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Top Industry News 2016

This year has proved to be another challenging one for providers. With MACRA, meaningful use and value-based care, it seems impossible to stay abreast of changes in the health care world. To help you stay informed, we gathered information and articles from a variety of industry experts on news and regulations that may impact your practice for the remainder of 2016.

What’s New in Diagnosis Coding?

Change is coming in payment models for physician practices. The repeal of the sustainable growth rate formula and replacing it with the merit based incentive payment system (MIPS) and the alternative payment models (APM) provide a fundamental shift for physician practices.

MIPS: What You Need to Know Now

Just seven months remain before the new Medicare physician payment systems go into effect. On April 27, the federal government released the proposed final version of MIPS, one of the new systems. Here’s what you need to know now. 

Underprofile Payments: Detection and Resolution

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. 

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

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. 

Customer Succes Story: Greg Baker

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. 

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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.
Fran Wright


 

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