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    • GapAI™ DRG ValidationHospital Solution

    Hospital CDI teams rely entirely on our GapAI™-powered SaaS platform for pre-bill DRG optimization.

    • GapAI™ HCC ValidationPayer Solution

    Payer CDI teams rely entirely on our GapAI™-powered SaaS platform for risk adjusted RAF optimization.

    PROVIDER CONSULTING SOLUTIONS
    • GapAI™ DRG ValidationHospital Solution

    TMD CDI experts leverage GapAI™ to identify & recommend pre-bill DRG / APC gaps for hospitals.

    • GapAI™ Appeals ManagementHospital Solution

    TMD appeals experts leverage GapAI™ to prioritize & recommend inpatient appeal gaps for providers.

    • GapAI™ Outsourced Mid-RCMHospital Solution

    Hospitals entrust TMD’s expertise with mid-revenue cycle services including coding, CDI, appeals et al.

    HEALTH PLAN CONSULTING SOLUTIONS
    • GapAI™ Payment IntegrityPayer Solution

    TMD CDI experts leverage GapAI™ to identify and recommend DRG downgrade opportunities for payers.

    • GapAI™ HCC ValidationPayer Solution

    TMD CDI experts use GapAI™ to identify and recommend pre- and post-visit HCC gaps for payers.

    • GapAI™ Narrowed NetworksPayer Solution

    TMD analytics experts leverage GapAI™ Insights to incent physician referrals, saving payers up to 7:1 ROI.

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      • GapAI™ Software: DRG Validation for Hospitals
      • GapAI™ Software: HCC Validation for Health Plans
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      • GapAI™ Consulting: Appeals Management
      • GapAI™ Consulting: Outsourced Mid-RCM
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      • GapAI™ Consulting: Payment Integrity
      • GapAI™ Consulting: HCC Validation
      • GapAI™ Consulting: Narrow Networks
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    • GapAI™ Knowledge Engine

    GapAI™ Knowledge Engine is advanced machine learning technology trained on billions of clinical data points. It powers decision support & recommendation systems, delivering high-value financial, operational, and clinical intelligence to providers and payers.

    • GapAI™ Insights Engine

    GapAI™ Insights Engine, our premier healthcare decision support and engagement platform, provides real-time analytics and patient/member engagement to enhance clinical, financial, and operational performance for providers and payers.

    • GapAI™ Data Platform

    GapAI™ Data Platform, our versatile data connectivity workflow, allows clients to quickly, easily, and securely transmit billing, coding, and patient chart data. This flexible toolset includes FHIR, HL7, EDI, OCR, and more.

     

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By kbyrne25|2024-05-24T04:24:32-06:00May 24, 2024|0 Comments

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SaaS Solutions
  • GapAI™ DRG Validation
  • GapAI™ HCC Validation
Consulting Solutions
  • GapAI™ DRG Validation
  • GapAI™ Payment Integrity
  • GapAI™ Appeals Management
  • GapAI™ HCC Validation
  • GapAI™ Outsourced Mid-RCM
  • GapAI™ Narrowed Networks
Technology
  • GapAI™ Knowledge Engine
  • GapAI™ Insights Engine
  • GapAI™ Data Platform

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  • Solutions
    • SaaS Solutions
      • GapAI™ Software: DRG Validation for Hospitals
      • GapAI™ Software: HCC Validation for Health Plans
    • Provider-based Consulting Solutions
      • GapAI™ Consulting: DRG / APC Validation
      • GapAI™ Consulting: Appeals Management
      • GapAI™ Consulting: Outsourced Mid-RCM
    • Health Plan-based Consulting Solutions
      • GapAI™ Consulting: Payment Integrity
      • GapAI™ Consulting: HCC Validation
      • GapAI™ Consulting: Narrow Networks
  • Technology
    • GapAI™ Knowledge Engine
    • GapAI™ Insights Engine
    • GapAI™ Data Platform
  • Resources
  • Contact
  • Login
    • 🔒 Client GapAI™ Platform
    • 🔒 TMD Administrative Platform
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