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

Analytics for Medicare and Commercial Plans:

MRA & HIX Suspect Analysis

Using encounter claims, labs, pharmacy, and RAPS responses; we present clients with a focused approach to diving deeper into the medical record to gain a more complete understanding of the match between resources expended – and conditions reported.

Financial Impact Forecast

We will set up a monthly data refresh to accurately represent the Risk Adjustment Factor and associated reimbursement levels for upcoming recalibrations at the member level, with the capability to roll-up to the provider and region level as well.

MLR-Tuned Initiatives

With a team experienced from the Payer, Provider and vendor sides; our team understands the questions that needs to be asked about the circumstances acting on the revenue and cost side to a Medical Plan’s business model. We offer current solutions to the scenarios that can become challenges in the future.

Provider-Level Education

Upon completion of a Retrospective Audit, our team can deploy Coders, Nurses and/or MDs to meet with your providers to review specific documentation and coding trends and deficiencies. We know that sometimes a peer-to-peer experience works best for bringing about change.

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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