Five Steps to Prepare Your Practice for the Coming Year

For physician office managers and patient billing specialists, now is the time to prepare for 2017. Every calendar year brings changes to accounts receivables and cash flow as patients change plans and restart deductibles. In 2017, as government payments are increasingly tied to quality, it will also be important that providers capture complete clinical information about visits.

Will Medicare Fee Schedule Impact Your Practice?

Effective in 2017, the new Medicare Physician Fee Schedule cites a handful of changes that are likely to affect physician reimbursement in myriad ways. In order to fully understand the scope of these new developments, it is vital to outline the details of the proposed fee schedule changes that are in store for physicians in 2017.

ICD-10 Changes Remain Important

What’s another 1,900 diagnosis codes when medical practices have successfully implemented 68,000 ICD-10-CM codes? These additional diagnosis codes go into effect October 1, 2016 the same day that CMS’s grace period for unspecified codes ends. With forewarning and planning, medical practices can prepare for both.

Enhance Patient Payment Collections with These Tips

With an incoming Republican president and Republican majority in both houses of Congress, physician practice managers may well wonder which aspects of our current health insurance and payment system may change. 

Top Industry News 2016

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.

MIPS: An Overview of the CMS Incentive Program

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. 

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.

Managing Industry Challenges in 2016 and Beyond

In 2016, there are many changes coming to the healthcare industry that can impact your reimbursement and how you work with patients and insurance companies. Find out what to expect.

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. 

Showcase Your Company's Success

We’re proud that you are a TriZetto Provider Solutions client, and we want to help you gain recognition for your success by sharing your story with other clients and industry peers. The Client Success Program provides you with opportunities to showcase your leadership and innovation in using our solutions.

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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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