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Payment Integrity Solutions Commentary
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Subject Expert
Mac Boyter
VP of Engagement
KLAS VP of Engagement - Mac Boyter
 

Commentary Summary

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User Commentary

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Director

In terms of our DRG repricing, Zelis Healthcare lowered our costs quite a bit compared to what we...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

I believe I would buy Payment Integrity Solutions again. They're very easy to work with. Zelis...

Comment Tone Positive
Pillars Relationship, Value
Evaluation Unrated

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Director

For claims editing, Payment Integrity Solutions is okay for the most part. Sometimes there are edits...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Payment Integrity Solutions is pretty seamless. I got here after the organization had worked out all...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

Zelis Healthcare understands what a true partnership is. I used to refer to them as a vendor since...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

We started our cost-containment product a long time ago with a physician-driven program, and then...

Comment Tone Positive
Pillars Loyalty, Value
Evaluation Unrated

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Director

Zelis Healthcare is a great partner. We're growing at a pace that most third-party administrators...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Zelis Healthcare is our predominant partner. They handle 99% of our business. The other two partners...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

In terms of Zelis Healthcare's development and innovation, we joke that they are like those on the...

Comment Tone Positive
Pillars Loyalty, Relationship, Product
Evaluation Unrated

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Manager

If I were talking with someone about Zelis Healthcare, I’d tell them the things to watch out for....

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

There are other vendors that can do edits, but they don't necessarily support any provider appeals,...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

Zelis Healthcare does have good resources that help make coding and billing better, but we recently...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

After we went live with the solution, I asked Zelis Healthcare to help us with something specific,...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

I've gotten a lot of attention from Zelis Healthcare’s support people. I've gone to salespeople and...

Comment Tone Negative
Pillars Loyalty, Relationship
Evaluation Unrated

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Manager

I know the amount of money that Zelis Healthcare is making, and the technology and reports that they...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Manager

We don't use Payment Integrity Solutions in exactly the same way as other organizations like ours....

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Manager

Zelis Healthcare makes a lot of money. Sometimes this is a little complicated because the providers...

Comment Tone Negative
Pillars Value
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Manager

Some vendors are good at reducing provider abrasion, and some aren't, and the vendors handle things...

Comment Tone Positive
Pillars Product
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Manager

When I talk to people at Zelis Healthcare who are in the know about the IDR process and are meeting...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

The ROI from Payment Integrity Solutions is high. We have a really good rate with Zelis Healthcare....

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

I didn't receive any training on the solution. I wasn't part of the implementation effort. There was...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

I would definitely recommend Zelis Healthcare. Like any vendor, there are always things that could...

Comment Tone Positive
Pillars Relationship, Value
Evaluation Unrated

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Director

Zelis Healthcare is generally very responsive. We have had a couple of issues when we felt like the...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

With Zelis Healthcare, I feel like I haven't seen anything all that new in the edit space recently....

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

We feel that the edits from the solution are defensible. Zelis Healthcare handles all the appeals...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Director

We actually have some custom edits that Zelis Healthcare designed for us, and it's something I keep...

Comment Tone Positive
Pillars Loyalty, Value
Evaluation Unrated

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Manager

Right now, we send things manually, and we're working on implementing integration. There have been...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

Zelis Healthcare's support people don't take long to respond to us initially, but the issue is when...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

The application helps with our edits and the pricing for nonparticipating providers.

Comment Tone Positive
Pillars Product, Value
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Manager

There are things that Zelis Healthcare's system catches that our other systems don't, so the system...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

The challenge regarding development and innovation is that other vendors are in front. A lot of the...

Comment Tone Negative
Pillars Relationship, Product
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Manager

If there are any issues, they are addressed. We were having issues with a crosswalk, and I was...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

There's a lot of technical work that has to go on with any updates. Currently, we are mapping a...

Comment Tone Negative
Pillars Relationship, Product
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Manager

With Zelis Healthcare, the editing is fine as long as there are no issues. But the website could be...

Comment Tone Negative
Pillars Product
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Manager

Sometimes there are some issues that we have to correct, but they aren't constant. There are times...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Director

I would give getting our money's worth a high score. Zelis Healthcare has been very, very flexible...

Comment Tone Positive
Pillars Relationship, Value
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Director

I'm a fairly strong advocate for Zelis Healthcare. They've been actively acquiring companies that...

Comment Tone Positive
Pillars Relationship
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Manager

Zelis Healthcare doesn’t have a ticketing system, but they need one. Right now, we're using emails,...

Comment Tone Negative
Pillars Relationship
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Manager

Zelis Healthcare’s products are good. As we continue to license more and more products, I would like...

Comment Tone Negative
Pillars Value
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Manager

Payment Integrity Solutions is pretty intuitive. I have been very impressed with the company over...

Comment Tone Positive
Pillars Relationship
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Manager

Zelis Healthcare has been a good partner in terms of the pricing aspect. There are other areas where...

Comment Tone Positive
Pillars Relationship
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Manager

We work with certain individuals, and I’m extremely satisfied with them.

Comment Tone Positive
Pillars Relationship
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VP/Other Executive

At times, because we run through so much volume with Zelis Healthcare, we feel like there could be...

Comment Tone Negative
Pillars Value
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VP/Other Executive

Zelis Healthcare has been a great partner over the years, and that is a hard thing to replicate. Our...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

One of the reasons we stick with Zelis Healthcare is the breadth of the solutions that they offer....

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

There is potential that we might decrease some prepayment work with Zelis Healthcare because we...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

The biggest thing that reduces my score for Zelis Healthcare is their cost-of-care tool. That's one...

Comment Tone Negative
Pillars Value
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VP/Other Executive

The expert claim review in the solution is a little bit on the fence as far as whether it meets our...

Comment Tone Negative
Pillars Product
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VP/Other Executive

We've been successful in terms of achieving savings with Zelis Healthcare and their pricing model....

Comment Tone Positive
Pillars Culture, Value
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VP/Other Executive

Because of the nature of our organization, we have to use a lot of different products and coordinate...

Comment Tone Negative
Pillars Product, Value
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VP/Other Executive

The main pain points of Payment Integrity Solutions are the functionality, specifically delays in...

Comment Tone Negative
Pillars Relationship, Product
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VP/Other Executive

We did struggle a little bit with support, but we brought it to Zelis Healthcare’s attention, and...

Comment Tone Positive
Pillars Relationship
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VP/Other Executive

Zelis Healthcare overall has been a good partner. They are acquiring new entities to build their...

Comment Tone Positive
Pillars Relationship
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VP/Other Executive

I frequently request additional training in specific areas from Zelis Healthcare, and they’re more...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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COO

When we need them, Zelis Healthcare is there. They don’t go out of their way to beat the drum, but...

Comment Tone Positive
Pillars Relationship
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COO

Zelis Healthcare is trying hard, but they’re kind of throwing a bunch of new things at us, so it’s...

Comment Tone Negative
Pillars Relationship
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VP/Other Executive

Zelis Healthcare has strong people and smart solutions. In terms of integration, Zelis Healthcare...

Comment Tone Positive
Pillars Relationship, Product
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VP/Other Executive

The vendor is very leading-edge in both technology and vision. Zelis Healthcare’s overall direction...

Comment Tone Positive
Pillars Relationship
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VP/Other Executive

In general, Zelis Healthcare is a very important partner for us. However, coming out of the Change...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

We are trying to become more transparent and more effective with Payment Integrity Solutions to...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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VP/Other Executive

I am happy with the way Zelis Healthcare is handling payments for things like clinical editing. The...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

We had to reintegrate Zelis Healthcare's system with a third-party administrator change. That was...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

Zelis Healthcare's platform is very user friendly. It is definitely worth the investment.

Comment Tone Positive
Pillars Value
Evaluation Unrated

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VP/Other Executive

I like the way Zelis Healthcare provides full-on reports about decisions and provides the reasoning...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

It has been a long time since we have needed formal training, because we have been partners for many...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

Whether Zelis Healthcare is fair and transparent with their charges ties into a broader industry...

Comment Tone Negative
Pillars Culture
Evaluation Unrated

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VP/Other Executive

The main area that Zelis Healthcare could improve would be their pricing structure. I understand why...

Comment Tone Negative
Pillars Value
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VP/Other Executive

Zelis Healthcare consistently delivers on the core services we use. Beyond those, they continue to...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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CEO/President

Zelis Healthcare is on the ball with support. They don't hide their charges from us.

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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CEO/President

The vendor’s people are highly intelligent, and they know their products, but they are almost too...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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CEO/President

Sometimes we have to give the vendor a lot of money. If the hospital side with the chargemaster is...

Comment Tone Negative
Pillars Loyalty, Value
Evaluation Unrated

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