Healthcare Insider
Looking for industry insight? You came to the right place.
Access our blog and newsletters to stay up to date on the latest happenings at TriZetto Provider Solutions and within the industry.
Healthcare providers are being squeezed. Revenue streams are shifting with lower cost venues and reimbursement rate changes. Inflation and changing supply costs are driving expense-side challenges. How can practices not only navigate, but solve, the cash flow crunch? C2FO, a TriZetto Provider Solutions platinum partner, shares their best practices and cash flow solutions that will help your practice thrive.
With two more states recently joining the list of locations that allow Full Practice Authority, many nurse practitioners are exploring the option of operating independently. As the need for qualified healthcare professionals continues to grow and the ability for NPs to practice independently continues to increase, quickly gaining credentials and navigating compliance challenges becomes more and more important.
In today’s ASC Environment, providers are constantly looking for ways to improve workflows, provide impeccable patient care and become financially healthy. Our partner, ShareableForms shares their best practices on how to improve efficiencies that your patients, staff and bottom line will be grateful for.
With healthcare costs on the rise and an increasing segment of uninsured consumers, the patient payment landscape is changing rapidly. How can medical offices evolve and optimize collections while keeping patient satisfaction high? Thankfully advancing technologies are making it easy to simplify collection processes to increase revenue.
When it comes to optimizing operations, automation is key. According to the CAQH Index report, the healthcare industry can save more than $16 billion by transitioning to fully electronic transactions. Discover the opportunities for healthcare providers to enhance operational processes and grow their business.
With vaccinations on the rise and many Americans returning to work and school, what’s ahead for healthcare? We spoke with Bobette Flagel, Director, RCM Services at TriZetto Provider Solutions, for a deep dive into the pandemic’s impact on claim volume, billing & operations. Hear lessons learned over the course of the last year, plus easy-to-implement best practices that can help practitioners move forward.
To comply with Medicare revalidation requirements, providers need to be aware of the requirements and timelines. If deadlines are missed or submissions are incomplete, providers can be terminated from the program and required to reapply. Until a new application is processed and approved, which can cause delays and disrupt the revenue cycle.
Nearly half of U.S. states allow nurse practitioners to operate on their own, and credentialing is a critical component for those looking to establish their own practices. What do nurse practitioners need to know before becoming a standalone provider, and what is the simplest way to gain credentials?
MIPS reporting is complicated and can negatively affect your reimbursement if ignored. So how can providers mitigate the stress and financial risk that comes with this new program? Health eFilings, a TPS platinum marketplace partner and national leader in automated MIPS reporting, provides tips and tricks to help practices optimize their scores and Medicare reimbursements.
Telemedicine, staffing issues and other changes caused by the COVID-19 pandemic are uprooting the way medical practices are managed. Obviously healthcare has been thrown through a loop this past year, and healthcare professionals are eager for a return to normalcy. How can practices navigate the unknown and succeed in 2021?
