Address payment problems with

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.
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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

Latest News

  • 07.12.2016

    Top Industry News 2016

    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.

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  • 06.01.2016

    What’s New in Diagnosis Coding?

    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.

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  • 06.01.2016

    MIPS: What You Need to Know Now

    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. 

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

“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.

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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.

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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.

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