Customized capabilities for expedited growth
Hospitals and Community Health Centers
Accelerated revenue recovery. Increase efficiency with actionable insights and enhance your workflow with the right information. Through high levels of integration and dedicated customer support, we enable users to work more effectively to achieve revenue recovery goals.
With our solutions, you can:
- Check patient benefits and eligibility before service to decrease financial risk
- Retroactively verify Medicaid eligibility
- Maximize profit potential by simplifying and expediting submission and remittance processes
- Access industry-leading services and global expertise for complete revenue cycle management
- Identify missed opportunities with easy-to-use reimbursement tools
- Obtain up-to-date claim status information for problematic claims
Over
200M
lives supported by Cognizant
“TriZetto Provider Solutions’ support and partnership is an asset to both OCHIN and our members. As a collaborative of primarily FQHC clinics, our members’ needs are unique, technically challenging, and often non-standard. But TPS is always up to the task in delivering outstanding results, with limited exception. As our clearinghouse solution for over 100 organizations nationwide, we feel great value in our partnership with TPS. ”
– Jessica Janota, Director of Epic Installation and Support, OCHIN, FQHC
Explore our Solutions
Submit fast and accurate claims. Our solutions help clients average a 98% payer acceptance rate.
Optimize your costs. Our services are designed to eliminate the need to hire and manage coders, billers, AR follow-up and cash posting reps.
Transform your patient experience. Meet the shift to healthcare consumerism head on with a seamless financial experience.
A faster route to enrollment. Streamline the credentialing process and prevent lags in payment due to un-earned or expired credentials.
Maximize revenue recovery. Monitor every transaction to identify errors and automate the appeal process.
Advance every aspect of your business office. Discover end-to-end RCM solutions powered by intelligent automation, proven methods and experienced professionals.
Highlighted Resources
See how partnership with TPS helped streamline billing processes and realize improved denial rates, A/R days and rejection rate.