Prescription Plan Audits Have Many Benefits
Every benefit plan for prescription drugs are unique and need to be followed closely. While TPAs easily promise to be detail-oriented in their work, only an independent prescription claim auditing company like TFG Partners can confirm it. For example, one of the most common ways for a plan to go off track is when scripts are written and claims paid for name-brand medicines when generics are available. It’s an easy catch for auditors and one that can save significant sums of money while making no difference in the outcomes for plan members – high-quality generics are widely accepted.
Also, not enough can be said about the value of audits and monitoring to help members, especially those in high-deductible plans. Keeping a close watch for overpayments, double-payments, and other errors benefits members as well as the plan sponsor. When plans are not audited and monitored, it’s much more likely that claim administration is accurate. A well-run plan is the objective of every company, and in-house managers know the time it can take to recover payments made in error. It’s always a better approach to manage and audit closely and keep claim payments on track.
TFG Audits Leverage Our Secure, Proprietary Software
As pioneers of the 100-percent audit method in which all claims are reviewed, TFG’s technology was initially a breakthrough and has continuously improved ever since. It safeguards your data’s security, and every prescription medicine plan audit includes an electronic claim review followed up by human oversight. Our people only audit benefit plans and have an unmatched level of experience and expertise. They bring it to every project, helping us produce highly accurate results promptly and at competitive fees. We’re very different from large generalist firms that audit benefit plans as a sideline.
If you’re ready to step up to more thorough and accurate auditing, if you’d like help managing your plan or monitoring it continuously, let TFG Partners help. We’re industry leaders among prescription claim auditing companies and have experience with every type of plan and TPA. We’re benefits auditing specialists with an excellent track record of success and easy on your budget. We always help you recover more than our service’s cost – and for virtually all clients, end up saving them significant sums of money over the long term with the best prescription plan audits.
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.