Don't be a Scrooge this holiday season! Set you and your facility up for success in 2024 by investing in some of the following tools: 

primeVIEW

Our all-in-one online dashboard like primeVIEW, which allows you to track important data relating to your near real-time census, as well as your labor, financial and clinical systems. When it comes to post-acute care, having QAPI compliant data like this at your fingertips is invaluable to running a smooth and meticulous operation. By offering your staff near real-time access anytime, online they can better understand the how, what, where, and when! This powerful tool enables senior living facilities to efficiently manage and monitor the care of their residents by streamlining communication and coordination among healthcare providers so residents receive timely and appropriate care. By staying on top of your facility operations through digital platforms like primeVIEW, you will not only make residents feel well-tended to, but the increased level of organization will help simplify your day-to-day workflow as well. When used in combination with our managed care MASTER, embedded alerts within the primeVIEW morning meeting dashboard will allow for vital information regarding services rendered. 

managed care MASTER

managed care MASTER is your online case and contract manager. It is a case-to-contract app that ensures you meet the quality care requirements of your payers while capturing every dollar promised in the contract. The software contains integrations to EHR, therapy, contracts and pharmacy costs, as well as calendar functionality, contract alerts, authorization tracking, and pre-admission cost out, to name a few features. Simply put, it includes comprehensive authorization and payment documentation for rendered services, optimizing your revenue and streamlining your case management. With managed care MASTER, say goodbye to outdated reports, paper trails and poor cross-disciplinary coordination! Furthermore, when paired with primeCLAIMS, users have access to further capabilities that ensure that all work provided is on the claim by matching the resident number in source system and DOS/AR.

primeCLAIMS

primeCLAIMS is your revenue cycle management app built for, and supported by, post-acute billers. Designed to automate and simplify the tedious processes associated with ensuring you get reimbursed for the dedicated care hours you provide to your communities, the efficiency our claims app brings will reduce the staff and time needed to make sure you get paid every dollar, every day. The primeCLAIMS dashboard contains payment requests and payer responses, from remittance to denial. With two-way PointClickCare EHR integration, coupled with other senior care customization, the app drives up efficiency and productivity, better serving long-term, post acute communities! In addition, bidirectional data between primeCLAIMS and primeVIEW allows for instant alerts if a claim is stuck in primeCLAIMS, available on home screen, aging, and outstanding accounts.

ARC

ARC is your quality assurance and performance improvement platform (QAPI). Its comprehensive monitoring and oversight system provides the maximum legal protection that long-term care facilities need to minimize serious regulatory enforcement actions. As a web-based compliance system, it guides clinical and management staff through the complete audit process for ROP auditing standards for all federal regulations, and facilitates a collaborative review of audit results through real-time, interactive meeting templates in order to quickly correct issues and implement performance improvement plans to prevent systemic issues. ARC provides form-based corrective actions for every compliance issue to document and track all of your QAPI efforts. Say goodbye to costly CMPs and red hand alerts - It's time to move on to more cost-effective solutions with ARC. 

Does your IT team track reported security threats, vulnerabilities, and patches as often as weekly? We do. With primeCLOUD, you’ll have managed IT services at your fingertips. We partner with leading IT vendors to offer security services like ransomware protection, phishing training, multi-factor authorization (MFA), data backup/recovery, and assistance with other special projects such as a new location setup, data migration or integration. With 24/7 help desk services, primeCLOUD is your boots-on-the-ground service when needed, providing you with the strategy, security, cost control, operational efficiency, reliability, and agility to maximize your IT performance and increase your security. Furthermore, the same highly secure IT services we offer clients to support and integrate their most valuable healthcare data are available to all markets as part of our primeCLOUD managed IT services suite. We provide the tech, so you can provide the care. If your organization is considering IT outsourcing, we can help. Take a look at our primeCLOUD service suite or get in touch to discuss.

The new year is a time for new beginnings, and Prime Care Technologies wants to be a part of yours! We are confident that our software can uplift your facility through the leverage of data-driven tools. We strive to maximize the use of IT solutions in senior living facilities to save time so staff can focus where needed, with the residents.   

If there's anything you read above that caught your attention, or if you have any other products on your Holiday wishlist, we’d be happy to connect! Comment below, or email us, we’d love to discuss with you further.

Everyone knows that the current state of the economy is stormy. However, not everyone knows what it takes to build the best shelter. Many industries, healthcare included, are taking a hit, and it's important to note that while the financial uncertainty justifies any emotional volatility felt, it’s not a conducive business practice, and there are precautionary steps you can focus on in order to increase the chance of your business’s survival.

Being able to adapt to the changing economic environment is the key to weathering the storm. In the world of senior care specifically, adaptability takes many forms.

Here are six:

During a down market, many companies choose to scale back their marketing expenses. However, when it comes to senior care facilities, that’s not necessarily the best approach. The aging population of America continues to grow, and consumers are always on the lookout for their future residences. Thanks to the internet, research is easily had, and most consumers do plenty of it. After all, choosing a senior care facility is often an expensive, lifelong purchase. Therefore, it’s important to have a very strong online presence through a user-friendly website, newsletters, blogs, testimonial videos, and online reviews and ratings. You must make it clear what you are selling by touting the superior experience and level of care you provide to your residents compared to your competitors, and this makes marketing an integral part of the resident-curating process.

Consumers want to feel as though they (and their loved ones) are treated as a priority in whichever residency they choose to invest in. A simple way to do that is to ensure that residents and their families have an easy time navigating the ins and outs of the facility as far as making appointments, speaking with residence staff, touring the facility, and having a knowledgeable representative available to answer any questions that may arise. Showcasing such a high level of care in the early days leaves consumers with a good impression of the level of care and safety that can be expected should they choose to commit to your residency. Stand apart from your competitors by demonstrating a higher level of organization, attentiveness, and responsiveness.

Consumers, current and future, want to feel as though they are getting the best deal and experience available to them. However, what one consumer may define as the “best” may not align with another’s definition. By identifying individual needs and values, you can tailor the overall experience to retain better current residents and increase your attractiveness to future residents. If residents feel as though you “get them,” they are more likely to choose your facility over one that provides a more generic-feeling level of care.

Once in the facility, it’s important that you demonstrate a consistent level of care to retain residents, as well as take advantage of opportunities later down the road with brand ambassadors and positive word-of-mouth reviews. One highly effective way of keeping residents satisfied is by improving the efficiency and productivity within your facility. Residents want fast care, meaning that if you are able to demonstrate that you understand what their problems are and how to solve them quickly, there is little room for lingering frustrations or complaints. By staying on top of your facility operations through digital platforms like primeVIEW, where you can track your census, labor, clinical, and five-star, you will not only make residents feel well-tended to, but the increased level of organization will help simplify your day-to-day workflow as well.

Customer service includes everything from answering questions and fulfilling general physical therapy to providing personalized tech support services for residents on an as-needed basis. The process of moving away from home, away from friends and family, and moving into an unfamiliar facility is an often-overlooked sacrifice, meaning that for residents and their families, communication becomes key. Communication reflects competency. Therefore, facilities that make a conscious effort to prioritize high levels of communication between residents and their families are seen as more attractive, as the increased transparency allows families to rest easy knowing that their loved one is being well taken care of.

6. Keep Your Finances in Order 

Senior care facilities have many moving parts, and sometimes, items fall through the cracks — including payments. One issue many facilities face is managing the billing process, thus prolonging payments and cash turnover. Luckily, platforms such as our primeCLAIMS can act as your revenue cycle management system, allowing you to streamline the billing process by reducing DSO, time spent collecting and organizing paperwork, and offering unique claim-to-claim reviews. During a time when financial resources are already scarce, the last thing you want to do is approach claims with negligence.

It’s not a matter of if but when the economy will begin to recover, and while not everything is within personal control, taking the above measures will serve to protect your business during the darkest days.

Focus on the positives, on the areas that you can improve upon, and you will be able to take advantage of the circumstances rather than become a victim of them.

Have any other tips you’d like to share with us? Let us know!

COVID-19 cases have begun to climb as we head into flu season.

The majority of new cases are a result of transmission from asymptomatic and presymptomatic individuals that, thanks to less testing locations and less prudency, are elevating the dangers for high-risk populations. Many healthcare policies that emerged as a result of the COVID-19 pandemic are being dropped, raising concerns about the well-being of senior care staff and residents. Wearing an FFP2 mask has remained obligatory across many healthcare facilities globally and with great reason. There is countless data that supports the continued use of masks, namely in the reduction of active cases and overall morbidity rate. Despite most healthcare facilities across the United States dropping their mask mandates, there has been some pushback.

Several public health experts are advocating for year-round masking, masking during flu season, or masking when respiratory viruses reach their “critical threshold” should be mandatory healthcare policies in settings with high-risk populations. The SARS-CoV-2 pandemic has certainly garnered an elevated appreciation and understanding of health protocols that keep residents, patients, and healthcare workers alike safe. While community immunity and access to countermeasures have leveled out to some extent, older adults and those with underlying health conditions continue to represent the majority of new cases and based on observed trends, the same can be expected in the future.

While COVID-19 has been demoted to endemic, it is still disproportionately affecting our most vulnerable populations. Those in senior care are especially high-risk due to having more points of contact. Many facilities already have a vaccination process for their residents since vaccinating against the flu (and COVID, if not up to date) in advance of the upcoming season has proven to dramatically decrease the length and strength of respiratory illnesses.

According to the CDC, exposure to COVID-19 no longer requires isolation unless you have symptoms.  The CDC website has a new tool where you can type in the date of exposure, then, based on a number of factors, it can help you decide when to test or isolate. For more information about the upcoming Flu and COVID season, please check out the CDC data tracker.

You can also follow these guidelines provided by the CDC if you test positive: 

Any positive COVID-19 test means the virus was detected, and you have or recently had an infection.

• Isolate and take precautions, including wearing a high-quality mask or respirator, to protect others around you from getting infected.
• Tell people you had recent contact with that they may have been exposed.
• Monitor your symptoms. If you have any emergency warning signs, seek emergency care immediately.
• Contact a healthcare provider, community health center, or pharmacy to learn about treatment options that may be available to you. Treatment must be started within the first few days to be effective.

PrimeCLAIMS Clearinghouse Propels Proclaim Partners to "Company of the Year"

The Financial Services Review has awarded ProClaim Partners “Company of the Year in its Claims Processing Solutions Providers category for 2022,” for outstanding innovation with its primeCLAIMS clearinghouse.  We are honored to be acknowledged for the technology and performance we bring to Post Acute Care and other industry claims processing.

When healthcare billers transitioned out of COVID, they had to do more with less. In 2022, primeCLAIMS streamlined the claims process, creating a higher standard of superior performance through technology.

Jonathan Duvall, Senior Director of Product Management, says, “Our goal is to provide software that goes beyond processing claims and integrates into an organization’s revenue cycle workflow. By studying workflow, primeCLAIMS delivers an intuitive experience to get companies paid every dollar for every day of patient care.”

- primeCLAIMS Clearinghouse facilitates seamless electronic claim submissions by automating the claims handling process.

- primeCLAIMS Sequential Billings compares month-to-month billing through side-by-side, claim-to-claim comparisons to detect discrepancies.

- primeCLAIMS Enhanced Aging lets you compare what was billed VS what was paid and highlights discrepancies of missing payments.

- primeCLAIMS EzDDE enables billers to edit hundreds of lines quickly and move to the next claim - saving up to 30 minutes per claim.

PrimeCLAIMS continues to work towards innovations and deliver technologies that focus on billers. Don't hesitate to contact Jae Sparks VP of Sales & Marketing, at 770-543-0473, to schedule a demo.

The team is gearing up for the November 1-4, PointClickCare Summit in Las Vegas. We're excited to sponsor two booths – Prime Care Tech is at #419 and our primeCLAIMS affiliates are at #306. 

Stop by for a chance to win a Louis Vuitton purse – and stay for a demo of our industry-leading applications.

If you're looking to take advantage of educational opportunities, we'll lead two breakout sessions:

• Wednesday, 4:15-5p
  We're not Great At PDPM, Yet; Using Data & Tools to Improve Care and Reimbursement
  Jonathan Duvall/Prime Care Tech and Tammy Tuminaro/Century Rehabilitation
• Thursday, 2:45-3:30p 
  Get Paid–Every Dollar, Every Day!
  Jonathan Duvall/Prime Care Tech and Kimberly Sturm, primeCLAIMS

After a busy year of enhancements, we look forward to sharing what makes our technologies the smartest in the marketplace. Get in touch if you'd like to connect!