Denials Management for CMS & TriCare Claims

Easily Find Your Missing Revenue.

Revenue from denied claims isn’t easy to find, unless you have the right tools. Reimbursement Manager (RM) discovers Medicare, Medicaid, and TriCare underpayments due to late payments, mistaken clinical edits and more and makes these clearly visible to you in a few clicks.


  • Monitor transactions easily
  • Identify common errors and payer trends
  • Eliminate manual inspection of individual payments

Integration with TriZetto Provider Solutions claims management clearinghouse means you have revenue analytics and claims management all in one – no need to work in separate applications.

 

Additional Denials Management Services

I really do appreciate all that you do for our office. Since we’ve started electronic billing, it’s made a big difference with the insurance companies. It’s also nice that a lot of TriZetto Provider Solutions employees have worked for insurance companies and know how they think.

Recovering from the Denial - Webinar

With shrinking payments and smaller margins, effective claim management and reducing the number of denials received in your office is more important now than ever. Join TriZetto Provider Solutions, HBMA and Amy Redmond, CHBME, Vice President of Revenue Integrity Innovative Healthcare Systems, Inc. for an informative recorded webinar on recovering from denials.

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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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