Medicare Risk Adjustment
Improve MRA processes to ensure accurate risk assessments and higher reimbursement rates with full compliance.
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HIPAA Compliant · Partnered with 200+ Healthcare Organizations
A Smarter Front Desk
at a Lower Cost
From boosting MRA accuracy and improving HEDIS performance to managing medical billing, claims, insurance verification, and back office support — we handle the complexities so your team can focus entirely on patient care.
Partnered with leading healthcare organizations
Humana
United Health
CarePlus
Devoted Health
Freedom Health
Optimum
CMS
Ultimate Health
What We Offer
Expert Solutions For All Your
Business Outsourcing Needs
High-quality BPO solutions designed specifically for the healthcare industry, executed by skilled professionals committed to quality and compliance.
Virtual Check-In / Out
Remote agents handle front desk tasks, reducing wait times and freeing on-site staff to focus on patient care.
Learn MoreCall Center Services
24/7 patient support ensuring seamless connection between your practice and patients at every touchpoint.
Learn MoreRevenue Cycle Management
Optimize medical billing, coding, and claims processing to reduce errors, boost collections, and strengthen stability.
Learn MoreVirtual Medical Assistants
Scheduling, follow-up, data entry — all handled remotely by our bilingual, trained virtual medical assistants.
Learn MoreAnalytics Services
Data-driven insights across HEDIS measures, refining data collection and reporting to exceed performance standards.
Learn MoreInsurance Claims Services
Consistent follow-up on denials, monitoring and tracking claims while collaborating to resolve them swiftly.
Learn MoreFinance & Accounting
Complete accounts receivable optimization, reducing errors and improving accuracy for faster payment cycles.
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Healthcare Clients Served
0%
MRA Accuracy Rate
0%
Average Cost Reduction
24/7
Support Coverage
Why Choose Us
Transforming Healthcare
Through Smarter Outsourcing
We specialize in providing healthcare BPO services tailored for the healthcare industry, enabling companies to enhance operational efficiency by outsourcing non-medical tasks.
Forget About Staffing Issues
Our virtual staff ensures a reliable presence, accompanying patients from check-in to check-out seamlessly with no gaps in coverage.
Support When The Patient Needs It
Call center solutions ensuring patients always have dependable and timely support at every touchpoint of their journey.
Streamline Accounts Receivable
Optimize billing, coding, and claims processing. Reduce errors and improve accuracy for faster payment cycles and higher collections.
Consistent Follow-Up on Denials
Monitor and track denied claims, collaborating with providers to resolve them swiftly to boost cash flow and reduce write-offs.
About Us
Struggling with
Administrative Burdens?
We’re Here to Help!
We improve your MRA processes to ensure accurate risk assessments and higher reimbursement rates. Additionally, we enhance your HEDIS measures by refining data collection and reporting to exceed performance standards.
Accurate Risk Assessment
Enhanced Data Collection
Improved Reporting Practices
Performance Monitoring
Data Driven Insights
Training and Support
Testimonials
What Our Clients Are
Saying About Us
Total Medical Solutions transformed our check-in process. Their bilingual virtual agents are reliable, professional, and significantly reduced our administrative workload, leading to happier staff and better patient experiences.
Maria LopezPractice Manager, Sunrise Family Clinic
Since partnering with TMS, our clinic’s efficiency has skyrocketed. Their virtual medical assistants handle tasks seamlessly, allowing our clinical staff to focus on what matters most — patient care.
James CarterClinic Director, Green Valley Healthcare
The virtual front desk team is outstanding. Bilingual, dependable, always available. Our patient satisfaction scores have improved and our staff is less overwhelmed. A true game-changer for our practice.
Sofia MartinezOffice Supervisor, Evergreen Medical Center
Business Process Outsourcing (BPO) in healthcare refers to outsourcing non-clinical administrative tasks such as medical billing, coding, customer service, and data management to a third-party company. This helps healthcare organizations reduce costs, improve processes, and focus on providing better patient care.
Outsourcing allows healthcare organizations to focus on core clinical activities while reducing overhead costs. It improves efficiency, ensures compliance, and provides access to specialized expertise that would be expensive to maintain in-house, ultimately enhancing patient care quality.
BPO improves healthcare quality by streamlining administrative processes, reducing errors in billing and coding, and ensuring faster response times. This allows clinical staff to dedicate more time to direct patient care, improving outcomes and satisfaction scores.
We collaborate closely with healthcare clients to ensure adherence to HIPAA, CMS, and other regulatory standards. Our team undergoes regular compliance training and audits to maintain the highest standards of quality and regulatory adherence.
Key considerations include industry experience, compliance track record, technology capabilities, bilingual support availability, pricing transparency, and the ability to scale. Always request case studies and references from similar healthcare organizations.
HIPAA Compliant
Ready to Transform Your
Healthcare Operations?
Join 200+ leading healthcare organizations that trust Total Medical Solutions to handle their administrative complexity at a fraction of in-house cost. Get the same quality support for 1/3 of what you pay today — so your team can focus entirely on patient care.