 04, 2025 12:11 pm
Forum: Announcements
Topic: Medical Claims Need Routine Audits
Replies: 0
Views: 104

Medical Claims Need Routine Audits

In today's inflationary environment, auditing healthcare claims has emerged as a critical concern for large employers with self-funded medical plans. The COVID-19 pandemic significantly amplified the need for medical claim auditors , as the unprecedented expenditures during the pandemic years necess...
by tfgpartners
Mon Apr 21, 2025 7:15 am
Forum: Announcements
Topic: Frequent Claim Audits are the Trend
Replies: 0
Views: 567

Frequent Claim Audits are the Trend

Because of the substantial claim payments made by outside vendors, effective oversight has become increasingly important. This has led large employers who sponsor plans to work with a healthcare auditing company for medical claims reviews and pharmacy benefit plan audits. There is a growing need to ...