We are so pleased to have found TriZetto Provider Solutions and would highly recommend them. All of their service representatives are helpful and professional.
Jody Talbott, Ph.D. — Naples, Florida
This year has proved to be another challenging one for providers. With MACRA, meaningful use and value-based care, it seems impossible to stay abreast of changes in the health care world. To help you stay informed, we gathered information and articles from a variety of industry experts on news and regulations that may impact your practice for the remainder of 2016.
Change is coming in payment models for physician practices. The repeal of the sustainable growth rate formula and replacing it with the merit based incentive payment system (MIPS) and the alternative payment models (APM) provide a fundamental shift for physician practices.
Just seven months remain before the new Medicare physician payment systems go into effect. On April 27, the federal government released the proposed final version of MIPS, one of the new systems. Here’s what you need to know now.
“How much will this cost me?” This common request, heard countless times a day at the auto mechanic shop, with a home service technician or an equipment repair specialist, is headed for primetime in the health care industry. And, it’s no surprise. With high deductible health plans shifting the financial burden of health care squarely onto the shoulders of patients, there’s no wonder that patients are demanding price transparency. While ignoring the question is certainly an option, it’s costing your practice money. Listen to this recorded webinar to learn more.
Many practices are part of, or soon will be part of, Accountable Care Organizations (ACO) or other Alternative Payment Models (APM). These payment models will provide bonuses or penalties, based partially on the severity of the practice’s patient population. The payer uses diagnosis codes submitted on claims to determine this severity. Payments for individual physician services are based on CPT code, but now, accurately reporting co-morbidities and underlying medical conditions will affect reimbursement for physician practices.
Times are changing. A greater number of patients are covered by health insurance than ever before and many don’t understand their health plans. Patient financial responsibility has increased and practice revenue is now more dependent on patient payments. Learn how your practice can navigate skyrocketing patient financial responsibility in this recorded webinar hosted by TriZetto Provider Solutions and Betsy Nicoletti.
We help physicians, hospitals and health systems simplify business processes and get accurate payments quickly. We will always look for new ways to help you improve revenue and increase cash flow. We will stay ahead of regulatory changes so your office will never struggle to keep up. All so you can focus on the one thing that really matters: doing what is best for your patients.
Patient AccessClaimsCollectionsDenial ManagementContract ManagementCustomer Care
One Financial Plaza
501 North Broadway
St. Louis, MO 63102
We hope you enjoy our new modern design!
Please start going directly to your client site login page instead of accessing through the public website.
Below are the URLs for each client site login page. Please replace any current browser favorites with the URL for your client site login.
ClaimLogic client site login page: https://www.claimlogic.com/start/index2.html
Gateway EDI client site login page: https://mytools.gatewayedi.com/logon.aspx
NHXS client site login page: https://www.nhxsconnect.com/eobResolve/login.aspx