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.

Customer Success Story: Mid-Illinois Medical Care Associates

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. 

Five Things To Know About MIPS

For physician practices, 2016 is the year to transition to new Medicare payment systems. Here are five things you need to know about the pay-for-performance system MIPS, which is expected to kick-off January 1, 2017.

10 Tips to Help Improve Patient Payment, Collections

Not long ago, many patients enjoyed benefit-rich insurance programs with low deductibles, small out-of-pocket expenses and 100 percent coverage provisions. However, now a patient’s insurance program is typically quite different— high deductibles prevail, health care savings accounts are common and co-pays are required for many benefit provisions. Read more for 10 tips to improve your patient payment collections and better manage your revenue cycle.

3 Tips to Help Providers Get Ahead

The healthcare industry is constantly evolving. Learn what 2016 has in store for small providers – and what steps you can take now to get your practice ready. 

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We needed to credential 10 providers and chose TPS because we trusted them with integration into our EMR, so it made sense to use their credentialing services as well. All documents are stored in one portal and we’re kept up to date on the application process. TPS has made our lives so much easier!

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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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