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Business environments are constantly changing and Facets must change too to meet those requirements. Adding new products or lines of business, expanding into new geographic regions, and growing your provider network all require changes to your Facets configuration to maintain a consistent auto-adjudication rate.
But you may not need this Facets expertise all of the time. TriZetto's Business Rules Configuration (BRC) Services deliver an on-demand team of Facets experts ready to modify your Facets application to match your changing business requirements.
Using proven business templates and best practices, our Facets experts can build and maintain your code sets, benefit plans (or product) and pricing agreements for Medicare, Medicaid, HMO, PPO, POS, Dental and ASO product lines. These same experts can build and optimize your pricing configurations including: Fee-For-Service, DRG and DRG Grouper, Percent RBRBS, Medicare and Medicaid schedules, Capitation, Facility, Professional and Clinical Editing criteria. And they can manage your code sets including ICD-9, DRG, HCPCS, CPT codes, Diagnostic Codes, Place-of-Service Codes, and EOB/EOP Explanation codes to name a few.
With TriZetto's BRC Services, you get exactly what you need to build and maintain your Facets configuration.
BRC Benefits:
- Configure your Facets application quickly, accurately and cost effectively with unrivaled and remote Facets expertise.
- Benefit from the expertise of Facets configurators and their best-practice templates to deliver comprehensive configurations that support your changing business needs.
- Minimize the costs of your Facets configuration by using an already established VPN directly into our HIPAA compliant, state-of-the-art processing centers.
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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