Prime Time Cloud Computing Blog

Our Insights... Your Inbox!

It’s the Holidays! How to have financial Peace of Mind at this busy time.

By Rand Johnson on Wed, Nov 25, 2015 @ 04:11 PM

What a wonderful time of year this is! We have so much to be grateful for and to turn our heads and hearts to. However, while it may be the holiday season, it certainly is not the time to take a holiday from monitoring certain critical aspects of cash flow. One of those aspects we’d like to address here is cash collected and, specifically, year-end billing deadlines. Please be aware that each payer has windows of opportunity for submitting claims - that is, in which your organization can submit claims to payers and hope to get paid. Unfortunately, many providers find themselves in the position of not submitting claims or responding to rejections on time.


Topics: submitting claims, improved cash flow, billing deadlines, cleaned-up aging

Put an End to the Paper Data Rodeo

By Rand Johnson on Tue, Nov 24, 2015 @ 06:51 PM

Steer wrestling and data chasing (Yes, there is a point to this.)

I admit it. I am a born city slicker who likes to wear jeans, cowboy-style shirts from CAL Ranch, a cowboy hat (although it’s been a while since I donned one of them), and a good comfortable pair of cowboy boots. I’ve ridden a horse a handful of times, almost got thrown once, and chased more cows on foot than I care to count when I worked on a farm one summer when I was 17. Now if that don’t qualify me as a rootin’, tootin’, shootin’ wrangler, well…it just doesn’t. But I do like a good rodeo once in a while. And the event that gets my attention happens to be steer wrestling.


Topics: BI, BI dashboard

Simplifying the Managed Care Claims Process

By Rand Johnson on Thu, Nov 19, 2015 @ 07:00 PM

An associate of mine at primeCLAIMS, recently related a turn of phrase that I agree can apply to working with managed care organizations (MCOs), “If you’ve seen one contract, you’ve seen one contract.”  Depending on the number of managed care organizations your company or facility works with, billing the right payer and submitting the correct claim with the correct information can be quite complicated. MCOs have parallel as well as divergent policies for correct claims submission. Knowing what those contractual requirements are and fulfilling those requirements is the key. So, how does a biller keep this as simple as possible?


Topics: claim form, triple check, MCOs, MCO contract, Managed Care Organizations, MCO claims, RUG scores, levels of care

How Meaningful Data Helps Track QAPI Progress

By Rand Johnson on Tue, Nov 17, 2015 @ 06:07 PM


iStock_000032028160_Small.jpgIn a blog posted a few years ago, we introduced how providers can discover the hidden treasures of data mining. In it we wrote, “Refined data transformed into information becomes knowledge and knowledge – the power to act. Data mining, therefore, helps executives discover what is happening now, track trends, anticipate with some accuracy what may happen in the future, and explore the strengths of possible actions.” The data treasure trove becomes meaningful when viewed through dashboards.  

This concept has direct application to your QAPI[1] initiatives.


Topics: dashboards, Key Performance Indicators, KPIs, QAPI, Progress Improvement, QA, PI, data, Quality Assurance, QA Goals

What you’re wasting by processing secondary claims manually

By Rand Johnson on Thu, Nov 12, 2015 @ 11:30 PM

Jim Hoey, Prime Care Technologies, Inc.’s President and CEO, once responded to a question about why his company offers what it offers – cloud-based managed hosting services, business intelligence solutions, automated procurement services, talent management automation, and an LTPAC-focused claims clearinghouse. He proffered the following insight, “We listen to our customers’ concerns and needs and respond with user-friendly and cost-effective cloud-based solutions.” Universally, the needs are the same – to save money, increase productivity, improve the bottom line, and ensure compliance. Among the concerns expressed by billing and AR managers is the need to hit collection targets and to save time.

All posts    |   

Follow Us on Social!

PrimeCare Technologies Twitterlinkedin

Posts by Topic

See All


Ensign Services Speeds Claims Turnaround up to 35-50% and collects revenues sooner!