Who We Are | TFG Partners | Full-Service Medical Claims Auditors

Who We Are | TFG Partners | Full-Service Medical Claims Auditors

At TFG Partners, our people and technology make us the industry leader in full-service medical claims auditiing. We work with mid-size and large companies.

Independent, thorough and unbiased claim auditing is essential to the best management of self-funded health plans from large corporate and organizational employers. Even when third-party administrators (TPAs) self-report about claims processing accuracy, independent medical claims reviews often find discrepancies. Because large sums of money are on the line with ever-increasing medical costs, rooting out one-time errors and systemic issues is vital. Every plan will benefit from a thorough audit. TPAs are under regulatory and financial pressures, which means oversight is more crucial than ever before.

Selecting your claim auditing firm wisely is essential if you're an in-house plan manager. While many firms provide the service, those that specialize in the area often have unique capabilities and expertise. Their software and staff work on medical claims every day, full-time and achieve a level of efficiency and accuracy that's tough to match. Firms that add benefits claim auditing to a broader roster of service rarely have the skill level of those who do it full time. The leading firms also take up less time with company staff members because they arrive ready to handle the job largely independently.

Specialist medical claims auditors also are the ones that perfect the 100-percent method to replace the random sample approach. While more firms today can review 100-percent of claims, few can match the accuracy of those who invented the process. Given the complexity of today's plans and providers' ability to bill for a myriad of services, it takes seasoned pros working with the most sophisticated software to audit most effectively. The improved accuracy helps audits and continuous monitoring produce more in savings through error correction than the audit services' cost.

Today data security is an increasingly important consideration, and the foremost independent facility claims auditors have many safeguards in place. Their precautions are both electronic and physical as they take multiple steps to ensure clients of the utmost security. If you're an in-house benefits manager interviewing prospective auditors, make sure to request a run-down of their security practices and procedures. Not all firms are the same, and finding the one that best meets your needs (and expectations) is essential. Your employees' health records and personal information must be secured.

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Who We Are | TFG Partners | Full-Service Medical Claims Auditors

At TFG Partners, our people and technology make us the industry leader in full-service medical claims auditiing. We work with mid-size and large companies.

Who We Are | TFG Partners | Full-Service Medical Claims Auditors

At TFG Partners, our people and technology make us the industry leader in full-service medical claims auditiing. We work with mid-size and large companies.

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We wanted to highlight some amazing partners and our growing support and training for MSPs around the globe. Last year, Cloudflare announced the planned expansion of our partner program to help managed and professional service partners efficiently engage with Cloudflare and join us in our mission to help build a better Internet. Today, we want to highlight some of those amazing partners and our growing support and training for MSPs around the globe.

Company Medical and Benefit Claims Auditing | TFG Partners

TFG Partners is the leader in corporate benefits plan auditing & continuous claims monitoring. 100% of claims. Unmatched accuracy & savings.

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