Optimizing and Strengthening Tribal Healthcare Operations

Our Goal is to provide Indian Health Service/Tribal/Urban healthcare facilities with the tools and technical expertise to enhance efficiencies in revenue cycle management to increase overall revenue for your facility.

Problems & Solutions

Is your Health Clinic experiencing severe underfunding and, oftentimes, limited training and/or short staffing, leading to lost revenue opportunities? THI is here to help support you through these unique challenges by streamlining workflows, improving compliance, decreasing denials, and increasing revenue.

Statistics

52%

Increase in Third-Party Revenue for One Tribe in One Year

207%

Return on Investment (ROI) for One Tribe Over the Course of Three Years

82%

Savings of Purchased Referred Care (PRC) Dollars by Medicare-Like Rate (MLR) Repricing in One Month

Services We Offer

THI is dedicated to supporting Tribal Nations at any stage of their healthcare service development. We tailor our optimization process to address the specific needs of each tribal healthcare practice. Our services include comprehensive revenue cycle assessments, customized optimization programs, coding and billing support, as well as revenue cycle training.

Assessment

THI comprehensive assessments are ideally done for every step of the revenue cycle process, but can also be done for a specific area. The THI team works with you and your team during an on-site visit to evaluate your current processes. Following the on-site visit, a written assessment report is completed that outlines any areas of opportunity for increased revenue and/or compliance.

Revenue Cycle Optimization

Optimizing your revenue cycle means looking for opportunities across your entire organization. Our process starts with an assessment of current revenue cycle processes, as well as an optimization program that provides tools, training, support and guidance to optimize Revenue Cycle Management (RCM) health care billing and collections. Our approach finds the high impact opportunities for your organization, then applies custom solutions to fix and fine-tune issues so goals are achievable and sustainable.

Coding and/or Billing Support

THI’s team of certified coders and billers will provide support for your daily coding and billing processes. THI will work closely with you to provide accurate, timely coding and billing

Medicare-Like Rates Repricing

When it comes to protecting your purchased referred care dollars, THI can assist by repricing those bills at Medicare-like rates.

Ready to Get Started Today?

Tribal Health Innovations is a professional, customer-service driven organization, which has provided us with timely and efficient services that has helped us generate maximum revenue potential for our Tribal Health Department.

— Katie Espling, Health Director at Mi’kmaq Nation Health Department