Consulting Services

TCS offers comprehensive education programs designed to enhance the knowledge and skills of both medical coders and physicians. With a focus on accuracy, compliance, and efficiency, our training ensures that healthcare providers and coding professionals stay up-to-date with the latest coding standards, regulatory changes, and best practices. Our education services include:

• Customized Training Programs: Tailored sessions to meet the unique needs of coders and physicians, covering specialty-specific coding guidelines and real-world applications.

• Compliance Workshops: Interactive workshops focused on the latest regulatory requirements, helping to reduce risk and ensure compliance with payer policies.

• Coding Accuracy Improvement: In-depth training to boost coding precision, minimize errors, and improve reimbursement rates.

• Documentation Improvement: Guidance on effective documentation practices to support accurate coding and reduce audit risks.

• Continuing Education Credits (CEUs): Accredited programs that provide CEUs to help medical coders maintain their credentials and stay current in the industry.

• Webinars and Online Courses: Flexible, on-demand education options for busy professionals who need learning resources that fit their schedules.

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Our goal is to empower coders and physicians with the knowledge and tools they need to ensure accurate, compliant, and efficient medical coding practices.

Our compliance and reimbursement audit services are designed to ensure accuracy, reduce risks, and maximize revenue integrity for healthcare organizations. By performing detailed assessments of coding practices and documentation, we identify potential issues and recommend actionable improvements. Our approach is thorough, transparent, and tailored to your specific needs.​ Our Compliance and Reimbursement Audit Services Include:

• Comprehensive Chart Audits: A detailed review of medical records to ensure accuracy in coding, documentation, and billing practices.

• Regulatory Compliance Checks: Verification that coding and documentation meet current industry regulations and payer guidelines.

• Revenue Optimization: Identification of missed billing opportunities or errors that could impact reimbursement rates.

• Risk Assessment: Analysis of potential risk areas to prevent compliance issues that could lead to fines or penalties.

• Customized Audit Reports: Clear, actionable reports that highlight findings and provide recommendations for improvement.

• Follow-Up Education and Training: Tailored sessions to address specific findings, ensuring staff are up-to-date with coding and documentation standards.

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These services are designed to protect your organization’s revenue while upholding the highest standards of compliance and integrity in healthcare documentation.​​

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TCS offers specialized interim Health Information Management (HIM) and coding management services to support healthcare facilities during times of transition. Whether filling a temporary leadership gap or providing added expertise for project-based needs, our seasoned HIM and coding professionals are ready to step in and ensure smooth operations, compliance, and efficiency.

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With a strong focus on quality and continuity, our interim management services are designed to help healthcare organizations maintain high standards in data integrity, coding accuracy, and regulatory compliance. We provide:

• Experienced Interim Leadership: Skilled HIM and coding managers with extensive experience to lead teams, oversee operations, and uphold organizational standards.

• Quality Assurance and Auditing: Regular audits and quality checks to ensure compliance and reduce risks.

• Operational Efficiency: Streamlined workflows and process improvements to enhance productivity and accuracy.

• Team Training and Development: Support for staff training, education, and upskilling to maintain a high-performing team.

• Transition Support: Comprehensive onboarding and offboarding support for seamless transitions in leadership roles.

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Our team is dedicated to delivering flexible, reliable HIM and coding management solutions to keep your organization running smoothly during periods of change. Let us be your trusted partner for interim HIM and coding management.

Our consulting company specializes in handling denial reviews and appeals for RAC (Recovery Audit Contractor) audits and all other payers, ensuring healthcare providers recover rightful reimbursements and reduce financial losses. Our services include:

• Comprehensive Denial Analysis: Thorough review of denied claims to identify root causes, trends, and actionable insights for future prevention.

• RAC Audit Support: Expert assistance with RAC audit responses, including documentation review, appeals preparation, and strategy development to address any areas of concern.

• Appeals Preparation and Submission: Detailed preparation and timely submission of appeals to all payer types, including Medicare, Medicaid, and private insurers.

• Customized Appeal Strategies: Development of tailored appeal strategies to maximize success, addressing each denial with specialized approaches based on medical necessity, coding, and documentation.

• Documentation Improvement: Guidance on documentation practices to prevent future denials and improve compliance with payer requirements.

• Ongoing Monitoring and Reporting: Regular updates and reports to keep providers informed on the status of appeals, recovery rates, and denial trends.

• Education and Training: Education sessions for staff on denial prevention and effective documentation to support successful claims submission.

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With our denial reviews and appeals expertise, healthcare providers can focus on patient care while we work to recover revenue and streamline their claims process.