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Our Capabilities

• • Data Mining, Analysis and Reporting
  • Program Evaluation and Optimization
  • Strategic Planning and Policy Development
  • Communications and Marketing
  • ICD-10 and Medical Coding Support

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Data Mining, Analysis and Reporting

• • • Data Mining for supply chain management, sales and marketing, problem-solving, quality issues identification, customer behavior, historical patterning and trends, prediction and risk modeling, fraud detection
    • Business Intelligence (BI) process development and implementation for the Healthcare Enterprise, data-led and layout led discovery solutions for effective decision-making and decision evaluation
    • Sequence/Path Analysis, Classification, Clustering and Forecasting; utilizing predictive analysis to benefit the healthcare enterprise, maximizing database information/collection results
    • Web mining for customer relationship management and website effectiveness

Program Evaluation and Optimization

• • • Clinical and business planning analysis and execution, enterprise-wide optimization of services
    • Metrics collection and analysis to reduce healthcare program cost, effort and resource investment
    • Perform CONOPS and other evaluations of projects and processes to assist mission goals
    • Infrastructure optimization including configuration management, IT operation and maintenance planning, network/hardware support, backup and recovery management.

Strategic Planning and Policy Development

• • • Assessment of and determinations for enterprise policies, providing strategic direction and development of healthcare technology implementation, practices and procedures
    • Cybersecurity and information protection, HEDIS, FISMA compliance, HIPAA rules and regulations
    • Planning and development around MHSi technology as the foundational architecture for the Medical Community of Interest (MED-COI) and next generation provision of IT Services via the electronic health record (EHR).

Communications and Information

• • • Military Health System (MHS) and healthcare Communications Program management
    • Protection of critical information assets; IT infrastructure, cybersecurity, mobile technology
    • Strategic communications, web-based communications development, customer relations management
    • Public relations and marketing strategies for the Healthcare Enterprise.

ICD-10 and Medical Coding/Auditing Support

• • • Review patient medical records and assign codes to diagnoses and procedures; CPT, HCPCS, ICD 10 CM & PCS, E&M and modifiers
    • Determine the final diagnoses and procedures stated by the physician or other health care providers are valid and complete
    • Quantitative analysis – comprehensive review for the record
    • Qualitative analysis – evaluates the record for documentation consistency and adequacy
    • Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
    • Medical record auditing for inpatient and outpatient services
    • Quality assurance and risk analysis
    • Perform concurrent/retrospective audits on accuracy of APC, ASC or MS DRGs on quality of medical record documentation needed for accurate coding
    • Identify trends in edits and denials
    • Gap analysis and feedback to providers and coding staff

     

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    Past Performance

    TeAM has proven performance providing Healthcare Program Support services to numerous clients, including recent efforts with:

    

    Walter Reed National Military Medical Center (WRNMMC)

    Project: Clinical Records Support

    

    Department of the Navy Bureau of Medicine and Surgery (BUMED)

    Project: Medical Coding Services

    

    Regional Healthcare Command – Atlantic

    Project: NRMC Medical Coding Services

    

    Air Force Medical Operations Agency (AFMOA)

    Project: E-Health Initiative Project (E-HIP) Support Services