High-deductible, self-pay plans and health savings accounts are growing in popularity as individuals and employers look for ways to decrease the monthly premium cost. According to Practice Perspectives on Patient Payments research by MGMA, providers today must collect $1 of every $4 directly from patients, and with 30% of patients walking out the door before they’ve paid anything, this task becomes increasingly difficult.
Collections solutions from TriZetto Provider Solutions can help you reduce paperwork and wait time associated with collecting patient payments. Significantly minimize data entry and simplify secondary claims processing with our electronic remittance advice solution. Automatically generate and mail accurate patient statements to help them understand their financial responsibility. Accept credit card payments onsite. Or create a patient exchange website that enables you to take electronic payments from patients whenever and wherever they’re able to pay.
Additionally, we can help improve the accuracy of posting payments and explanation of benefits (EOBs). paperResolve converts paper payments to a postable 835 remittance file, greatly reducing data entry.
By embracing electronic payment capabilities, you can increase the speed of your revenue cycle. Plus, you can improve patient satisfaction by making it more convenient for them to pay their bills.
Collections Solution Details:
Electronic Remittance Advice
Credit Card Processing
See how TriZetto Provider Solutions can help you.
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.
Our solutions are integrated with more than 3,400 payers so you can easily incorporate our solutions into your business. If you don’t see a payer on our list, contact us and we can likely add them.
Our ultimate goal is to help you boost revenue. We achieve our goal by helping you work as efficiently as possible, eliminating paperwork and automating your most time-consuming and error-prone tasks.
Many practices are part of, or soon will be part of, Accountable Care Organizations (ACO) or other Alternative Payment Models (APM). These payment models will provide bonuses or penalties, based partially on the severity of the practice’s patient population. The payer uses diagnosis codes submitted on claims to determine this severity. Payments for individual physician services are based on CPT code, but now, accurately reporting co-morbidities and underlying medical conditions will affect reimbursement for physician practices.
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.
Patient AccessClaimsCollectionsDenial ManagementContract ManagementCustomer Care
One Financial Plaza
501 North Broadway
St. Louis, MO 63102