fieldengineer

Medical claim auditing services typically center on large employer-sponsored plans that self-fund their benefit plans, focusing on accurate claim administration. But it's equally pertinent to underscore the substantial benefits physicians and their practices can derive from claim review...

When health plan sponsors initially outsourced their claim processing to third-party administrators (TPAs), oversight wasn't a top priority. However, the increasing accuracy of healthcare audit services has highlighted their value as management tools. While self-reporting by TPAs and p...

	Forum	Replies	Views	Last Post
medical benefits plan auditing medical benefits plan auditors The Provider Side of Medical Claim Audits (Preview)	field engineer	0	122	Jul 10, 2024 by tfgpartners
Medical claim auditing services typically center on large employer-sponsored plans that self-fund their benefit plans, focusing on accurate claim administration. But it's equally pertinent to underscore the substantial benefits physicians and their practices can derive from claim review...
medical benefits plan auditing medical benefits plan auditors Run Health Plan Claim Oversite Accurately (Preview)	field engineer	0	91	Oct 9, 2024 by tfgpartners
When health plan sponsors initially outsourced their claim processing to third-party administrators (TPAs), oversight wasn't a top priority. However, the increasing accuracy of healthcare audit services has highlighted their value as management tools. While self-reporting by TPAs and p...