Revenue Cycle Management & Medicare Risk Adjustment Services for Medical Plans, Hospital Networks & the Vendors who serve them.

Health Plans

At TMI we are working closely with many health plans in all 50 states, Puerto Rico, and the District of Columbia to achieve a meaningful impact in today’s healthcare. At the core of our effort is a focus on medical informatics, improving its accuracy, improving its insight and improving its impact. With our industry expertise and unique approach, we provide unmatched solutions that are meaningfully improving clinical and quality outcomes, disease management, and the financial efficiencies.

Risk Adjustment:

Medicare Advantage plans rely on proactive Risk Adjustment to reflect accurate risk scores in order to realize correct reimbursement levels. These risk scores reflect acuity levels of patients via the Hierarchical Condition Category (HCC) system. The HCC system is an additive system which relies on ICD-9-CM diagnosis codes to reflect patient acuities at their greatest specificity. TMI offers a combination of solutions to help achieve this goal.

HEDIS:

We can help in your company’s effort to meet the stringent *NCQA HEDIS measures. Once you’ve selected the charts you want reviewed we can schedule with the provider’s office, scan the records, and securely provide them in your choice of digital format.

Upcoming Events

Rise Nashville 2015

March 25th - 27th, 2015, Nashville, TN.

Client Testimonials

We take pride in offering you second-to-none services along with exceptional custom service and education. Our testimonials speak for themselves:

Member Network

The TMI Intranet site is available to our current staff, medical partners and visiting scholars.

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TMI Blog

We also enjoy engaging with providers, hospital networks, physicians and our partners through our blog with provides another forum for you to stay in touch or get to know our company.

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