Auditing Pharmacy Benefit Plans Has Multiple Benefits
Each benefit plan for pharmaceutical medicine’s design and formulary are one-of-a-kind and need to be followed carefully. While TPA’s routinely promise to be thorough, only an independent pharmaceutical claim auditing company like TFG Partners can review and confirm it. For example, a way that many plans go off track scripts are written for name-brand medicines and claims paid at their much-higher prices when generic versions are available. It’s a quick catch for skilled auditors and one that helps save surprising sums of money while making continuing to provide the needed outcomes for plan members – high-quality generics are just as safe and effective as name-brands.
Because outstanding member service is a goal of every plan, audits and monitoring add significant value, especially for those in high-deductible plans. Flagging over-payments, double-payments, and other errors helps members as well as the plan sponsor. When plans are audited and monitored more frequently claim administration is more accurate. A well-managed plan is the goal of every employer, and their in-house managers understand it’s time-consuming to recover payments made in error. Therefore, it’s a better approach to audit and monitor continuously to keep claim payments error-free.
Our Audits Run on Secure, Proprietary Software
As originators of the 100-percent audit method that reviews every claim, our technology was initially a breakthrough. It has improved continuously ever since and safeguards your data’s security. Each pharmaceutical plan audit includes an electronic claim review combined with human oversight. Our people audit benefit plans every day and have a level of experience few others can rival. We take pride in producing highly accurate results quickly and at competitive rates. We’re noticeably different from large generalist auditors that work on benefit plans as a sideline.
When your company is ready to step up to higher level of claim auditing, if you’d like help troubleshooting your plan or monitoring it continuously, let us at TFG Partners help. We’re the industry leaders for pharmacy claim auditing companies and have expertise with all types of plans and TPAs. Our people are benefits auditing specialists with an impressive track record of success and we go easy on your budget. Our goal is to help you recover more than our service’s cost – and for nearly all clients, we end up saving you significant sums of money with the best pharmacy plan audits.