The challenges couldn’t be tougher. Reform and regulatory compliance. Provider collaboration and new care-delivery models. Rapidly rising medical costs. Renewed demands for operational efficiency. The emerging retail market. Relentless competition. Amid all this, the migration to ICD-10.
Payers are facing a daunting array of challenges. And one thing is certain: Every payer is making tough decisions about the resources they will use on their projects. The migration to ICD-10 and new regulations for government programs Medicare/Medicaid in particular, are causing many to re-evaluate strategic technology partners and roadmaps.
When it comes to choosing a single partner to support your strategic, business and IT needs, payers are turning to TriZetto, as their trusted adviser. Compliance Services include:
• ICD-10 Assess, Remediate, Test
• Medicare/Medicaid
ICD-10 Advisory Services: Assess, Remediate and Test
With over 60 in-progress or completed HIPAA 5010/ICD-10 projects since 2009, we leverage our hands-on experience and valuable insights to help guide health plans’ compliance efforts through effective transition methods.
TriZetto has hundreds of consulting professionals who focus on supporting and delivering payer and provider solutions. Our growing staff of industry professionals includes a dedicated ICD-10 Advisory Consulting team ready to help each payer organization better understand ICD-10 and develop and execute a plan to manage it. With more than 300 payer clients, TriZetto is an industry leader.
With our broad footprint and deep understanding of ICD-10, TriZetto is uniquely positioned to support all your needs—from strategic alignment and impact assessment to testing, execution and post-implementation support. We deliver reliable methodologies, best-practice approaches, advanced technologies and premier advisory services designed to support a broad range of business, IT, clinical and financial aspects of the ICD-10 transition.
No matter what stage your organization is in with respect to achieving ICD-10 compliance, TriZetto can tailor an Advisory Consulting Service engagement that will support your unique ICD-10 compliance needs and help ensure your strategic, business and technology plans are aligned.
Medicare/Medicaid
To succeed in the Medicare/Medicaid market, you need a trusted advisor to help you refine your strategy, increase efficiency of administrative operations, navigate the demands of healthcare reform, and meet the rapidly changing business requirements of this dynamic segment. TriZetto consultants have a deep understanding of the Medicare/Medicaid market.
TriZetto software solutions already serve more than 33 percent of people qualifying for Medicare Advantage and Part D, and 37 percent of managed Medicaid members today, and we have the tools to help you develop and manage your Medicare/Medicaid business well. TriZetto consultants can help you with strategies to reduce costs, increase revenue opportunities and help you security and compliance with CMS requirements.
Whether your plan is large or small, national or local, an established payer or a new organization, TriZetto consultants deliver the strategic thinking and experience that will help you succeed in the Medicare/Medicaid market.