Medical Billing Companies & Consultants in Troy, MI

TRIARQ Health is a managed services organization (MSO) that works across the country with independent specialty physician groups. Its main goal is to help these practices stay independent and profitable as reimbursement models and the wider healthcare market change. For buyers comparing medical billing vendors, TRIARQ is closer to a full business partner than a claims-only shop. Revenue cycle work sits alongside consulting, technology and payer-facing programs.

Revenue Cycle and Billing Capabilities

Revenue cycle management is a core part of what TRIARQ offers. In its own materials, the company says its billing staff make sure every procedure and service delivered to a patient is captured and billed, and that they coach front-desk and practice staff on their part in the revenue chain.

It also mentions extras such as cost estimates and payment plan help for patients, plus twice-yearly audits of a practice's billing records. Revenue performance is shown in visual dashboards, which are meant to close the communication gaps practices often have with outsourced billing firms.

• Medical billing and claims management
• Prior authorization support
• Payer relations and payer billing
• Revenue maximization and financial performance analysis
• Data analytics and RCM dashboards
• Practice management and administrative support

Consulting, Networks and Technology

Beyond billing, TRIARQ offers consulting on value-based care, day-to-day practice management and building clinically integrated networks. It also helps practices develop referral networks and stronger relationships with payers. Clients log in to the company's technology through the MyQOne and TRIARQ Clouds portals.

The company's published resources cover EMR and EHR systems, MIPS reporting, BPCI, ACOs, HIPAA and regulatory compliance, cybersecurity, and newer tools such as artificial intelligence and ambient listening. TRIARQ also keeps a certifications section and posts mandatory disclosures, API developer details and EHI export information, which points to a regulated health IT component.

Specialties and Clients Served

The company focuses on specialty care rather than general primary care. Its site names the specialties below as focus areas, and it also lists other MSOs and health insurers among the groups it serves:

• Orthopedics and musculoskeletal care
• Oncology
• Urology
• Cardiology
• Neurology

Payer Programs and Care Navigation

One feature that sets TRIARQ apart is its work directly with health plans. Under an arrangement with Blue Cross Blue Shield of Michigan, its Care Navigation Team supports selected members who have musculoskeletal or urological conditions. Navigators review symptoms by phone, create a personalized care plan and arrange timely appointments with suitable specialists.

They then check in on the member's progress over time. The service costs eligible members nothing, though normal plan cost-sharing still applies to provider visits, and the team works weekdays during extended Eastern Time hours. TRIARQ says it does not practice medicine.

Its role is to coordinate care and guide members, and Michigan physicians can contact the team with questions about the program.

TRIARQ Health is based in Troy, Michigan. For independent specialty groups, it offers revenue cycle and billing support combined with analytics, value-based care expertise and payer connections.