The approach
Revenue cycle is where many independent hospitals leave the most on the table.
The gaps are usually in documentation, coding, denials management and patient access workflows. TPC’s Revenue Cycle program addresses the full continuum, in a reimbursement environment that leaves no room for error.
Using the Revenue Cycle Analytics Platform, we work with members across documentation improvement, case management and utilization review, denials management, managed care, net revenue recovery, revenue integrity, patient access, physician enterprise and beyond. The goal is straightforward: make sure your revenue stream is solid so you can keep supporting your community.
Independent, community based, healthcare systems are at a tipping point. The recent pandemic and current economic environment with limited labor resources, increasing costs, shrinking revenues, and onslaught of Managed Medicare are proving too much to bear. The number of independent health systems that are able to survive is dwindling. Now, more than ever, independent health systems need innovative, efficient, and productive revenue cycles that optimize net revenue with less resources.
By working together, TPC and our Member hospitals are able to navigate the current headwinds and achieve excellent results. Since 2016, our Members have achieved over $77M in net value, across multiple programs, through collaboration with TPC's Revenue Cycle team.
How members use TPC
Our Member hospitals use TPC as a platform for networking, collaboration, and benchmarking as if a part of a larger virtual system. Members exchange valuable knowledge, KPIs, and share and evaluate best practices — together, they identify and achieve process improvement opportunities. It's through this Member engagement that TPC develops programs and strategic partnerships to assist our hospitals in implementing and achieving performance improvement that yields net revenue enhancement.
TPC's Revenue Cycle Council (RCC) features revenue cycle leaders and executives from each Member organization. The RCC provides governance and oversight to our TPC team of subject matter experts and associate resources dedicated to driving performance improvement across the Membership.
Comparative Analytics
Utilizing TPC's comparative analytic platform, our Members provide real time revenue cycle data which TPC aggregates and analyzes to benchmark against peers and national HFMA benchmarks. TPC subject matter experts and Members are then able to discover areas of opportunity and develop data-driven recommendations on how to optimize their revenue cycle processes.
Vendor Management
TPC subject matter experts and our strategic partners manage a portfolio of preferred vendors that can provide Members support across a wide range of opportunities, and through group purchasing TPC is able to provide reduced cost and greater implementation support. In addition, TPC offers vendor management services that include:
- Vendor selection
- Negotiation support
- Performance monitoring
- Invoice reconciliation
- Relationship management
Operations
Through collaboration and sharing best practices, the TPC Revenue Cycle Council serves as a sounding board for operational concerns and provides real world examples for process improvement. In addition, TPC has over 50 years of combined revenue cycle consultative experience that can help solve any operational problem and develop long-term sustainable strategies such as denial avoidance, staff productivity, and cash/AR management.
Innovation
The TPC platform provides Members a unique advantage when exploring innovative solutions. TPC can work alongside Members to pilot new programs while minimizing risk and determining the effectiveness of solutions. Working together Members are able to capitalize on innovation and drive value collaboratively.
Clinical Revenue Cycle
Clinical revenue cycle (CRC) is one of the highest priorities among TPC Members and where most independent community-based organizations have opportunity. TPC has dedicated clinical resources and has engaged specialty partners that leverage artificial intelligence and machine learning to optimize case management, utilization review, physician education, and clinical documentation. TPC's initiatives enable Members to optimize limited resources, prevent denials, improve documentation, and enhance revenue, all while improving quality metrics.
TPC is the unparalleled solution for independent organizations seeking to improve their revenue cycle and achieve superior results together. By joining with other TPC Member hospitals, you can tap the power of our team to free up resources that allow you to better serve your patients.
Stronger Together. Superior Results.
Members reach these results by working the programs together. If your organization is weighing what that looks like, the next step is a conversation.