tactical management inc. 2012 press

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Tactical Management Inc.

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  • 1. Mission & Vision Profile Services Clients Industry Trends Q&A2

2. To serve the goals of our diverse clientele with a customer service orientation and efficient resource management. TMI will always be committed to offering the type of service that decision makers choose rather than endure.To become a company of choice for Health Care decisionmakers when seeking efficient data management3 solutions. 3. Tactical Management Inc. (TMI) continues to be a one- stop source for operations vital to successful Physicianpractices and Medicare Advantage health plans pursuingaccurate reimbursement while mitigating liability exposures4 4. At TMI we work with health plans across the country todevelop and adopt revenue, cost, and compliance best-practices cultivating success in todays healthcare environment. Informatics - improving accuracy, insight and impact Retrieval - relationship>centric Technology moving target to leverage efficiency Delivery ROI on time and on budget5 5. With our industry expertise and unique approach, we provide unmatched solutions that are meaningfullyimproving clinical and quality outcomes, disease management, and financial efficiencies6 6. Need-Based La Carte Options B2B and client-direct Solutions National Presence, Local Connections A Look Forward: Initiatives In Development7 7. PCP-Driven eHRAConcurrent Reverse-Suspecting8 8. Health Plans Medicare Advantage Commercial Physicians Primary|General Practice Specialists B2B9 9. 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 goal10 10. HEDIS TMI can help in a Health Plans effort to meet the stringent *NCQA HEDIS measures. Once the plan selects the charts to review, TMI can schedule with the providers offices, scan the records, and securely provide them in the Plans choice of digital format.11 11. How TMI aids Provider Network Relations Boots on the ground nationally Bilingual schedulers White-glove service Chart pulled & returned as-found Prompt and discreet presence Technician scans only whats needed12 12. TMI is unique in that we offer your physicians peer level documentation & coding education. Upon identification of trends and efficiencies a MD will coordinate a face-to- face session with your provider. Our Goal is to help you realize accurate reimbursement while not straining your client patient relationship.13 13. Tactical EMR14 14. The Medicare Annual Wellness Visit (AWV) creates a personalized plan of care for Medicare beneficiaries by identifying potential areas of concern and providing suggestions that will improve quality of life at no cost to the beneficiary WellTrackMD is a solution developed to streamline the process of contacting, scheduling and subsequently billing these AWVs. Our strategy is simple and effective- Claim submission errors are reduced through optimized encounter documentation that is fully compliant with Medicare rules and regulations15 15. Complementary services Retrospective reviews Prospective reviews Education Supplemental Suspect generation Revenue Forecasting RAPS file provision16 16. RADV Scanning of all records Proactive data scrubbing Education Aggregation of trends & deficiencies Provider & ancillary Data Migration ICD-10 readiness assessment 5010 encounter data provision17 17. Derrick Taveras, CEO / President [email protected]