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.

The 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 In 2017


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 in 2017


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.

Top 5 Takeaways from the 2017 Medicare Physician Fee Schedule Rule


On November 2, 2016, CMS issued a final rule to update payment rates, policies, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) in the 2017 calendar year.  Released just weeks after CMS published its final 2,000+ page MACRA regulation, the Physician Fee Schedule regulation has received less media and industry attention than the MACRA regulation, but it remains critically important for healthcare providers to understand as they move into 2017.

The Quality Payment Program: The Path Forward


With an incoming Republican president and Republican majority in both houses of Congress, physician practice managers may well wonder which aspects of our current health insurance and payment system may change. 

Stay Alert for the Final 2017 Medicare Physician Fee Schedule


Before the end of November, the federal government will issue the 2017 Medicare physician fee schedule. As in years past, the proposed fee schedule – issued in July – was controversial, garnering some 6,000 comments. While the final rule may have some changes, it likely won’t veer too far from the original. It’s important to pay attention to changes that affect your specialty.

Prepare for 2017 Now: Five Steps to Take


For physician office managers and patient billing specialists, now is the time to prepare for 2017. Every calendar year brings changes to accounts receivables and cash flow as patients change plans and restart deductibles. In 2017, as government payments are increasingly tied to quality, it will also be important that providers capture complete clinical information about visits.

Will the Medicare Fee Schedule Impact Your Practice?


Effective in 2017, the new Medicare Physician Fee Schedule cites a handful of changes that are likely to affect physician reimbursement in myriad ways. In order to fully understand the scope of these new developments, it is vital to outline the details of the proposed fee schedule changes that are in store for physicians in 2017.

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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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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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