Four Tips to Make Your Revenue Cycle Management Successful

Providers have submitted claims to a “clearinghouse” as their revenue cycle management (RCM) solution for years. This now-antiquated term describes a process designed to edit and submit claims to the payer. But those who continue to view RCM as a simple transfer of data are missing out on potential savings and income, and more efficient and accurate claims processing.

Providers Need "More Than a Clearinghouse" to Compete

Advances in technology in all areas of life happen at a furious pace. Smartphones and smart homes are the norm.

Doctor, Give Me the News: Spend More Time with Patients, Less at a Desk

You’ve spent four years as an undergrad, another four in medical school and three to eight additional years completing a residency. That’s about 16 years honing your craft and paying your dues.

Just the Facts: Estimating Patient Costs Before Leaving the Office

Once a patient bill enters collections, the average provider receives less than $16 for every $100 owed, according to MGMA Connexion.

Five Compliance Tips: An Interview with Jim Johnson, President and Founder of Live Compliance

“Get audited. Have an outside organization pick apart your practice to look for areas of weakness.”

Kevin Lathrop Appointed President of TriZetto Provider Solutions

We're delighted to announce the appointment of Kevin Lathrop as President. Kevin brings over 20 years of experience developing and implementing growth strategies and managing large scale operations and IT functions.

Seek Outside Partners for Inside Problems

In today’s environment, medical practices pursue cost-effective ways to maximize reimbursements, improve collections, decrease costs and minimize their business risk.

Transition to Value-Based Reimbursement: Past, Present & President Trump

For the past eight years, the legislative debates over, politics surrounding, and implementation of The Patient Protection and Affordable Care Act (aka Obamacare) largely defined the federal government’s health care policy agenda, while the law itself fundamentally changed the direction of the health care industry.

5 HIPAA Items You Should Focus On

Meaningful Use, ICD-10, and the new Merit-Based Incentive Payment system have overshadowed HIPAA recently. In 2017, however, practices must give it higher priority.

Primary Care Revenue Opportunities

2017 brings exciting changes for primary care physicians. First, CMS is now recognizing an existing CPT Service that will be used by primary care and specialty physicians alike, non-face-to-face prolonged services codes 99358 and 99359. Not only are they recognizing them, they are following CPT rules for the codes.  These services allow a provider to be paid for extensive record review or other management activities when the patient is not present.

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We’ve been with TriZetto Provider Solutions for almost two years now. I appreciate the ease of navigating through the website and its many helpful tools! I look forward to seeing each month if I’ve made The 99 Percent Club and know when I have that I am doing my job well.

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TriZetto Provider Solutions® Powered by Cognizant

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.

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