It’s a simple equation: Greater accuracy in submitting Medicare claims equals more revenue. When your claims data and PDE data are not accurate or complete, your risk scores will be off—and so will your revenue. To complicate the matter, CMS has new requirements for encounter submissions. These make the process more challenging, even as you deal with changes related to healthcare reform requirements and the need to improve administrative efficiency. To compete for your share of the Medicare market in this complex environment, you need to optimize workflows so you can process, submit and track data more precisely. That’s where TriZetto can help you excel.
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TriZetto provides leading healthcare information technology for payers and providers. From claims processing and advanced network management to case management solutions and HIPAA Compliance with 5010 implementation, TriZetto healthcare technology management solutions help reduce costs, streamline administration and improve the quality of care. TriZetto’s network management services help payers improve provider network management with tools for contract modeling, claims pricing, payment bundling and more. And TriZetto solutions give healthcare organizations the ability to achieve compliance with ICD-10 and 5010 HIPAA regulations more easily and cost-effectively.