TFG Partners started the topic Frequent Claims Audits Protect Health Plans in the forum Forum example #1 3 months, 1 week ago
In the early years of self-funded health and pharmacy benefit plans, auditing was primarily seen as a matter of regulatory compliance. However, that perspective has evolved significantly, mainly due to advancements in medical auditing technology. Nowadays, there’s even PBM RFP consulting, and the capability to scrutinize 100% of claims represents…[Read more]
