Services

 DRG National AR-DRG/ICD-10-AM Financing Consulting:

TCi has played an integral role in the development of national based DRG financing projects in both Romania and Bulgaria. In 2003-2004 TCi resources wrote and delivered the Turkish national DRG pilot implementation plan which was ratified by all three key ministries (MOH, MOF and SSK) and personally signed off by Prime Minister Tayyip Erdogan.

 

TCi through its links with national DRG implementation bodies in Romania (NIRDH, NSPH, CMSS), Bulgaria (NHIF) and its very close association with the peak international ICD-10-AM Classification and training organizations The National Centre for Classification in Health (NCCH) and the Health Information Managers Association of Australia (HIMAA) are able to help source the world’s best experts in the ICD10AM / AR-DRG consulting arena. TCi’s expertise in Medical Benefits billing has been hard won through 14 years of hospital based consulting and ongoing software refinements to its flagship billing audit tool, MedPay®.

 

Other key areas of expertise include Change Management initiatives that result from codification changes and integration of secondary care and primary care through better care plan management of chronic disease and e-health record integration issues pertaining to increased patient satisfaction and safety.

 Consulting for DRG Management

• casemix quality assurance;
• optimise income entitlements;
• reduce expense in a casemix funding environment;
• apply your own benchmarking techniques; and,
• limit the work required in monitoring clinical costs.

 Contracting Doctors

Practical in-service training to assist you to:

• Negotiate business rules that reduce inadvertent entitlement claims;
• Use MedPay® during contract negotiations such that proposed increase in payment can be benchmarked to identify the effect of change in entitlement payments;
• Negotiate conditions that support the organisation and management of services;
• Compare conditions that apply in contracts at other Hospitals;
• Enable the Hospital to remain at arms length while retaining overall control of negotiations; and,
• Apply professional expertise to the negotiating process.