65% of Denied Claims Never Resubmitted to Payers, Causing Provider Revenue Loss

Denied claims are so commonplace in medical practices, nearly 65 percent of them are never reworked by providers. That’s just tossing away money that the practice has already earned for treatments and consultations staff have already provided. A full 50-65 percent of denied claims are never reworked and resubmitted, according to the Healthcare Business Management Association.

Becker’s Publishes Lathrop “3 Tips to Improve PHI Security in Healthcare” Article

Every five minutes, every day of the week, nearly 20,000 data records are lost or stolen. In 2016, more than 15 million people had their identities stolen. All told, approximately 41 million Americans have had their identity stolen.

Workers’ Compensation Insurance Workflow Management

On-the-job injuries and illnesses are common, with nearly 3 million reported in 2015 by U.S. employers. Of that 3 million, 2.8 million were injuries.

Four Tips to Make Your Revenue Cycle Management Successful

Providers have submitted claims to a “clearinghouse” as their revenue cycle management (RCM) solution for years. This now-antiquated term describes a process designed to edit and submit claims to the payer. But those who continue to view RCM as a simple transfer of data are missing out on potential savings and income, and more efficient and accurate claims processing.

Providers Need "More Than a Clearinghouse" to Compete

Advances in technology in all areas of life happen at a furious pace. Smartphones and smart homes are the norm.

Doctor, Give Me the News: Spend More Time with Patients, Less at a Desk

You’ve spent four years as an undergrad, another four in medical school and three to eight additional years completing a residency. That’s about 16 years honing your craft and paying your dues.

Just the Facts: Estimating Patient Costs Before Leaving the Office

Once a patient bill enters collections, the average provider receives less than $16 for every $100 owed, according to MGMA Connexion.

Five Compliance Tips: An Interview with Jim Johnson, President and Founder of Live Compliance

“Get audited. Have an outside organization pick apart your practice to look for areas of weakness.”

Kevin Lathrop Appointed President of TriZetto Provider Solutions

We're delighted to announce the appointment of Kevin Lathrop as President. Kevin brings over 20 years of experience developing and implementing growth strategies and managing large scale operations and IT functions.

Seek Outside Partners for Inside Problems

In today’s environment, medical practices pursue cost-effective ways to maximize reimbursements, improve collections, decrease costs and minimize their business risk.

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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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