Share Your Success Story

How has TriZetto Provider Solutions helped improve your practice’s revenue management performance? Reduced denials and underpayments? Improved A/R days? Improved patient payment collection? Want to share your success story with the industry and your peers? If you have experiences or best practice insights, please email Heidi Budreau at Heidi.Budreau@trizetto.com. We want to hear your story. [...]

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Free Webinar Explores How to Maximize Patient Collections

If you think your accounts receivable performance is doing “good enough,” then you may be in for some bad news come January. The amount of bad patient debt is expected to skyrocket as employers try to reduce health insurance costs by raising deductibles. In our free webinar, learn concrete steps you can take to reduce [...]

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How to Get a Handle on
Denials and Underpayments

By A J Johnson, director reimbursement products for TriZetto Provider Solutions For the average physician office, there can be a wide gap between expected and actual claim reimbursement. In fact, payers make inaccurate payments on one out of every 14 healthcare claims (7.1%), according to the 2013 American Medical Association (AMA) National Health Insurer Report [...]

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Top Five Causes of Claims Denials

By Ruth Nacey, manager of product strategy for TriZetto Provider Solutions You may feel like your practice is experiencing more denials now than in the past, and you’re not alone. As regulations evolve and insurance companies become more particular about how they reimburse claims, practices may see an increase in denials – and that can [...]

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TriZetto Provider Solutions™ Selected to Participate in CMS Limited ICD-10 End-to-End Testing

The Centers for Medicare and Medicaid (CMS) will conduct the first of three end-to-end ICD-10 testing weeks from January 26–30, 2015. This testing period will confirm that ICD-10 coded claims submitted by providers can be adjudicated by Medicare and that Medicare can send appropriate remittance responses back to the provider. TriZetto Provider Solutions was selected [...]

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