October Newsletter 

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Physician practices are at risk of reduced cash flow and increased accounts receivables and collections when the calendar year starts. New health plans starting; patients switching plans; deductible resets; and new quality incentive payments all serve to threaten practice revenue. The good news is that practices can prepare now, and manage financial risk, through the use of patient estimation technology, eligibility verification, the capture of complete clinical information and good clerical practices. 


What’s another 1,900 diagnosis codes when medical practices have successfully implemented 68,000 ICD-10-CM codes? These additional diagnosis codes went into effect October 1, 2017 the same day that CMS’s grace period for unspecified codes ends. With forewarning 

and planning, medical practices can prepare for both.

TriZetto Provider Solutions (TPS) and the Healthcare Billing and Management Association (HBMA) have recently formed a new partnership in support of revenue cycle professionals as part of the HBMA Member Value Program. TPS customers now receive a subsidized HBMA Membership when they sign up!
Why join HBMA? As a member of the HBMA community, not only will you receive exclusive benefits with members-only access, you will be able to effortlessly exchange ideas and connect with colleagues around the country who are facing the same challenges as you. 
Learn more about HBMA and its member benefits here. Apply for membership with the code TriHBMA  (for membership renewals) or TriHBMANew (for new members) to receive $195 off your annual membership. Join today!

Next month, the Centers for Medicare & Medicaid Services (CMS) will publish the final Medicare reimbursement schedule for 2017. The proposed schedule would keep Medicare reimbursement flat, minus a mandatory, across-the-board cut of 2 percent due to sequestration. However, changes in the resource-based relative value scale and a host of new programs and codes could spell far more dramatic payment swings for your office’s specialty. 


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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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