The TFG Partners audit identified a series of areas in need of improvement. One example, in particular, was in the area of Medicare coordination of end-stage renal disease. Within nine months of the completion of the audit, the team reduced overpayments from over $300,000 to less than $10,000 annually. Similar results were obtained in the areas of multiple/bilateral surgery charges, co-pays, extended care stays, and other review categories.
This tailored partnership model allows the client to work closely and constructively with the administrator to not only identify areas for process improvements but capture overpayments on an on-going basis. TFG Partners tracks the reality and success of the initiatives as a part of this on-going review effort. ROI is very significant (can range from 4-5 times and higher, resulting in a very short payback period within the audit year).