TPC’s CDI Program Selects Paramount Health Solutions as a Strategic Partner to Implement DRG Validation for Member Hospitals

Franklin, Tenn.  – Paramount Health Solutions (PHS), a provider of healthcare revenue cycle management services, has been selected by TPC, a network of 11 independent health systems in four states with over $1B in purchasing volume, to be the coding compliance resource for all TPC members.

Implementation of the new affiliation between TPC and PHS began in May 2020 and will be completed for the majority of TPC members by the end of the year.

Recent studies estimate that hospitals lose an average of one to five percent of net patient revenue capture annually, which can translate to $5 to $11 million for the typical 250-bed hospital from coding and billing errors.

“In today’s challenging environment we want to help our members remain financially viable,” said Cody Waldrop, TPC Vice President of Revenue Cycle. “TPC’s CDI program, in conjunction with our partnership with Paramount, offers a service that has demonstrated tangible results for our members’ bottom lines.”

“Today, hospitals and healthcare systems are facing challenges with millions in revenue on the line  from factors that include the COVID-19 pandemic, coding and clinical documentation guideline changes that require a higher level of specificity, value-based care models designed by CMS, and increases in audits and denials by payors,” said Bilal Mushtaq, M.D., co-founder, and chief operations officer for Paramount Health Solutions. “PHS addresses these challenges for our hospital clients by means of a laser-focused review of clinical documents from our expert physician CDI/DRGV (Clinical Documentation Improvement/Diagnostic Related Group Validation) specialists. Our team is trained to work with our clients’ physicians and coding staff and to use the latest best practice standards to identify gaps in revenue, which we look to resolve. The result for our clients is a more accurate picture of services provided, increased levels of reimbursement and fewer denials.”

Dr. Mushtaq said the PHS approach is to offer partnerships based on trust, transparency, customized solutions, and superior customer service.

“TPC’s CDI Council engages CDI representatives from each of our member hospitals who work together to evaluate best practices and identify opportunities for improvement,” said Airaj Waheed, M.D., TPC Director of Documentation and Coding.  “Our members’ trust is achieved through credibility of experience, knowledge, and skills. Paramount’s status as a physician-led company helps to open doors not only with hospital staff and leadership, but also with physicians.  And with all stakeholders involved, we are better positioned to be more successful.”

About TPC

Based in Plano, Texas, TPC is a network of independent healthcare providers that work together as a single system to aggregate business volume and leverage economies of scale without sacrificing individual independence or local ownership. By working through a committed platform, TPC drives collaboration and innovation across a range of clinical, operational and economic areas enabling providers to maximize the financial and non-financial value they receive. TPC represents 11 health systems in four states, totaling $1 billion in purchasing volume, and has achieved more than $300 million in documented savings since 2010. TPC exists for the sole purpose of helping community-based healthcare organizations remain strong and independent. For more information, visit www.tpc1.com, or follow them on LinkedIn and Twitter.


About PHS

Paramount Health Solutions, based in Franklin, Tenn., delivers DRG Validation, Clinical Documentation Improvement, Denials Management and education programs for hospitals and post-acute providers. PHS’ team of physicians, healthcare providers and expert coding auditors work together with hospital staff to capture accurate and appropriate revenue, ensuring compliance and reducing denials. For more information go to www.paramounthealthsolutions.com, or follow them on LinkedIn.

Follow us on social media for the latest updates in B2B!

Image

Latest

innovative data center practices
Applied Digital Strengthens Community Relations through Innovative Data Center Practices
May 21, 2024

As Applied Digital continues to expand its footprint across rural America, its commitment to integrating with and revitalizing local communities stands out. The company’s unique approach to building and operating data centers brings advanced technology to these areas while stimulating local economies and fostering community development. How does Applied Digital ensure seamless integration and…

Read More
data center operators
From Fields to Data Centers: Applied Digital’s Training Program Transforms Farmers into Data Center Operators
May 21, 2024

Nick Phillips, the EVP of Hosting Operations and Public Affairs at Applied Digital, emphasizes the transformative impact of Applied Digital’s training programs, which convert agricultural land into high-tech data centers and enable farmers to transition into skilled data center operators. This initiative highlights the company’s commitment to community development and technological advancement.

Read More
water conservation and sustainability
Water Conservation and Sustainability Are Critical for a Data Center’s Success
May 21, 2024

Digital infrastructure is essential, and as data centers expand, their environmental impact, water conservation and sustainability have come under scrutiny. As the demand for data storage and processing capabilities grows exponentially, so does the concern for the environmental impact of these facilities, particularly in terms of water usage. Nick Phillips, the EVP of Hosting…

Read More
AI-driven computing
Reducing the Gap in Skilled Trades Can Be Solved by Boosting Trade Education Initiatives
May 21, 2024

Currently, skilled trades are facing significant shortages making the need for innovative solutions and passionate involvement more urgent than before. Statistics indicate a looming gap in the workforce, expected to reach millions in the next decade, as older generations retire without sufficient newcomers to fill their roles. At the heart of this issue is…

Read More