We provide an efficient Healthcare Payer Solutions that makes the healthcare and payers enable to connect, grow and transform their business payments. Our business management of Healthcare organizations, ranges from providing strategic solutions such as migration and compliance solutions to most complex and critical and mission driven operations.

This Healthcare Payer Solutions help payers to lower operating costs, improve overall efficiency and manage regulatory compliance mandates. This organized healthcare paying system leads to a smooth working environment that is customized and revenue driven. We provide a range of different tasks like medical billing and coding, medical outsourcing management, revenue cycle management, providing credentials, patients health records and electronic health records that makes the operation less problematic and help commercial payers with improper medical and pharmacy claims.

Our driven payment reimbursement methodologies provide a high working and result oriented payment operations, including inpatient, outpatient, and professional services. The medical coding into alphanumeric codes for all your previous diagnostics and healthcare needs are coded to store healthcare information and prevent you from false claims. This, in turn, leads to efficient payment transactions, which are fast and easy to track and analyze. Healthcare patients and payers are profited likewise from this, as the analytics are stored for everything that makes the payment provided and track record easy to store.

Our Services:

We provide the following services in easy load and efficient payer solutions for the healthcare system.

1. Data Entry: our service of competent date entry provides the track record of patient records, medication records, equipment records, patient data entry and every visit to healthcare providers, diagnostic histories, lab tests or scans, healthcare provider records, clinics, pharmaceutical histories.
   Our data entry is not only operational in managing different sets of tasks together, but it also helps the patient track their record and the healthcare payer records.
2. Pricing Management: We make the difficult task of connecting healthcare pricing to make it both healthy margin and quality outcome seem easy. The pricing management is important when it comes to making sustainable practice, along with revenue management.
3. Provider Network Management: We extend support in building a close and monitored network with providers to make sure that the patients get treatment at the right cost. Provider network management in healthcare is important for different sets of tasks, including managing pricing for a clinical procedure, and helping patients with correct provider data.
4. Claim Processing: Building an efficient system of healthcare helps not only in providing a quality treatment, revenue generation, but also in saving time with improper claim processing. We help in generating a reliable tracking system that saves you from false claims, saving precious time, but also extends help to patients and clients with claims with their healthcare provider or vice-versa.
5. Membership: Professional healthcare membership is for individuals working or involved in healthcare documentation and data track. It gives you access to all individual member benefits, significant discounts, and full membership privileges, thus helping you with payer solutions.
6. Benefit Administration: healthcare administration is an important part of the norm that makes it a positive outlook. It ranges from Human Resources and involves managing health insurance, retirement accounts, vacations, paid time off and parental leave, and payer solutions are applied on this to make it work effectively.
7. ICD 10: International classification of diseases is a classification criterion of diseases. In healthcare aspects, it involves the coding of disease diagnostic, symptoms and different criteria that help in organizing a set of disease or disorder.
8. Voice Support: A healthcare centre is supposed to have the busiest route of telephonic calls, as it supports this art facility and multilingual support and access to speakers from different places.
9. Dedicated Data Centre and Network: This involved a team of aligned payers’ business and IT strategies, allowing clients to become more efficient and productive, while improving quality of care in the healthcare sector.

We also provide Quality control, Feedback and training to physicians, data and security, regular reports, outsourcing medical billing and medical coding. Get in contact with us for your healthcare payer solutions. Contact us at sales@tall-rcm.com or info@tall-rcm.com. You can also call us at 973-206-8939.

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