Solutions for Medical Plans, Hospital Networks & the Vendors who serve them.

About TMI

Tactical Management Inc. (TMI) is a one-stop source for operations and clinical solutions vital to the success of Medicare Advantage plans, Hospital Networks, Physician Practices and the vendors who serve them. Our organization provides both turn-key and customizable services aimed at mitigating compliance exposures while identifying opportunities to improve coding accuracy and maximize reimbursement.

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Tactical Management

TMI is a minority-owned firm in its seventh year of operation- the product of Subject Matter Experts in various divisions across healthcare with the common goal of creating a one-stop source for operations vital to successful Medicare Advantage Health Plans and Physician practices. TMI provides turnkey services to Physicians seeking assistance with accurate coding- the lifeblood of any practice; as well as end-to-end solutions for health plans with Medicare Advantage contracts facing the ongoing challenge of reporting the highest level of ICD-9-CM specificity- the foundation for accurate Medicare reimbursement. What sets TMI apart from its competition is the white-gloved approach to handling the all-important relationship between the health plan and their network of providers.

 

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  • Risk Adjustment
  • Scanning
  • Coding
  • Suspect Generation
  • Education
Risk Adjustment
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Risk Adjustment

TMI specializes in the retrieval, digitization and indexing of patients medical records as well as relevant ICD-9CM and HCC coding aspects of Medicare Risk.

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Document Scanning and Data Extraction
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Document Scanning & Extraction

TMI provides trained medical record scan technicians to provide a comprehensive conversion and indexing of medical records for patient encounters retrospective records. Scan Technicians are HIPAA trained and operate with a disposition towards customer service.

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Medical Coding
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HRA & Hospital Coding

TMI’s staff of nationally certified coders have extensive experience in assigning CPT and ICD-9 codes for Evaluation and Management encounters as well as surgical procedures.

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Suspect Generation
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Suspect Generation

Tactical Management utilizes proprietary algorithms to analyze historical health data (encounter claims, Labs, Pharmacy, RAPS responses) and produce a list of members they may potentially have or develop chronic conditions.

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Education
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Education

Risk Adjustment Education for Providers, Coders, Health Plans- A joint effort between the health care provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures.

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Upcoming Events

3rd Annual Health Insurance Exchange Summit

October 9th - 10th, 2014, Las Vegas, NV.

AAP Experience - National Conference & Exhibition

October 11th - 14th, 2014, San Diego, CA.

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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