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Using the Integra-on Fully: Best Prac-ces, Improve Efficiencies, Increase Revenue
Ava Ba?ershell Ally HoAnger
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TriZe?o: A Proven Partner
TriZe&o is the industry leader in delivering innova4ve solu4ons that drive improved efficiency, connec4vity and industry collabora4on to
help our clients succeed.
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Focused on Vision • 5,000 vision clients • Partner with Revolu-onEHR
• Connec-ons with top vision payers: – Davis – Spectera – Medicare
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Objec-ves
Identify the daily, weekly and monthly tasks that can save you money
Learn ways to leverage technology
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Daily Tasks Check New Messages
Send files Send Files
Confirm File Delivery
Work New Rejections Receive files Check Patient Eligibility
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Check New Messages
• Check your messages daily to keep up with industry trends
• Share industry trends with co-‐workers
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Send Files Daily
• The faster you submit claims, the faster you receive payment
• Verify coverage with eligibility requests
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Confirm File Delivery
• Verify receipt including: – Time of receipt
– Processing status – Number of claims submi?ed
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Receive Files
• Organizes data from mul-ple payers in a single place
• Allows you to print remits in a standard format from the Gateway EDI website
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Work New Rejec-ons
• Rejec-ons are separated out and flagged • New and old rejec-ons are sorted
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Check Pa-ent Eligibility • Perform individual, real-‐-me eligibility requests for changes in coverage, new pa-ents or walk-‐in appointments
Reduces claim rejec.ons and the need to resubmit claims mul.ple .mes
Improves cash flow and reduces A/R days as claims are paid more quickly
What This Means for your Practice
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Weekly Tasks
Run Safety Net Report
Send files Review Rejection Analysis
Bill Patient Statements
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Safety Net Report
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Rejec-on Analysis
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Bill Pa-ents Generate and Transmit Electronic Files
• U-lize an electronic submission tool to ensure your statements go out on -me
• Statements are printed, folded, stuffed, and mailed. Your cost is typically less than you would pay for postage and materials. Source: Rosemarie Nelson, MS, Principle,
MGMA.
Paper statements cost $3 to $6 per
claim.
Electronic statement costs are $1 or less
per claim.
Potential Cost Savings
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Monthly Tasks
Run transaction summary
Review Performance at a Glance
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Transac-on Summary Report
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Performance at a Glance
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Key Takeaways
2
3
1
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Contact Informa-on
Ally, HoAnger
[email protected] 800.969.3666 x1498 Or
Ava Ba?ershell 800.969.3666 x1563 [email protected]
www.trize?o.com/provider
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NOW: Sponsor-‐driven Sessions #2 Room 2 – Codex Techworks Room 3 – ECRVault AMD iManager Room 4 – Demandforce for Current Users