Contract Management

Contract Compliance, Contract Modeling.

Identify and appeal underpayment/overpayment and compliance issues using actual fee schedules. Model new fee schedules to assess the impact of proposed changes.


 

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

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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