2 min read

[Recap] What We Heard at the Senior Living Innovation Forum (SLIF)

By Prime Care Tech Marketing on Fri, Jun 03, 2022 @ 08:15 AM

Last week our team connected with leaders from senior care communities at the Senior Living Innovation Forum (SLIF) Spring event. Topics of discussion were around strategies for surviving and thriving among the anticipated shifts. Here are three key takeaways.

  1. Stay True to Your Roots: Don’t chase shiny objects or the next new thing to attract residents. Trust, connection, consistency, and service are still key influencers in residents/families choosing your community.
  2. Expect New Payer Types and Alliances: Expect payer types to grow beyond private and self-pay in assisted living (AL). This may trend further into AL operators joining forces with skilled nursing facilities (SNFs).
  3. Focus on the Continuum of Care: Seniors value integrated healthcare and expect caregivers to review all medical data to deliver proactive, predictive, and prescriptive care – or complete senior health

So, how can we help with these strategies? Your chief ally in our software-as-a-service suite is primeVIEW, which offers an integrated analytics dashboard, customized with trends meaningful to your success. By using it to monitor areas of high (and low) performance, you can stay true to your roots – trust, connection, consistency, and service.

When it comes to bringing on new payers or aligning with SNFs, you may need our other apps:

  • Our primeCLAIMS app with two-way PointClickCare EHR integration, coupled with other senior care customization, empowers you to do more with less staff while expediting payment.
  • Our Managed Care MASTER case-to-contract app ensures you meet the quality care requirements of your payers while capturing every dollar promised in the contract.

We can also help with the technology and security infrastructure you need to run your business cost-effectively and wisely. Ask us about our primeCLOUD managed IT services.

If you missed us at SLIF, catch up with us for more recommended strategies and how our technologies can help.

Let's Talk 

Topics: primeVIEW primeCLAIMS primeCLOUD senior living analytics slif carecontinuum integratedhealth managedcaremaster
3 min read

[Recap] What We Heard at LTC 100

By Prime Care Tech Marketing on Thu, Jun 02, 2022 @ 11:12 AM

Last week our team connected with leaders from long-term and post-acute care at LTC 100. As always, these events help us stay on top of the challenges our customers face in their day-to-day operations. Here's what we heard at LTC 100 and how we can help.

YOUR CHALLENGE OUR SOLUTION
Data! Yes, operators need data, but it must be quality data and provide actionable insights.

Our primeVIEW app answers this need like no other analytics option with customization for skilled nursing (SNFs) and assisted living facilities (ALFs).

Interoperability! Health care provider overlap among acute, post-acute, and physicians continues to drive a need for data and EHR interoperability.

Our primeCLAIMS app now offers two-way integration with PointClickCare's EHR system, with other EHR vendors to follow.

Our primeCONNECT middleware can take it a step further to meet your interoperability needs with acute and physician care providers.

Staffing! It's just going to remain a struggle at this time, driving challenges like:
  • How do you do more with less?
  • How do you retain talent?
  • How do you attract new employees in this time of increased wages?

Our primeVIEW app helps you do more with less by offering daily monitoring of staff-to-census and overtime.

Our primeFORCE affiliates can help you retain talent with employee benefits technology, plus cost-effective insurance packages from leading providers. 

Specialization! Operators are looking to define specialty care areas as a more focused way to increase census.

Our primeVIEW app helps you trend clinical cases to define high volume, as you track aging and outstanding accounts to verify consistent payment for your services.

Technology! Working smarter can impact quality and staffing, among other challenges. 

Our primeVIEW app provides you with a snapshot of total operations, allowing leaders to zero in on underperformance, as well as high-performing areas to replicate across facilities.

Our primeCLAIMS integration with PointClickCare's EHR, coupled with other senior care customization, empowers you to do more with less staff while expediting payment.

Our Managed Care MASTER case-to-contract app ensures you meet the quality care requirements of your payers while capturing every dollar promised in the contract.

 

In addition to our software-as-a-service (SaaS) suite, we can help with the technology and security infrastructure you need to run your business cost-effectively and wisely. Ask us about our primeCLOUD managed IT services.

If you missed us at LTC 100, catch up with us for recommended strategies and how our technologies can help.

For more recap details, see McKnights Long-Term Care News: Distressed or ready to reset? At LTC 100, execs share thoughts on 2022 outlook.

Let's Talk 

Topics: interoperability primeVIEW primeCLAIMS primeCLOUD senior living analytics SNF analytics staff retention labor shortages technology primeforce ltc100
2 min read

[Webinar] primeCLAIMS + PointClickCare: Two-Way EHR Integration

By Prime Care Tech Marketing on Tue, May 24, 2022 @ 07:30 AM

If you missed the recent press release, primeCLAIMS is now leveraging PointClickCare (PCC)’s advanced claims API interface. We are offering a live demo of how the systems communicate on May 25, 12:30 p.m. ET, so please tune in.

primeCLAIMS-PCC API interface

We are excited to bring you this integration, which drives faster processing and faster reimbursements. Here are just a few efficiencies you'll gain:

  • Claim files (837s) transmit automatically between PCC and primeCLAIMS
  • Payment files (835s) pass back to PCC through primeCLAIMS
  • Edits sent to payers automatically synchronize to PCC for future claims integrity and EHR compliance

If PCC is not your EHR vendor, primeCLAIMS will work with any EHR vendor that can produce a claim file – in any format!

primeCLAIMS post-acute innovation

We focus on streamlining workflows, empowering billers to efficiently collect every dollar, every day. Working with post-acute customers to understand these workflows enabled us to deliver the most intuitive interface and simplest training for:

  • Primary claims editing/processing
  • Secondary claims automation/filing
  • Medicare DDE via modernized EzDDE interface
  • Denials/ADRs submission/management
  • Flu roster billing
  • Eligibility
  • And more – leaving users saying ‘Am I done already?’ 

More information

Or, get in touch – we're happy to tell you more.

Request a demo

Topics: primeCLAIMS Webinar ehr integration pointclickcare pcc
1 min read

[Mar 22 Webinar] Need 5 Ways to Supercharge SNF Claims?

By Prime Care Tech Marketing on Tue, Mar 15, 2022 @ 08:30 AM

Driving efficiency to your workforce and revenue recovery process is critical to SNF survival in 2022. In our March 22 webinar, we'll discuss five ways providers are supercharging their claims cycle to ensure success.

Previously, you may have gotten away with slow claims reimbursement, but COVID is making it all the more essential for revenue to flow in. Why?

  • Costs are higher – you must recover all of the revenue you've earned.

  • Staff is harder to find and keep – you must use staff efficiently and provide tools to make their jobs easier.

  • Care is shifting toward home and value-based care – you must have the revenue and flexibility to shift your strategy.

With the Biden Administration's announcement of increased focus on nursing homes and CMS' mandate on staffing and higher penalties, you can't afford to leave money on the table. So, save a seat, and let us show why Every Dollar, Every Day matters for every SNF.

RSVP TODAY

Topics: primeCLAIMS Webinar SNF claims
2 min read

Documentation Critical to CMS Claims, Patient Care and Medical Reviews

By Prime Care Tech Marketing on Thu, Jun 17, 2021 @ 04:10 PM

As outlined by the Centers for Medicare and Medicaid Services (CMS), Complying with Medical Record Documentation Requirements remains critical to senior care success.

Proper documentation:

  • Helps patients get reasonable and necessary items/services
  • Facilitates proper claim payment
  • Supports favorable medical review decisions

Specific to claims reimbursement, CMS identified the top five reasons for errors. Note, two are related to documentation. 

Top-5-cms-claims-errors-primeclaims-snf-revenue-cycle

So, what does insufficient documentation mean?

  • It does NOT mean documentation doesn’t exist.
  • It means something was incomplete or missing at claim submission.

And, what are the consequences of improper documentation?

Improper documentation disrupts the revenue cycle, which results in loss of financial revenue. CMS claim denials also cost your staff time, requiring them to:

  • Complete forms
  • Submit additional documentation
  • Send a letter explaining why the claim should be paid
  • Resubmit claim

Secondarily, if your order for item/service is illegible, your patient care suffers.

What are some tips for improved documentation?

  • Send ALL associated documentation supporting the item/service billed
    • Some information may come from a prior claim or test
    • If you're not sure if certain documentation is required, send it anyway
  • Send the documentation by the deadline indicated in the request
  • Review documentation to make sure it:
    • Answers who, what, when, why, and how
    • Verifies item/service was performed
    • Verifies medical necessity

Where can I get more information regarding CMS claims errors, including documentation?

Lastly, senior care and skilled nursing facilities (SNFs) can greatly simplify claims revenue management by employing a system customized for this industry, and supported by seasoned claims professionals. Get in touch if we can help.

Learn More

Topics: revenue cycle management SNF CMS primeCLAIMS denial management

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