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TPC’s Interventional Cardiology (IC) Program Engages in Partnerships That Deliver Greater Value for its Membership

For small, stand-alone hospitals, remaining profitable while providing the best patient care can be challenging. TPC provides a platform for strategic partnerships that can help these independent entities reduce costs and improve patient outcomes. Working collaboratively, TPC Member hospitals achieve more together, collectively negotiating for services and supplies to increase their financial, operational and clinical…

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For small, stand-alone hospitals, remaining profitable while providing the best patient care can be challenging. TPC provides a platform for strategic partnerships that can help these independent entities reduce costs and improve patient outcomes. Working collaboratively, TPC Member hospitals achieve more together, collectively negotiating for services and supplies to increase their financial, operational and clinical performance.

TPC programs deliver opportunities through Member-driven custom contracting, providing access to clinically acceptable products purchased in aggregate to decrease costs. As part of the process, from contract period to contract period, TPC evaluates marketplace opportunities in existing categories, using specific, predetermined criteria to ascertain the most superior products at the best value. By remaining supplier agnostic, TPC Members have the flexibility to comfortably disrupt the status quo and shift between suppliers to drive the highest value back to the membership.

When it comes to PPI, the TPC collaborative model has proven results in reducing supply chain expenses. A highly Member-engaged initiative that has yielded impressive results, TPC’s Interventional Cardiology (IC) program drove $1.2 million in savings across the membership in 2018, representing 11% of total IC spend. And since the IC initiative’s 2010 inception, over $9.98 million has been saved by TPC Members. TPC continues to meet its commitment with the category’s preferred suppliers, with Members maintaining greater than 80% compliance. TPC is the epitome of a value-based partnership of community-based hospitals working together as a single system.

Stronger Together. Superior Results.

To learn more about membership click here.

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Denials get a queue, underpayments just look like paid claims

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Underpayments in healthcare revenue cycle operations lack the visibility of denied claims because they don't trigger alerts or queue workflows. Without dedicated ownership and line-level verification against contract terms, paid claims that fall short of their contractual amount pass through undetected.

  • 01Denial workflows activate on rejection events, but underpayments produce no event, leaving paid claims unverified by default.
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  • 01When a contract packages add-ons into the primary procedure, the add-on line may legitimately show zero payment because it is folded into the primary procedure reimbursement.
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A clean, paid, closed claim can still be short of the contract

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Practices can receive payment on closed, clean claims that still fall short of negotiated contract amounts because billing ends at coding, submission and posting, while no role owns checking whether payer payments match fee schedules. The speaker argues that contract-level payment review is a separate, complementary function that compares closed claims to contract terms and, run continuously, helps surface shortfalls in time to act within timely filing windows.

  • 01Correctly coded and billed healthcare claims can still result in underpayment.
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