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Our 100% Audits and Continuous Monitoring are Renowned for Accuracy
TFG Partners is the claims auditor and continuous claims monitoring service of choice for large self-insured corporations.
At our founding in 1991, we introduced the 100-percent method to improve the value of medical claims auditing. Back then, a purely statistical, random sampling was typical. But our 100-percent is significantly better and is much less time consuming for our clients.
Our unique approach is a two-step process: a complete electronic review of 100-percent of a medical plan’s claims. Then a manual assessment of the computer-identified data. It results in the most accurate medical claims review for every large company, every time. To assure optimal claims administration into the future, our continuous monitoring service is ideal.
Example #1: A Large Transportation Company
Continuous Quality Improvement program implemented
90,000 employees, approximately 10,000 retirees, and more than $570 million in annual healthcare expenditures/payments reviewed.
After a full-service audit that was more than budget neutral, the company implemented a “Continuous Quality Improvement” program. It was implemented in cooperation with its administrator and TFG Partners and brings quality improvement and cost savings to this day.
Example #2: A Well-Known Manufacturer
Significant accuracy improvements in claims processing
36,000 employees, 30,000 retirees, and more than $540 million annual healthcare expenditure/payments reviewed.
The client has fully integrated TFG’s administrative reviews into its Six Sigma® process. Our audit covered 100% of claims, improved processing accuracy going forward, and continues to support cost management objectives.
Example #3: A Leading Hospitality Company
$2 million in errors corrected.
35,000 employees (70,000 lives covered) and more than $200 million annual healthcare expenditures/payments reviewed.
We were able to identify, evaluate, and correct more than $2 million in benefit payment errors.
Schedule a Claims Audit with TFG … You’ll be Impressed with the Results
We have followed the 100-percent audit approach and since we invented it and have never stopped finding ways to improve it. Our full-service claims auditing methods produce far more value for our clients than merely meeting an audit requirement. Our full-service approach is second to none.
Ever since our founding in 1991, we’ve found been at the cutting edge. We have continuously expanded and refined our technology and methodology to provide greater value to our large enterprise clients.
Companies working with TFG for claims auditing benefit from our fresh insights into the significant corporate expenditure represented by health care and other benefit-program claims.