Healthcare

Healthcare Program Support

Healthcare program support is the link between medical care and all the infrastructure and management that supports it.

From medical coding to program management, to recruitment, data processing and training program, TeAM provides the support to the Military Health System that helps more than 9.7 million beneficiairies every day.

Our Capabilities

Healthcare Program Support 
• Data Mining, Analysis and Reporting
• Program Evaluation and Optimization
• Strategic Planning and Policy Development
• Communications and Marketing
• ICD-10 and Medical Coding Support
 
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.
 
Medical Coding Achievements
• Established the AFMS ICD-10 Transition Program Management Office
• Developed comprehensive ICD-10 Coding handbooks for 16 major specialties
• Developed ICD 9-CM to ICD 10-CM Crosswalks for 24 specialties
• Oversaw and coordinated the Air Force ICD-10 Coding Ambassador program for Air Force Civil Service coding professionals
• Coordinated and managed collectively over 300 coding professionals’ user accounts on both Precyse and Tri-Service 3M ICD-10 Education Program Tools
• Process more than 195,000 code sets per month with 95% accuracy/98% time
Human Capital Resources
• Program/Project Managers
• Certified Coding Specialists and Medical Coders
• Registered Health Information Administrators
• ICD-10 Trainers
• Medical Practitioner and Clinical SMEs
• Registered Health Information Technicians
• Certified Professional Coders
• Certified Auditors
• Cost Estimators
• Administrative Assistants
 
Work With TeAM
ICD-10 and Medical Coding Support
• Development of training strategies, programs and training materials to support ICD-10 business transformation
• Transition management and implementation, medical coding and ICD-10 CM & PCS training of Providers and Coders
• Quality assurance and risk analysis via Auditing, quantitative and qualitative medical records analysis; Determine validity and certitude of recorded Provider diagnoses and procedures
• Provision of human capital resources including Program/Project Managers, Medical Practitioner and Clinical SMEs, Certified Professional Coders and Auditors, RHI Administrators and Technicians, Registered Health Information Technicians, ICD-10 Trainers
• Perform medical Coding of diagnoses and procedures, medical records review (CPT, HCPCS, ICD-10 CM & PCS, E&M and modifiers) and Auditing for inpatient and outpatient services.
 
Medical Coding
• Medical Coding Program and Transition Management
• Medical Record Coding and Auditing
• High Volume Processing (195,000 code sets per month)
• Maintain Coding Quality Standards (95% accuracy/98% time)
• Recruitment and Retention of Medical Coding Professionals
• Medical Coding and ICD 10 Training Development and Instruction
 
Medical Records Coding
 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
• Other related administration related duties
 
Auditing
• 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
 
Training
• Develop and update training material
• Train Providers and Coders on ICD 10 CM & PCS
• Conduct Weekly Error analysis
• Identify training needs and will build on training material base on Error analysis
• Review and resolve coding queries
• HEDIS review
• Implementation of training presentations
• Establish training strategy to support ICD 10 business transformation
• Determine ICD 10 training key performance indicators
• Create and analyze metrics to determine the impact of training initiatives
• Establish curriculum development, job aids, testing methodology, software and delivery, exam development
• Facilitate and coordinate training schedules
 
 
Past Performance
 
TeAM has proven performance providing education and training services to numerous clients, including recent efforts with:
 

Regional Health Command Atlantic

Regional Health Command – Atlantic (RHC-A)

Project: Medical Coding Services

Air Force Medical Operations Agency (AFMOA)

Project: AFMS ICD-10 Transition Program Office Support

Medical Education and Training Campus (METC)

Project: METC Training

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

Project: Medical Coding Services