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TFGPartner

The Clearest Claim Audit Reports

The value of medical claim audits gained prominence after the COVID-19 pandemic. It’s more widely acknowledged that detailed claim reviews generate valuable insights into healthcare costs. Audits’ clear and comprehensible reports are now essential, ensuring that the data provided to employer-sponsored plans is accurate and straightforward to interpret. When interviewing audit firms, it is crucial to…

Medical Providers Benefit from Claim Audits

Much of the focus on medical claim auditing services tends to be on plans provided by large employers. These employers self-fund their medical and pharmacy benefits, and with claims administration handled by third-party processors, ensuring accuracy is crucial. However, it’s important to remember that physicians and their practices can also benefit from auditing claims. It…