News

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.

Three Tips for Getting Ahead in 2016

03.26.2016

The healthcare industry is constantly evolving. Learn what 2016 has in store for small providers – and what steps you can take now to get your practice ready. 

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

03.26.2016

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. 

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TriZetto Provider Solutions is a life saver for me because they make my job easier. I use TPS for eligibility checks, claims submission, patient billing, and follow-up collection letters. I would highly recommend them.
Maria Colon MobileLife Support Services
Director of Reimbursement and Customer Service

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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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