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Using the Integra-on Fully: Best Prac-ces, Improve Efficiencies, Increase Revenue
Ava Ba?ershell Ally HoAnger
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.
Focused on Vision • 5,000 vision clients • Partner with Revolu-onEHR
• Connec-ons with top vision payers: – Davis – Spectera – Medicare
Objec-ves
Identify the daily, weekly and monthly tasks that can save you money
Learn ways to leverage technology
Daily Tasks Check New Messages
Send files Send Files
Confirm File Delivery
Work New Rejections Receive files Check Patient Eligibility
Check New Messages
• Check your messages daily to keep up with industry trends
• Share industry trends with co-‐workers
Send Files Daily
• The faster you submit claims, the faster you receive payment
• Verify coverage with eligibility requests
Confirm File Delivery
• Verify receipt including: – Time of receipt
– Processing status – Number of claims submi?ed
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
Work New Rejec-ons
• Rejec-ons are separated out and flagged • New and old rejec-ons are sorted
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
Weekly Tasks
Run Safety Net Report
Send files Review Rejection Analysis
Bill Patient Statements
Safety Net Report
Rejec-on Analysis
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
Monthly Tasks
Run transaction summary
Review Performance at a Glance
Transac-on Summary Report
Performance at a Glance
Key Takeaways
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3
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Contact Informa-on
Ally, HoAnger
ahoAnger@gatewayedi.com 800.969.3666 x1498 Or
Ava Ba?ershell 800.969.3666 x1563 aba?ershell@gatewayedi.com
www.trize?o.com/provider
NOW: Sponsor-‐driven Sessions #2 Room 2 – Codex Techworks Room 3 – ECRVault AMD iManager Room 4 – Demandforce for Current Users
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