News

Top Industry News 2016

08.01.2016

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.

MIPS: What You Need to Know Now

06.26.2016

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. 

What’s New in Diagnosis Coding?

06.01.2016

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.

Underprofile Payments: Detection and Resolution

05.26.2016

Let the old saying, “we all make mistakes,” be your guiding principal for monitoring the money coming in from third-party payers. As remittances are received from payers, your duty is to verify that the information is correct. Sounds like a simple task, but there are several crucial steps to achieving consistent success in recognizing and remediating less-than-expected – underprofile – payments. 

Showcase Your Company's Success

05.26.2016

We’re proud that you are a TriZetto Provider Solutions client, and we want to help you gain recognition for your success by sharing your story with other clients and industry peers. The Client Success Program provides you with opportunities to showcase your leadership and innovation in using our solutions.

Customer Succes Story: Greg Baker

05.26.2016

Each day, Greg Baker, Business Director at Mid-Illinois Medical Care Associates, works tirelessly to support the doctors at his practice by overseeing and managing the business. He is working with his team to build new clinics, expand operations in other areas and hire additional providers. But this development wouldn’t have been possible without partnering with Trizetto Provider Solutions. 

News You Can Use: Medicare Reporting and Returning of Self-Identified Overpayments

05.01.2016

With continually changing industry regulations, it becomes more difficult for providers to stay adequately informed. To help your practice adjust to the new Medicare reporting regulations, we’ve gathered articles from a variety of industry experts who help explain how the rule may impact you and what you want to know. 

Five Things To Know About MIPS

04.26.2016

For physician practices, 2016 is the year to transition to new Medicare payment systems. Here are five things you need to know about the pay-for-performance system MIPS, which is expected to kick-off January 1, 2017.

10 Tips to Help Improve Patient Payment and Collections

04.01.2016

Not long ago, many patients enjoyed benefit-rich insurance programs with low deductibles, small out-of-pocket expenses and 100 percent coverage provisions. However, now a patient’s insurance program is typically quite different— high deductibles prevail, health care savings accounts are common and co-pays are required for many benefit provisions. Read more for 10 tips to improve your patient payment collections and better manage your revenue cycle.

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Customer service is big for us, so working with a partner like TriZetto Provider Solutions who shares our concerns and understands that our problems are their problems is important. If we were to go out and develop a new relationship with a different clearinghouse we may not get that.

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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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