Most large employers prioritize reviewing the accuracy of their medical claims, and adding an Rx audit is also a wise move. Medicines should be prescribed and dispensed according to your plan's formulary, and discounts and rebates should be credited as promised – but are they? The only way to be sure is to double-check your claim payments with experienced auditors specializing in pharmacy claims. The things to look for differ from medical claim reviews, and you want expertise working for you. The first time you check your pharmacy benefit payments, the data will present cost-saving opportunities.

An increasing number of health plans continuously monitor their claim payments. It's one of the newer and increasingly popular audit services. One of the most notable advantages is the opportunity to get reports monthly. The real-time nature of more frequent reporting allows you to keep closer tabs on your payments. When irregularities are flagged, you can question them immediately with your pharmacy benefits manager. Oversight keeps everyone doing their best; if not, you know immediately. The same goes for the discounts and rebates you're promised. Let auditors confirm you receive them.

If your audit uncovers substantial cost savings opportunities and pays for itself many times over, you can consider monitoring your claim payments continuously. With real-time data in hand, you'll be in the loop as claims are paid and alerted quickly of any irregularities. In today's data-driven world, having an up-to-date handle on expenses and accuracy matters. If costs run higher or lower than expected, you'll have an independent analysis about why and be keeping tabs on your pharmacy benefits manager. Most do excellent work and keep error rates low, but with the high cost of medicines, zero mistakes is the goal.

When you work with the same audit firm for several years, you'll have consistent reports where you can make "apples-to-apples" comparisons. It allows you to closely manage your prescription benefits program with increased accuracy and an understanding of claim processing efficiency. Today's audits run on sophisticated software that catches many things that would have been missed in random sampling. You'll have a thorough review of every claim, and you can run checks on any questions you may have – especially those based on your experience. Each plan has areas to monitor closely.

Company Name- TFG Partners, LLC

Address- 437 Grant St #1020, Pittsburgh, PA 15219

Contact Number: (412)-281-2228