Tactical Management Inc. (TMI) provides data management solutions to healthcare organizations like physician practices and Medicare Advantage plans. They help clients improve accuracy, insight, and impact through informatics services, medical record retrieval, and technology solutions. TMI also offers education services to help providers document diagnoses more completely to ensure accurate risk adjustment scores and reimbursement levels.

2. • Mission & Vision
• Profile
• Services
• Clients
• Industry Trends
• Q&A
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3. To serve the goals of our diverse clientele with a customer
service orientation and efficient resource management.
TMI will always be committed to offering the type of
service that decision makers choose rather than endure.
To become a company of choice for Health Care decision
makers when seeking efficient data management
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4. Tactical Management Inc. (TMI) continues to be a one-
stop source for operations vital to successful Physician
practices and Medicare Advantage health plans pursuing
accurate reimbursement while mitigating liability
exposures
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5. At TMI we work with health plans across the country to
develop and adopt revenue, cost, and compliance best-
practices cultivating success in today’s healthcare environment.
• Informatics - improving accuracy, insight and impact
• Retrieval - relationship>centric
• Technology – moving target to leverage efficiency
• Delivery – ROI on time and on budget
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6. With our industry expertise and unique approach, we
provide unmatched solutions that are meaningfully
improving clinical and quality outcomes, disease
management, and financial efficiencies
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7. • Need-Based
• À La Carte Options
• B2B and client-direct Solutions
• National Presence, Local Connections
• A Look Forward: Initiatives In Development
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8. PCP-Driven eHRA
Concurrent Reverse-
Suspecting
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9. • Health Plans
– Medicare Advantage
– Commercial
• Physicians
– Primary|General Practice
– Specialists
• B2B
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10. • Risk Adjustment
– Medicare Advantage plans rely on proactive Risk Adjustment
to reflect accurate risk scores in order to realize correct
reimbursement levels. These risk scores reflect acuity levels of
patients via the Hierarchical Condition Category (HCC) system.
The HCC system is an additive system which relies on ICD-9-
CM diagnosis codes to reflect patient acuities at their greatest
specificity. TMI offers a combination of solutions to help
achieve this goal
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11. • HEDIS
– TMI can help in a Health Plan’s effort to meet the stringent
*NCQA HEDIS measures. Once the plan selects the charts to
review, TMI can schedule with the providers’ offices, scan the
records, and securely provide them in the Plan’s choice of
digital format.
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12. • How TMI aids Provider Network Relations
– Boots on the ground nationally
– Bilingual schedulers
• “White-glove” service
– Chart pulled & returned as-found
– Prompt and discreet presence
– Technician scans only what’s needed
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13. • TMI is unique in that we offer your physicians peer level
documentation & coding education. Upon identification
of trends and efficiencies a MD will coordinate a face-to-
face session with your provider.
• Our Goal is to help you realize accurate reimbursement
while not straining your client patient relationship.
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14. • Tactical EMR
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15. • The Medicare Annual Wellness Visit (AWV) creates a personalized
plan of care for Medicare beneficiaries by identifying potential
areas of concern and providing suggestions that will improve
quality of life – at no cost to the beneficiary
• WellTrackMD is a solution developed to streamline the process of
contacting, scheduling and subsequently billing these AWVs. Our
strategy is simple and effective- Claim submission errors are
reduced through optimized encounter documentation that is fully
compliant with Medicare rules and regulations
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16. • Complementary services
– Retrospective reviews
– Prospective reviews
– Education
• Supplemental
– Suspect generation
– Revenue Forecasting
– RAPS file provision
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17. • RADV
– Scanning of all records
– Proactive data scrubbing
• Education
– Aggregation of trends & deficiencies
– Provider & ancillary
• Data Migration
– ICD-10 readiness assessment
– 5010 encounter data provision
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18. Derrick Taveras, CEO / President
derrick@tacticalminc.com
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