Payment Integrity Solutions Commentary
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Subject Expert
Mac Boyter
VP of Engagement
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User Commentary
Value
In terms of our DRG repricing, Zelis Healthcare lowered our costs quite a bit compared to what we...
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Relationship, Value
I believe I would buy Payment Integrity Solutions again. They're very easy to work with. Zelis...
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Product
For claims editing, Payment Integrity Solutions is okay for the most part. Sometimes there are edits...
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Relationship, Product
Payment Integrity Solutions is pretty seamless. I got here after the organization had worked out all...
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Relationship
Zelis Healthcare understands what a true partnership is. I used to refer to them as a vendor since...
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Loyalty, Value
We started our cost-containment product a long time ago with a physician-driven program, and then...
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Relationship
Zelis Healthcare is a great partner. We're growing at a pace that most third-party administrators...
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Relationship
Zelis Healthcare is our predominant partner. They handle 99% of our business. The other two partners...
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Loyalty, Relationship, Product
In terms of Zelis Healthcare's development and innovation, we joke that they are like those on the...
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Relationship
If I were talking with someone about Zelis Healthcare, I’d tell them the things to watch out for....
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Relationship
There are other vendors that can do edits, but they don't necessarily support any provider appeals,...
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Relationship
Zelis Healthcare does have good resources that help make coding and billing better, but we recently...
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Relationship
After we went live with the solution, I asked Zelis Healthcare to help us with something specific,...
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Loyalty, Relationship
I've gotten a lot of attention from Zelis Healthcare’s support people. I've gone to salespeople and...
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Value
I know the amount of money that Zelis Healthcare is making, and the technology and reports that they...
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Value
We don't use Payment Integrity Solutions in exactly the same way as other organizations like ours....
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Value
Zelis Healthcare makes a lot of money. Sometimes this is a little complicated because the providers...
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Product
Some vendors are good at reducing provider abrasion, and some aren't, and the vendors handle things...
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Relationship
When I talk to people at Zelis Healthcare who are in the know about the IDR process and are meeting...
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Value
The ROI from Payment Integrity Solutions is high. We have a really good rate with Zelis Healthcare....
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Operations
I didn't receive any training on the solution. I wasn't part of the implementation effort. There was...
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Relationship, Value
I would definitely recommend Zelis Healthcare. Like any vendor, there are always things that could...
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Relationship
Zelis Healthcare is generally very responsive. We have had a couple of issues when we felt like the...
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Relationship, Product
With Zelis Healthcare, I feel like I haven't seen anything all that new in the edit space recently....
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Relationship, Product
We feel that the edits from the solution are defensible. Zelis Healthcare handles all the appeals...
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Loyalty, Value
We actually have some custom edits that Zelis Healthcare designed for us, and it's something I keep...
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Operations
Right now, we send things manually, and we're working on implementing integration. There have been...
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Relationship
Zelis Healthcare's support people don't take long to respond to us initially, but the issue is when...
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Product, Value
The application helps with our edits and the pricing for nonparticipating providers.
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Product
There are things that Zelis Healthcare's system catches that our other systems don't, so the system...
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Relationship, Product
The challenge regarding development and innovation is that other vendors are in front. A lot of the...
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Relationship
If there are any issues, they are addressed. We were having issues with a crosswalk, and I was...
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Relationship, Product
There's a lot of technical work that has to go on with any updates. Currently, we are mapping a...
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Product
With Zelis Healthcare, the editing is fine as long as there are no issues. But the website could be...
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Relationship, Product
Sometimes there are some issues that we have to correct, but they aren't constant. There are times...
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Relationship, Value
I would give getting our money's worth a high score. Zelis Healthcare has been very, very flexible...
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Relationship
I'm a fairly strong advocate for Zelis Healthcare. They've been actively acquiring companies that...
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Relationship
Zelis Healthcare doesn’t have a ticketing system, but they need one. Right now, we're using emails,...
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Value
Zelis Healthcare’s products are good. As we continue to license more and more products, I would like...
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Relationship
Payment Integrity Solutions is pretty intuitive. I have been very impressed with the company over...
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Relationship
Zelis Healthcare has been a good partner in terms of the pricing aspect. There are other areas where...
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Relationship
We work with certain individuals, and I’m extremely satisfied with them.
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Value
At times, because we run through so much volume with Zelis Healthcare, we feel like there could be...
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Relationship
Zelis Healthcare has been a great partner over the years, and that is a hard thing to replicate. Our...
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Loyalty
One of the reasons we stick with Zelis Healthcare is the breadth of the solutions that they offer....
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Relationship
There is potential that we might decrease some prepayment work with Zelis Healthcare because we...
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Value
The biggest thing that reduces my score for Zelis Healthcare is their cost-of-care tool. That's one...
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Product
The expert claim review in the solution is a little bit on the fence as far as whether it meets our...
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Culture, Value
We've been successful in terms of achieving savings with Zelis Healthcare and their pricing model....
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Product, Value
Because of the nature of our organization, we have to use a lot of different products and coordinate...
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Relationship, Product
The main pain points of Payment Integrity Solutions are the functionality, specifically delays in...
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Relationship
We did struggle a little bit with support, but we brought it to Zelis Healthcare’s attention, and...
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Relationship
Zelis Healthcare overall has been a good partner. They are acquiring new entities to build their...
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Operations
I frequently request additional training in specific areas from Zelis Healthcare, and they’re more...
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Relationship
When we need them, Zelis Healthcare is there. They don’t go out of their way to beat the drum, but...
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Relationship
Zelis Healthcare is trying hard, but they’re kind of throwing a bunch of new things at us, so it’s...
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Relationship, Product
Zelis Healthcare has strong people and smart solutions. In terms of integration, Zelis Healthcare...
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Relationship
The vendor is very leading-edge in both technology and vision. Zelis Healthcare’s overall direction...
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Relationship
In general, Zelis Healthcare is a very important partner for us. However, coming out of the Change...
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Value
We are trying to become more transparent and more effective with Payment Integrity Solutions to...
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Relationship, Product
I am happy with the way Zelis Healthcare is handling payments for things like clinical editing. The...
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Relationship
We had to reintegrate Zelis Healthcare's system with a third-party administrator change. That was...
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Value
Zelis Healthcare's platform is very user friendly. It is definitely worth the investment.
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Relationship, Product
I like the way Zelis Healthcare provides full-on reports about decisions and provides the reasoning...
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Relationship
It has been a long time since we have needed formal training, because we have been partners for many...
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Culture
Whether Zelis Healthcare is fair and transparent with their charges ties into a broader industry...
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Value
The main area that Zelis Healthcare could improve would be their pricing structure. I understand why...
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Relationship, Product
Zelis Healthcare consistently delivers on the core services we use. Beyond those, they continue to...
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Relationship
Zelis Healthcare is on the ball with support. They don't hide their charges from us.
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Operations
The vendor’s people are highly intelligent, and they know their products, but they are almost too...
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Loyalty, Value
Sometimes we have to give the vendor a lot of money. If the hospital side with the chargemaster is...
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Value
Payment Integrity Solutions helps us to mitigate risks to our overall plan, and that is where we...
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Commentary Summary
Comment Type Breakout