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TriZetto Provider Solutions®

ICD-10 IconWe can help make your ICD-10 transition as painless as possible.
Even though we’ve officially made the switch to ICD-10, the work is far from over. We know these next few months may be challenging, and we are here to help.  Learn More:

Improve the health of your organization.

Smart healthcare organizations know that optimizing billing and payment processes can be vital to a healthy bottom line. That’s why they rely on TriZetto Provider Solutions. With our revenue management solutions, you’ll not only get paid quickly and accurately, but you’ll also be able to see trends and identify ways to maximize reimbursement.

When examining clearinghouses I knew TriZetto Provider Solutions was the best option for our organization. Once I saw how simple it was to use I knew we had to have it.
Scott Sickmiller — Indiana University Health LaPorte Physicians, LaPorte, IN

Latest News

  • 11.02.2015

    ICD-10: Month One

    After multiple delays, ICD-10 has arrived and it seems the years of planning and preparation were worth the effort. Few issues have been reported in the first three weeks of the ICD-10 transition and overall claim rejections rates continue to remain close to baseline averages.

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  • 10.15.2015

    News You Can Use: The ICD-10 Resources You Want Now

    With ICD-10 now in full swing, we’ve put together a list of free industry resources that will help you during the first few months of the transition. 

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  • 10.15.2015

    Digging Down to the Root of Your ICD-10 Denials

    ICD-10 is here, and you may soon see its impact on your claims denials. Learn what you can do to track and assess denials now, before they create long-term problems for your organization’s revenue cycle.

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See how TriZetto Provider Solutions can help you positively impact your organization’s bottom line with our ROI Calculators.

As a medical community, we prepared for the worst case scenarios for ICD-10 adoption. While it doesn’t appear to have ended healthcare as we know it, there were glitches in the implementation. New coding questions have come up, some of which mean conflicting definitions between CPT/HCPCS and ICD-10. This free webinar, hosted by TriZetto Provider Solutions and Jennifer Searfoss, will answer questions about ICD-10 implementation so far. Join us Nov. 19 to learn how to respond to claim rejections and denials due to ICD-10 codes.

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​Medical practices hailed the CMS/AMA news that CMS would not deny services solely because they were submitted with unspecified ICD-10 codes. But, that doesn’t mean there won’t be any medical necessity denials. Medical practices need to monitor denials in the fourth quarter of 2015 and quickly adopt diagnosis codes that support medical necessity. This free webinar, hosted by TriZetto Provider Solutions® and Betsy Nicoletti, will discuss CMS policy and recommend methods for monitoring and decreasing ICD-10 related denials. 

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How you handle denied claims directly impacts the financial health of your practice. A strong denials management process will minimize lost revenue, but a weak strategy will leave your practice inefficient and vulnerable. In this recorded session, national healthcare consultant Dr. Deborah Walker Keegan shares best practices in claim denial prevention and management. 

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