Total Quality Healthcare Solutions Total Quality Healthcare Solutions
Total Quality Healthcare Solutions Total Quality Healthcare Solutions

Services

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Supporting Your Practice

Total Quality Healthcare Solutions provides your practice the help and guidance you need through our array of quality, operational, and revenue support services. With over 20 years in the healthcare industry, we have helped our clients successfully achieve measurable quality improvements, reduce unnecessary cost and administrative burdens. 

Medical Billing

Medical Coding

Contract Negotiations

Value Base Negotiations

STARS/HEDIS

Quality Management

Credentialing

TeleHealth

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Designed by healthcare managers for healthcare managers

Our Approach

To actively promote solutions that advance measurable improvements and outcomes in the delivery of quality care, reduction of unnecessary costs in care delivery across patient populations and end-to-end revenue cycle management solutions that help you improve efficiency and optimize your net patient revenue.

Our Why

The current healthcare environment is no doubt a challenging one. Our Consultants have the experience and capabilities to quickly and effectively assist our clients navigate through these challenging times. Total Quality Healthcare Solutions, aims to bring value and targeted solutions resulting in positive outcomes and client satisfaction. And, strive to always put our clients' needs and those they serve at the center of everything we do.
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Revenue Cycle Management Services

Medical Billing

Medical Coding

Credentialing

Contract Negotiations

TeleHealth

Quality Management Services

Value Based Negotiations

STARS/HEDIS

Risk Adjustment

Quality Management Consulting

Credentialing

TeleHealth

Training Programs

Medical Coding Training

  • ICD-10-CM, CPT, and HCPCS Level II coding
  • Specialty-specific coding (e.g., cardiology, orthopedics, dermatology, etc.)
  • Compliance and coding accuracy

Medical Billing Training

  • Claims processing and reimbursement methods
  • Insurance verification and prior authorization
  • Denial management and appeals

Risk Adjustment Training

  • HCC (Hierarchical Condition Category) coding
  • Medicare Advantage and commercial risk adjustment models
  • Documentation improvement for risk capture

HEDIS Measure Training

  • HEDIS data abstraction and reporting
  • Quality measure compliance and improvement strategies
  • NCQA guidelines and best practices

Revenue Cycle Management (RCM) Training

  • Front-end to back-end revenue cycle processes
  • Payment posting and reconciliation
  • Regulatory compliance and fraud prevention

Compliance and Audit Training

  • HIPAA and healthcare regulatory compliance
  • Internal audits and risk assessments
  • Coding and billing audits for accuracy

E/M (Evaluation and Management) Training

  • 2021 E/M guideline updates
  • Office visit and inpatient coding rules
  • Documentation improvement strategies

Risk Management Services

Medicare Advantage & ACA Consulting

Expert guidance on risk adjustment methodologies, compliance, and best practices.

Risk Adjustment Coding (RA Coding)

Accurate HCC coding to ensure proper risk capture and reimbursement.

Medical Record Retrieval

Efficient retrieval and review for audits and risk adjustment purposes.

Understanding Model Changes & Strategic Guidance

Stay ahead of regulatory updates and evolving risk adjustment models.

Risk Adjustment Compliance

Ensure adherence to CMS and regulatory requirements for accurate and ethical reporting.

Prospective, Concurrent, and Retrospective Risk Adjustment

Comprehensive support for identifying and addressing risk gaps at every stage of the process.

Why choose us for your healthcare management needs?

Proven Methods

Unlimited 24/7 Support

Real Time Feedback

Discover how we can help your healthcare management team.

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