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Trizetto

Get Connected Are you in sudden need of a clearinghouse solution? We’re here to help. With over 600 direct EMR and Practice Management System integrations, learn how our EHNAC and SOC 2 certified platform can ensure you can get back up and running within days.

TPS has helped us create a straightforward, standardized workflow. Our efficiency has increased and things are getting done in a more timely fashion. 

SOLUTIONS

Claims Management

Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention.

Patient Engagement

Redefine patient satisfaction. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes.

Rejection & Denials Management

Maximize revenue recovery. Our rejection and denials management solutions efficiently and effectively monitor every transaction to identify errors and automate the appeal process. Designed to boost earnings and remove administrative hassles, our tools help physicians, hospitals and health systems receive accurate payments from payers and make intelligent billing decisions.

Revenue Cycle Management Services

Reimagine your revenue management. Eliminate the need to hire and manage coders, billers, AR follow-up and payment posting reps by leveraging our team of in-house experts. Regardless of what practice management system is utilized, our proprietary platform allows us to leverage scale with a team of dedicated RCM experts.

Credentialing

A faster route to enrollment. Streamline the credentialing process and prevent lags in payment due to un-earned or expired credentials. Utilize our intuitive Pulse portal coupled with expert-supported service that provides an end-to-end solution for your organization’s credentialing needs. Our guided workflow can help you gain compliance quickly, saving you valuable time and allowing you to earn reimbursements for your services as soon as possible.

Analytics & Insights

In-depth data and enhanced insight. Access beneficial insight and seize growth opportunities with proper data management. Our robust analytic tools bring the ability to easily drill down and manipulate data for increased visibility into your revenue cycle. Whether your organization needs to dig into a recent issue or has long-term goals to meet, analytics can help enhance comparative benchmarking and improve your overall performance.

Health Systems

The power of the right partner. Whether your organization is new to Epic or preparing to optimize processes, implementation of a sophisticated revenue cycle platform is at the heart of efficient claims processing. With revenue cycle transactions integrated into Epic workflows, utilizing an experienced revenue cycle vendor can increase efficiencies, uncover missed revenue and maximize reimbursements.

With our solutions, you can:

  • Take advantage of a fully integrated workflow built to Epic specifications
  • Receive comprehensive, white-glove service with quick turnaround times
  • Maximize productivity with automated claims management tools
  • Access industry-leading services and global expertise for complete revenue cycle management
  • Benefit from continual investment in solution developmen

Explore our Solutions

Claims Management

Submit fast and accurate claims. Our solutions help clients average a 98% payer acceptance rate.

Billing & Coding Services

Optimize your costs. Our services are designed to eliminate the need to hire and manage coders, billers, AR follow-up and cash posting reps.

Patient Engagement

Transform your patient experience. Meet the shift to healthcare consumerism head on with a seamless financial experience.

Credentialing

A faster route to enrollment. Streamline the credentialing process and prevent lags in payment due to un-earned or expired credentials.

Denials & Contract Management

Maximize revenue recovery. Monitor every transaction to identify errors and automate the appeal process.

Cognizant RCM

Advance every aspect of your business office. Discover end-to-end RCM solutions powered by intelligent automation, proven methods and experienced professionals.

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