Total Medical Solutions

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TOTAL MEDICAL SOLUTIONS

Reclaim Time for Patient Care with Expert Administrative Support

From boosting MRA accuracy and improving HEDIS performance to managing medical billing, claims, and customer service, we handle the complexities that impact your bottom line. With our expertise, you’ll see increased compliance, optimized revenue cycles, and enhanced patient satisfaction, allowing you to focus on strategic growth and delivering top-tier care. 

MRA Services
Admin Services
0 +
Staff Members
Complete BPO Services
12+ Industries Served

Trusted by Leading Healthcare Organizations

Proven Reliability Across Industries!
Join The Ranks Of Our Satisfied Global Clients

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What We Offer

Expert Solutions For All Your Business Outsourcing Needs

MRA & HEDIS Measures Optimization

MRA & HEDIS Measures Optimization

Administrative Services

Homecare Services

Homecare Services

Billing Services

Documentation Service

Documentation Service

  • High-quality BPO Solutions
About Us

Struggling with Administrative Burdens? We’re Here to Help!

We improve your MRA processes to ensure accurate risk assessments and higher reimbursement rates. Additionally, we enhance your HEDIS measures by refining data collection and reporting, which helps meet and exceed performance standards.

  • Accurate Risk Assessment
  • Enhanced Data Collection
  • Improved Reporting Practices
  • Performance Monitoring
  • Data Driven Insights
  • Training and Support
Our Services

Our Comprehensive Healthcare BPO Services

MRAs and HEDIS Measures Optimization

MRAs and HEDIS Measures Optimization

We improve your MRA processes to ensure accurate risk assessments and higher reimbursement rates. Additionally, we enhance your HEDIS measures by refining data collection and reporting, which helps meet and exceed performance standards.

In-Office Virtual Staff

Our virtual staff offers reliable and consistent support, eliminating concerns about callouts and absenteeism. This ensures uninterrupted administrative operations and allows you to focus on patient care without the disruptions from staffing issues.

Claims Processing

We meticulously review and verify the accuracy of medical claims, submit them to insurance payers, and diligently follow up on their status. We throughly negotiate payments and appeal any denied or underpaid claims to ensure prompt and accurate reimbursement.

Managing Medical Billing and Claims

Our team manages every aspect of medical billing, from precise coding and claim submission to follow-up, ensuring timely reimbursement, minimizing errors, and relieving your practice of billing and claims management complexities.

Enhanced Data Collection

We offer healthcare providers a cost-effective and efficient solutions for their financial needs by accurately submitting claims, tracking payments, and handling insurance follow-ups to ensure timely reimbursement.

Accurate Risk Assessment

We implement precise coding and documentation practices to ensure accurate Medicare Risk Adjustment (MRA) calculations, improving reimbursement rates and reflecting the true health status of your patient population.

What We Offer

Key Services

Virtual Staffing

Real-Time Documentation
Appointment Management
Patient Communication
Clinical Assistance
Immediate Data Access
Administrative Tasks

Call Center Solutions

Email Support Services
Inbound & Outbound Calls
Live Chat Services
Billing Services
Prescription Coordination

Medical Recruiting

Targeted Recruitment Strategies
Comprehensive Screening
Candidate Sourcing
Compliance Assurance
Retention Focus
Streamlined Hiring Process

Coding & Billing Solutions

Accurate Medical Coding
Timely Claim Submission
Billing Accuracy
Claims Follow-Up
Compliance Monitoring
Revenue Cycle Optimization

Administrative Services

Paperwork Processing
EHR Management
Data Entry and Management
Scheduling and Coordination
Administrative Compliance

IT Services

Software development and maintenance
Cybersecurity services
IT support and troubleshooting
Cloud services management
Database management
Technology
Network optimization
Telephony and telecommunications

Why Choose Us?

The Most Trusted Healthcare BPO Services Company

We specialize in providing healthcare BPO services tailored for the healthcare industry. Our offerings enable healthcare companies to enhance operational efficiency by outsourcing non-medical tasks, such as administrative and support services, to our expert team. Our services encompass medical billing and coding, customer service, and claims processing, all executed by our highly skilled and experienced professionals. Committed to quality and compliance, we collaborate closely with our healthcare clients to ensure adherence to their standards and regulations.

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Why Choose Us?

Transforming Healthcare Through Smarter Outsourcing

Forget About Staffing Issues

Our virtual staff eliminates staffing issues by ensuring a reliable and consistent presence, always having someone ready to handle patient interactions. We accompany patients through every step of their visit, from check-in to check-out, providing seamless support and maintaining high levels of service throughout their experience. This approach not only resolves staffing challenges but also enhances patient satisfaction and operational efficiency.

Support When The Patient Needs It

Our call center solutions ensure that patients always have dependable and timely support. From scheduling appointments to addressing inquiries, we provide a seamless connection between your practice and your patients, ensuring exceptional service and satisfaction at every touchpoint. With our reliable team, you can count on consistent communication and support throughout the patient journey.

Streamline Accounts Receivable

Our healthcare BPO services enhance accounts receivable by optimizing medical billing, coding, and claims processing. By reducing errors and improving accuracy, we facilitate faster payment cycles, boost collections, and strengthen financial stability.

Consistent Follow-Up on Denials

We conduct regular follow-ups on denials by monitoring and tracking denied claims while collaborating with healthcare providers to resolve them swiftly. This proactive approach helps reduce the number of denied claims, enhances cash flow, and ensures a high level of accuracy in our medical billing and coding processes.

Testimonials

What Our Clients Are Saying About Us!

    John L.
    John L.

    The support we received from Total Medical Solutions has been exceptional. Their dedicated team helped us navigate our operational challenges with ease, implementing solutions that have reduced our turnaround times and improved our service delivery. We couldn't be happier with the results.

      Mia K.
      Mia K.

      Total Medical Solutions has consistently delivered reliable and professional services. Their commitment to quality and compliance has helped us maintain high standards in our operations. We highly recommend their services to any healthcare organization looking to enhance their efficiency.

        Meghan W.
        Meghan W.

        Thanks to Total Medical Solutions, our administrative burdens have been significantly reduced. Their efficient handling of our non-medical tasks has allowed our staff to dedicate more time to patient care. The impact on our overall productivity has been remarkable.

          Richard S.
          Richard S.

          Partnering with Total Medical Solutions has transformed our operations. Their expertise in healthcare BPO has streamlined our processes, enabling us to focus on patient care while they handle the complexities of billing and claims management. We’ve seen a notable improvement in our efficiency and customer satisfaction.

          Basic

          $137/Service

          • Clinical Measurement
          • Diagnostic Services
          • Professional Consultation
          • Food & Nutrition Counselling
          • Symptom Checker
          Book Now
          Premium

          $270/Service

          • Clinical Measurement
          • Diagnostic Services
          • Professional Consultation
          • Food & Nutrition Counselling
          • Symptom Checker
          Book Now
          Pricing & Plan

          Very Compatible Price For You

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          Call Us

          (+021) 123 662

          Email Us

          [email protected]

          FAQ

          Frequently Asked Questions

          Business Process Outsourcing (BPO) in healthcare refers to outsourcing non-clinical administrative tasks such as medical billing, coding, customer service, and data management to a third-party healthcare business outsourcing company. This helps healthcare organizations reduce costs, improve processes, and focus on providing better patient care.

          Schedule Your Call with Us Now!

          Book Appointment