OFFICIALLY RECOGNIZED by Centers for Medicare and Medicaid Services (CMS)

Topline Healthcare Presents

  • Document Efficiently

  • Increase Reimbursements

  • Reduce and Reverse Denials

  • Win Appeals

  • Improve Performance with Education and Certification Programs

  • Gain Access to CMS Recognized Systems, Tools, and Experts

TOPLINE HEALTHCARE is a system solutions and technology company officially recognized by Centers for Medicare and Medicaid Services (CMS) for its proven systems, software, and team of experts to successfully help you with reimbursement navigation, complications and challenges facing providers in the healthcare industry today.

AREAS OF EXPERTISE

Denials & Appeals

Of more than 3,400 hearings before the ALJ, we have won 99.9% of these cases with our uniquely systematic approach, which includes providing metrics that are measurable by CMS.  With our methodology and software (as validated in a successful CMS pilot program), we experience advancement in all levels of appeals.  Our proven system is measurable, dependable and repeatable, which directly results in maximization of revenues and expedition of payments to providers.

Documentation

 

The healthcare industry's overwhelming need for improvement in payments from CMS and healthcare plans led to the development and implementation of our time-saving software, Codeable Language TM.  Along with our proven system and processes, this user-friendly CMS RECOGNIZED software helps providers to quickly, efficiently and properly complete their documentation, which effectively reduces your error rate while increasing payment of your reimbursements.

Education

With the emphasis on documentation improvement and clinical validity, our team of subject matter experts (including physicians, clinical staff, support staff, case management, and administrative office) offers customized and certification training programs that strategically help providers get ahead and take control of the overwhelming workload associated with changes within today's healthcare system.

CMS Pilots

 

Topline Healthcare is well vetted by and in partnership with the Centers for Medicare & Medicaid Services (CMS).  We are the first company ever to successfully complete multiple CMS pilot programs, which is the proving ground for enacting new ideas and regulations in the healthcare industry nationwide. With the help of our proven leadership and oversight from CMS, participating in this exciting program allows your company to advance your goals within the CMS framework

Data Security & Applications

By doing a thorough review of processes and workflows, we determine your areas of vulnerability and formulate a power plan of action. Our clinical experts work in conjunction with our advisory council, which consists of highly noted physicians and subject matter experts in cybersecurity, data analytics, and the cloud.  When properly implemented, this uniquely comprehensive plan yields measurable and profitable results.

Provider Solutions

With our creation of a customized pathway, we have developed an innovative approach to patient satisfaction and brand recognition. Partnering with notable software and technology companies such as Adobe Systems Inc. and Infor, we are leaders on the cutting-edge of customer satisfaction and development of unique processes that are compatible with major systems including EPIC, Clover Leaf, Cerner, and All Scripts.

Your Success is Our Priority

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GET MORE about the upcoming changes in healthcare in this FREE REPORT — 

"Medical Billing is in the Dark Ages" claims Page Winfield Cunningham, The Washington Examiner's healthcare correspondent, in a May 7th, 2015 article and one of many about the problems facing the healthcare industry. Mark Kimmel, Ph.D.,  co-founder of Topline Healthcare and leading expert, with over 20 years of experience in healthcare and its related research, sheds light and sees hope in his publication, The Tidal Wave of Change in Healthcare Today.  Mark not only provides a masterful analysis of why "hospitals and providers are struggling to stay afloat," but he also shows the correct path with a proven business model to bring healthcare providers kicking and screaming into the 21st century.

I endorse enthusiastically this scholarly, substantive and enlightening essay.

— Oscar Mann M.D., FACP, FACC, FCCP

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