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Maximize Your Revenue with Best Practices
PrognoCIS EHR
TriZetto Provider Solutions
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Maximize Your Revenue with PrognoCIS EHR & TriZetto Provider Solutions
TriZetto Provider Solutions:
• Courtney McCraine, National Sales Executive
PrognoCIS EHR:
• James Metzger, VP of Marketing
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TPS & PrognoCIS Partnership
Benefits of using TPS
Why is TriZetto Provider Solutions Different?
Demonstration Overview
Special Promotion
Agenda
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TPS & PrognoCIS Partnership
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• Platinum Partner
• One Stop Shop
• Full Integration
• 900 Providers
• 8 year partnership
• 25 Sites in 99% Club
PLATINUM
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Benefits of using TPS
Integration – One Stop Shop
Auto-generated Reports
Identify errors sooner
Higher rate of paid claims
Claims are tracked and paid faster
Saves time – i.e. eligibility verification
Increased efficiency – single view to all
payers/transactions
Lower rejection rates
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Why is TriZetto Provider Solutions Different?
• Over 7,000 payer connections
• 92% direct connections
• 98% first-time, clean claim acceptance rate
• Trusted by over 30,000 practice & 300,000 providers
• Extensive integration with PrognoCIS
• Analytic Reports
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Integrated Claim Submission
Auto-generated Reports
Patient Eligibility Verification
Electronic EOBs & Auto-posting
Easy Transition & Savings
Demonstration Overview
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PrognoCIS Remittance Tab -> TPS
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Best Practices for RCM Excellence
• Check Eligibility on All Patients
• Collect Patient Responsibility
• Leverage Coding Edits
• Send Claims
• Confirm Deliveryof Files Sent
• Receive Files (ERA / Claim Status)
• View / Analyze / Work Rejections
DAILY WEEKLY MONTHLY
• Run Safety Net Report –Insure No Claims Missed
• Bill Patient Statements
• Leverage ERA Auto-posting
• Manage Reimbursements / Timely Filing, etc. -Payer and Provider
• Analyze Contract Compliance and Denials
• Staff Productivity -work loads, performance over time
• Run Transaction Summaries - payers, transactions, time periods
• Run Performanceat a Glance Reports -month-to-month snapshot, days to file, top rejections, etc.
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Daily Practices for RCM Excellence
• Check Eligibility on All Patients
• Collect Patient Responsibility
• Send Claims
• Confirm Deliveryof Files Sent
• Receive Files (ERA / Claim Status)
• View / Analyze / Work Rejections
DAILY
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Weekly Practices for RCM Excellence
WEEKLY
• Run Safety Net Report – Insure No Claims Missed
• Bill Patient Statements
• Leverage ERA Autoposting
• Manage Reimbursements / Timely Filing, etc. - Payer and Provider
• Analyze Contract Compliance and Denials
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Monthly Practices for RCM Excellence
MONTHLY
• Staff Productivity - work loads, performance over time
• Run Transaction Summaries - payers, transactions, time periods
• Run Performanceat a Glance Reports - month-to-month snapshot, days to file, top rejections, etc.
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Special Promotion
New Clients:
Sign up with TriZetto Provider Solutions by June 30th:
• $200 set up fee waived
• First Two Months of service FREE
Existing Clients:
• Sign up with new product by June 30th: First Two Months FREE
Request additional Trizetto Feature on PrognoCIS EHR :
http://prognocis.com/add-trizetto
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RCM Service “1 Stop Shop” Highlights
EHR software included
2x more likely for 99% club
Dedicated account managers
Trusted with over $100 million in claims monthly
Patient Financial Services and Financial Counselors available on request
Patient Debt Collection Services available
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Request additional Trizetto Feature on PrognoCIS EHR :http://prognocis.com/add-trizetto
TriZetto: [email protected] phone: (314) 802.6889
PrognoCIS RCM [email protected] phone: (877) 693.6748
PrognoCIS Support:[email protected] phone: (408) 873.3032
Thank You!
Contact Information