Frgsystems.com

Medical Claims Audit & Recovery Health Claim Audit FRG

WebSince 1999 FRG has been a leader in medical claims audit & recovery services for leading health plans, recovering tens of millions for our clients.

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URL: https://frgsystems.com/medical-claims-audit-recovery

FRG Financial Recovery Group Medical Economics …

WebFinancial Recovery Group (FRG) has helped health plans, physician groups and consultants create transparency and improve financial performance since 1999.

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Health Plans Risk Reporting Portal PIP Reporting FRG

WebFRG powers national health plans in delivering transparency & communicating performance, allowing them to engage risk partners. See how we can help you.

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Understanding the Overpayment Recovery Process Claims Recovery

WebOverpayment recovery is a crucial process for health plans to ensure accurate claims payment and avoid financial losses. Learn how FRG can help you navigate the complex …

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The Benefits of a Medical Claims Audit Types of …

WebMedical claims audits come with numerous approaches and benefits. Knowing the types helps everyone involved.

Category:  Medical Go Health

Health Plan Overpayment Recovery Health Plan …

WebFRG provides industry leading Health Plan Overpayment Recovery services with tens of millions already recovered for health plans and physician groups.

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Americans to Have Control of Their Own Health Data

WebMyHealthEData will help Americans better manage their own care through secure access to their electronic health records (EHRs). Read this to learn more.

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AccuReports® Risk Reporting for Health Plans and …

WebAccuReports is a risk reporting portal for national Health Plans and serves data on more than 12 million lives to hundreds of IPAs & MSOs.

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Healthcare Finance News CFO Resources & Tools FRG

WebStay up to date with healthcare finance news, information and research from FRG. Top resources for the healthcare CFO or consultants from industry leading experts.

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The Transition to Value Based Health Care Healthcare …

WebLearn more about healthcare waste, Value Based legislation, and the transition from the Fee for Service model to Value Based Care.

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What are Physician Incentive Plans (PIP) How PIP Works

WebGain a high level view of what Physician Incentive Plans (PIP) are & how PIP works in today's healthcare industry, dominated by Medicare & Medicaid.

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What is a Risk Contract

WebLearn how risk contracts between insurers and providers can expand the roles of primary care providers and improve healthcare outcomes.

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Inherent Risks Associated with Incentive Based Contracts

WebInherent Risks Associated with Incentive Based Contracts. With the passing of ACA, incentive based contracts are back. This article covers how to avoid inherent risks …

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Closing Care Gaps to Achieve Quality Goals: Part 1 Article 2 FRG

WebIn article 2, learn how to identify care gaps in your own group or practice and how to prioritize closing them to deliver the greatest healthcare value.

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Set MLR Targets Effectively in 2 Steps Expert Advice from FRG

WebSet MLR Targets Effectively in 2 Steps | Expert Advice from FRG. Service funds align financial incentives of the health plan and the provider organization.

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Healthcare Acronyms Defined and Explained A Healthy Alphabet …

WebFRG has developed medical economics and finance expertise over many market cycles. Explore healthcare acronyms and further reading for reference.

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Bolstering Healthcare Information Security, Part One

WebDiving into healthcare cyber threats: Discover how FRG leads with robust strategies to safeguard patient data.

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Medicare Risk Adjustment (MRA) Best Practices Key Dates

WebGet the facts about Medicare Risk Adjustment (MRA) and the best practices around implementation. Don't let MRA scare you off, get it right with our help.

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Data Mining for Multiple Diagnostic Radiology Overpayments FRG

WebA recent audit of National Medicare Health plan, found over $400,000 in overpayments in a 12-month period for multiple diagnostic radiology claims.

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What is Population Health

WebWhat is Population Health? It really explores the underlying social & cultural issues that affect the health of large populations and their health outcomes.

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CMS PIP Regulations & Stop Loss Reinsurance Conditions

WebTake an in depth look at CMS Provider Incentive Plans (PIP) Regulations and Stop Loss Reinsurance Requirements from the FRG expert editorial team.

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10 Facts About Service Funds & Risk Contracts

Web10 Facts About Service Funds & Risk Contracts. In article one of the Transitioning to Value series, gain an understanding of service funds, risk contracts, and the different risk …

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