TRIARQ Health

What Is TRIARQ Health?

TRIARQ Health is a cloud-based medical practice management platform (now part of Blue Cross® Blue Shield® of Michigan following its 2021 acquisition) developed for independent specialty practices. It provides all the tools needed, including QSuite (EMR software and practice management software) and QComplete (outsourced revenue cycle management) and patients engagement portals.

This company functions as a managed service organization (MSO) and as a high-level IT provider focused on improving operational efficiency for independent specialty practices. This software helps them accomplish high revenue and deliver great quality of care by simplifying their business management and providing them with competitive services. 

What Is TRIARQ Health Best Known For?

TRIARQ Health software is particularly recognized for its revenue cycle management (RCM) services, which are delivered through QComplete. This program helps in the claims scrubbing. The process of claims scrubbing is initiated before sending it to the payer, hence helping in identification and resolution of the billing errors related to the claims. 

TRIARQ Health Pricing

The pricing of TRIARQ Health is estimated to start around $100 to $500/provider/month, with larger or more service-heavy deployments potentially going higher. While the software itself follows a customizable pricing model which can vary based on your independent practice’s size, type, and requirements.

Beyond the base subscription, practices should also budget for setup, integration, and service costs: 

• Onboarding and account setup: $2,000–$10,000 one-time 
• EHR/legacy system integration: $1,500–$15,000 one-time, or $150–$750/month for ongoing interfaces 
• RCM and billing services (QComplete): 4%–9% of monthly collections, roughly $3,000–$18,000/month for many specialty practices 
• Staff training and adoption: $500–$5,000 one-time 
• Ongoing management: $500–$3,000/month in staff/admin time 

The first-year total for a small practice using limited integrations is typically in the range of $5,000 to $20,000, between $20,000 and $50,000 for a multi-provider specialty practice with more modules, and above $50,000 for a practice using full QComplete RCM services with multiple integrations. 

Request a personalized TRIARQ Health cost quote right away! 

Disclaimer: Pricing references are based on publicly available third-party information and industry benchmarks. Actual costs may vary. 

TRIARQ Health Integrations

The software does not publicly disclose a specified list of third-party integrations. Instead, the platform is built around its own proprietary technology suite, QSuite, which bundles the following in-house tools together: 

• QScribe 
• QInsights 
• QIntake 
• QComplete 
• QPathways 

How Does TRIARQ Health Work?

In order to operate the software successfully and utilize it to its full potential, follow these steps:

• Log in and head to the dashboard 
• Provide patient data and maintain medical records for seamless record management 
• Schedule appointments and manage your calendar 
• Use the e-prescribing system to send prescriptions to patients 
• Use the billing and coding functions to submit claims 
• Access tools like templates, charts, and forms through the main navigation menu 
• Use secure messaging to talk to co-workers and members of the healthcare team 
• Use reporting tools to analyze key performance metrics and quality measures 
• Access help and recommendations from the company’s performance administrators 

You can also schedule a free TRIARQ Health demo to explore its full range of functionalities.

Who Is TRIARQ Health For?

The vendor is built for independent specialty medical practices that want to maintain financial and clinical independence, rather than merging into a larger health system: 

• Orthopedics and Musculoskeletal (MSK) care 
• Urology 
• Oncology 
• Cardiology 
• Neurology 

TRIARQ Health Use Cases 

Based on our analysis of user feedback and TRIARQ Health features, we have identified key scenarios where this platform is a good fit for independent specialty practices: 

Independent Specialty Practices Avoiding Health System Acquisition 

Independent practices, particularly in specialty medicine, such as orthopedic practices, find themselves grappling with rising costs of operations and increasingly complicated payer rules, just like they would in larger health systems, but they lack similar resources needed for maneuvering. TRIARQ Health has created a solution called QPathways that helps solve this issue by developing a value-based care pathway tailored to the specialty journey being pursued, including post-surgical acute care. The teams taking care of the patient provide regular patient assessments which are then processed by the platform allowing for development of recommendations regarding treatment plans and tracking of the patient’s recovery results. 

Practices Losing Physician Time To Disconnected Clinical Data 

It is common for doctors to spend considerable hours trying to get laboratory results, and consequently, they are unable to devote their time to the patients. TRIARQ Connectors solve this by automatically pulling and updating charts from off-site labs, hospitals, and immunization registries, cutting out the manual searching that otherwise falls to clinical staff. 

Practices Facing Claim Rejections And Slow Reimbursements 

Medical billing has many issues such as rejections of claims, slow payments from insurance, and complicated ICD-10 and MIPS rules, which may lead to significant cash flow issues for practices making little profit. The software's QComplete solves this issue by detecting mishaps in claims at the time of submission and taking care of the billing cycle from the time of scheduling to the stage of final payment collection, as well as providing information about payment difficulties through financial dashboards based on Tableau. 

Front Desks Overwhelmed By Manual Check-In And Reminder Calls 

The front desk personnel often lose a lot of their time to the manual process of check-in and phone reminders, resulting in traffic in the waiting areas during peak hours. TRIARQ's patient portal and mobile app allow patients to fill out their details, request medications, get test reports, and make payments while sitting at home. 

Practices Needing To Forecast Financial Performance 

Due to the lack of a system that could analyze both the historical billing and medical data together, practices find it hard to know where they can save money and where their financial goals might be suffering. TRIARQ uses Google Cloud BigQuery to combine databases on medical history and billing cycles into dashboards that provide additional information for the administrators, making the process of scaling easier and faster. 

RCM Firms And Medical Billing Companies Managing Multiple Clients 

Billing companies managing many provider accounts need to see all their clients in one place. TRIARQ Health ensures that every client has its own virtual space with its own rules and information dashboards that collect data about rejected claims and delay payments for all accounts simultaneously. That allows billing companies to expand their client network without proportionally adding expenses. 

TRIARQ Health User Sentiment 

TRIARQ Health Features

Here are a few key features of the software:

Appointment Scheduler 

The software allows users to manage time more efficiently using an appointment scheduler. This tool simplifies the process of booking an appointment, reduces waiting time, and helps with time management for both doctors as well as patients. Therefore, by adopting this technology, a specialty practice can provide better services to its patients and possibly increase its productivity.

AI-Powered Ambient Documentation 

The QScribe feature uses ambient listening AI to create clinical notes automatically during a patient's consultation. This means that doctors will not have to spend hours every day doing their charting after work as they can complete their documentation in time for the next patient. 

Customizable Dashboards 

The software enables every physician to customize their dashboard within QSuite, according to their working style. It minimizes the time required for discovering unfamiliar displays so that physicians see the information they need without diving into different screens. 

Billing Tools 

Using sophisticated billing code features, TRIARQ Health ensures that its users can maximize their revenue and ensure reliable billing processes. With these options, the procedure of performing billing functions is conducted more promptly, thus enabling proper monitoring of the reimbursement process and lowering the incidence of errors. Thus, the practices will be able to enjoy improved financial performance while paying full attention to quality treatment of patients. 

E-Prescriptions 

With the help of E-Prescription features in TRIARQ Health, the prescription management process is simplified. It enables users to issue prescription orders electronically, thus doing away with the need to physically visit a pharmacy to retrieve medications. 

Automated Claims Resolution 

TRIARQ Health has the ability to automatically notify users about claim denials, underpays or unpaid claims. By using this feature, practices can correct revenue leakage before it has a chance to cause any additional problems with any claims that go unresolved. 

Financial Analytics Dashboards 

The QInsights feature takes the practice management data and compiles it into real-time dashboards that provide insight into financial gaps such as claim leakage or underpayments. This way, practice owners can gain insight into how well they are doing financially without adding a dedicated analyst. 

Is TRIARQ Health Right For You?

TRIARQ Health is an ideal option for a sole practitioner who would like to improve the business process while maximizing revenue possibilities. Its intuitive EMR and practice management programs help in the optimization of workflow and usability of the system powered with advanced analytics. 

TRIARQ Health holds Surescripts certification for e-prescribing accuracy and ONC Health IT certification (granted through SLI Compliance as the accredited testing body), meaning the software has passed federal standards for e-prescribing accuracy and data interoperability, so practices can trust it to exchange patient records safely with labs, pharmacies, and other providers.

If you are still unsure about the suitability of TRIARQ Health, check TRIARQ Health reviews or give us a call at (315) 215-3447 and we will help you to make the right choice.