TLC provides following Key Offerings to customers
a. HIT/EMR Needs Assessment- Our team will conduct detailed needs analysis of the group / clinic / agencies requirements for an EMR / HIT system. An analysis begins with a detailed walk-through of your clinics site with the organization’s primary stakeholders (managers, clinicians and administrative staff). This walk - through is followed by a group meeting to determine a high-level understanding of the organization’s needs. This provides the basis for detailed questions in subsequent group meetings. The follow-up meetings include a team of managers, MDS, psychiatrists, social workers, case managers and other personnel. An assigned interviewer documents the sessions; and the full team reviews the documentation for accuracy and completeness.
b. Evaluation and a Selection of HIT System- Once the needs assessment is complete, TLC works with customer team to evaluate and select the right HIT system for the agency’s requirements. This entails researching and evaluating vendors that have systems that meet your unique agencies requirements.
c. Implementation Services and Project Planning- After the HIT selection process is completed, the project would enter the implementation phase. Here TLC works with the customer team to develop a rollout and implementation plan for the agency. This is a very important phase of the process because it enables your agency to smoothly transition into using the new system. TLC works with the organization to properly manage the process, project manage the roll-out and help educate users. TLC has a sophisticated project management process - MIRACLE (Milestone, Issues, Risks, Assets (Resources), Communications, Learning, Excellence) This PM process allows us to manage multiple projects with multiple business partners simultaneously.
d. EHR Incentive Program Eligibility Analysis and Practice Encounter Assessment- We will work with EPS, clinics, and groups to research the patient encounter volume of the organization and provider profile to enable our team have the appropriate data necessary to make the proper choices for the incentive plan selection. This will evaluate both the provider and group patient volumes, billing elements and eligibility criteria. Here we must analyze all billing records for previous year and determine appropriate eligible encounters by both FFS and Managed Medicaid patients. For the Medicare program, a calculation of the incentive payment must be developed based upon previous years Part B Professional services billing.
e. Eligible Provider (EP) Awareness Program and Updates to Employment Materials- TLC has developed a process to review the guidelines of the EMR Incentive program with each provider explaining the specific factors that are associated with their attestation and reviewing the provisions associated with assigning the payment. TLC will also provide you with sample employment agreements/materials that cover the specific issues that are tied to this program.
f. Credentialing- TLC has an extremely extensive credentialing service that enables EPS, groups, clinics and agencies to be properly credentialed so they actually will qualify for either the Medicaid or Medicare Incentive Programs. Each of these programs has numerous credentialing requirements that are not always in place even though providers and agencies are successfully billing for other services. TLC has a unique understanding of how to comply with these guidelines to enable the proper reassignment of payment to meet requirements of the HITECH Act and NYS Medicaid EHR Program. TLC is one of the few organizations that have successfully enabled practices and agencies to reassigned EPS payments to groups/clinic where they practice for the NYS Medicaid EHR Program. We also offer a service for providers to complete the extensive CAQH credentialing process that is required to receive a Medicaid ID. This process requires working with providers on over seventy questions that must be completed and collecting all necessary license information for concluding the application. This process also requires several months of monitoring the status of the provider’s Medicaid application with state agencies. In addition to these elements we offer expertise with re-validating Medicare IDs that becomes an issue quite often in the process of registering for the EHR Incentive.
g. EP Enrollment, Registration and Attestation- TLC will work with EPS and organizations to properly sign up EPS and link their NPIS, Medicaid IDs and TINS to the organizational TIN so that payment is properly assigned to a group without any income tax implications to the provider. TLC provides step by step guidance for enabling them to properly enroll, register and attest for both Medicaid AIU and MU process. We also have a similar process for Medicare MU registration and attestation. We assist the providers and practice with all elements of attestation process outlining in the specific MU objective compliance elements.
h. Meaningful Use (MU) Deployment and Gap Analysis- We will work with providers to develop a deployment plan for technology, selection MU Menu Set Objectives and CQM that must be completed to meet the MU criteria/objectives and meet the providers scope of practice quality objectives. TLC will develop a gap analysis for compliance with the requirements of MU that reviews the specific steps must be taken to meet the Meaningful Use Stage 1. We also work with providers to assess which elements are not compliant and develop steps to address meeting the thresholds.
i. MU Monitoring Services- TLC provides an ongoing monitor service for providers determining the providers’ status on individual MU objectives against the threshold levels that must be achieved. This in effect project manages the MU implementation process working with the lead persons at the provider organization on the status of the MU achievement.
j. Payment and Attestation Monitoring- TLC will continually monitor the status of the attestation and payment with the NYS Medicaid EHR Incentive officials to ensure that no issues have occurred and make any corrective action necessary.
k. Workflow Systems Design- Our team will work providers to design a work flow that enables providers to successfully implement their EMR system that matches current practices processes and makes recommendations on improvements. This is a very important element for engaging providers into the process and improves the willingness to utilize the system. We have a number of work flow tools we use to analyze and document use cases. We also offer custom work flow design for specialty areas such as Behavioral Health and HIV community providers.
l. Eligible Provider EMR Enablement and MU Training- This is a process of training your eligible providers about the benefits of your future EMR system. How computers can aid them in their treatment of patients. We will also provide (if necessary) computer literacy courses for those EPs that are not familiar with computer technology. This work is essential in aiding the EMR system’s implementation so that EPS understand why implementing this system is important to the practice. TLC also offers MU training materials and onsite session for providers that specifically go through the steps that are necessary to achieve MU.
m. Security Risk and Assessment- Our unique approach combines initial socialization of the program within your organization, through workshops and awareness programs. This is followed by an intense on-site audit – at the physical layer, user layer, IT device layers, practice location security policies and procedure, and personnel/vendor policies. These findings are then integrated with the compliance requirements to derive a gap analysis. Our reports are not only useful for clients to see a snapshot of their security posture today, but many organizations have chosen to use the same for on-going reporting as well. Customers are then presented with recommendations. We also understand that some may require some sustained consulting – after the project as well. We also have included an effective component in our solution that enables them to reach out to our security industry experts.
n. To qualifying customers- we also proposed an optional quarterly audit on our recommendation baseline. This is a very useful to those who really value compliance posture and believe that they need to truly secure themselves against the vagaries of the legal world.
Onsite Auditing & Gap Analysis
Retained offsite consultation
TLC offers these bundled as well as optional items, so the client can decide the mix of use of in-house IT team and TLC resources
o. Develop a plan for you to be in-compliance with ongoing Stage 2-3 MU criteria- This entails ongoing research of the “real time” changes to MU guidelines and developing a plan to comply with these requirements to receive the full value of the incentive payments. Here, we will work with government officials and committees to gain their perspective, analyze gaps to stay current with these guidelines, and determine a strategy for the client.
p. Hardware implementation- NST is our primary partner for implementing hardware and infrastructure solutions for clinics and private practices. They provide a complete suite of services to deliver the hardware and networking infrastructure solutions for these environments. This allows TLC to offer any number of solutions to address the full spectrum of technology requirements addressing the providers’ hardware, networking and wireless networking needs.
q. Large Scale Networking Deployment- TLC has BP relationship with core technologies for large scale infrastructure and support in hospitals and medical centers. This enables us to serve very large customers needing large scale IT infrastructure deployment.