Audit Risk Assessment

Reduce the Risk of Being Audited.

Proactively analyze and adjust your billing processes to avoid penalties and fines from RACs, ZPICs and other audits.


Advantages of riskAssess:

  • Analyze: Precisely identify your risk of being audited and where further research is merited.
  • Adjust: Address the areas of concern and correct behavior or remediate red flags as needed.
  • Accomplish: Track your progress and reduce your risk of failing audits in the future.

Take an in-depth look at your billing processes to see where your risks may be hiding.

 

Additional Contract Management Services

I have been a customer of TriZetto Provider Solutions since July 2010 and am happy with the service from each one of the employees that I have been associated with during that time period.
Nancy Jones Jemison Internal Medicine, PC
Jemison, Alabama

New Medicare Overpayment Rule: Protect Your Practice - Webinar

In February, the Centers for Medicare and Medicaid Services (CMS) released new rules regarding overpayments. Historically, overpayments – often referred to as “credits” in the business office – have been identified and addressed at the practice’s own volition. CMS’ Final Rule removes any latitude you may have relied upon in the past, requiring Medicare overpayments to be returned no later than 60 days after being identified.

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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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