Maximize Your Revenue with Best Practices

PrognoCIS EHR

TriZetto Provider Solutions

Maximize Your Revenue with PrognoCIS EHR & TriZetto Provider Solutions

TriZetto Provider Solutions:

• Courtney McCraine, National Sales Executive

PrognoCIS EHR:

• James Metzger, VP of Marketing

2

TPS & PrognoCIS Partnership

Benefits of using TPS

Why is TriZetto Provider Solutions Different?

Demonstration Overview

Special Promotion

Agenda

TPS & PrognoCIS Partnership

4

• Platinum Partner

• One Stop Shop

• Full Integration

• 900 Providers

• 8 year partnership

• 25 Sites in 99% Club

PLATINUM

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

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

Integrated Claim Submission

Auto-generated Reports

Patient Eligibility Verification

Electronic EOBs & Auto-posting

Easy Transition & Savings

Demonstration Overview

PrognoCIS Remittance Tab -> TPS

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.

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

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

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.

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

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

Request additional Trizetto Feature on PrognoCIS EHR :http://prognocis.com/add-trizetto

TriZetto: courtney.mccraine@trizetto.com phone: (314) 802.6889

PrognoCIS RCM Servicessales@bizmaticsinc.com phone: (877) 693.6748

PrognoCIS Support:support@bizmaticsinc.com phone: (408) 873.3032

Thank You!

Contact Information