Home Services Clinical Operations

For the first time in the history of the Medicare program the Department of Health and Human Services (HHS) has announced specific goals for alternative payment models and value-based payments. As of January 1, 2016 CMS had announced ten (10) models, the common theme to each includes quality of care, efficiency of the care delivered and lower cost to HHS. Healthcare Providers must focus on the quality of care provided and providing this care in the most effective manner while still controlling cost.

  • TPR can assist your institution to confirm accuracy with bill types submitted to CMS for outpatient services based on CMS updates.
  • TPR has experience and appreciates the nuances of providing advisory services under client-attorney privileges.
  • TPR provides assistance with facility charge capture and reconciliation challenges to ensure accurate and complete charge capture.
  • TPR can assist with internal review of your oncology and infusion departments to ensure accurate capture of pharmacy units, blood, and blood products.
  • TPR has experience developing solutions to resolve issues identified by our clients. Example: Research coding topics identified by a Hospitals management team in addition to maintaining a tracking log to ensure issues get resolved and a solution is in place to correct and eliminate any recurring issues.
  • TPR clinical operations staff hold various industry recognized certifications and serve as speakers at state and national industry meetings.

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