Prime Care Technologies is heading to the NIC Spring Investment Forum March 7-9 to meet with skilled nursing operators, care coordinators, financial leaders and other healthcare professionals who are looking to improve outcomes and reduce costs in post-acute and long-term care.

Our exec team will be onsite to provide expertise and discuss best practice strategies through technology solutions such as primeCLAIMS and primeVIEW – each designed specifically for the LTPAC environment. We look forward to hearing specifically what is top of mind for your organization in 2018 and how investment in the right technology can change the game.

In the morning session Cheryl will be discussing “Five Star & the New Quality Measures".  Attendees will leave with an action plan they can easily implement to strategically improve their position in the market.

Her afternoon session highlights "Who's Paying the Bill? Understanding Today's Payment Models and Data You Need for a Stong Bottom Line".   This presentation will explore changes in the Payer landscape as well as changes in payment models.

 Click here to see a short video about Prime Care Technologies

Click here for information on the NHHCA Conference. 

In case you missed 9/8/16 McKnight's Super Tuesday Webinar – "The Key to Unlocking Your Value: Your Data" – the on-demand webinar replay is now available.

Agenda:

• Where regulatory and payment policies are headed, and why
• How providers can better devise and use data reports, in both short-term and long-term
• Ways to cost-effectively access needed data – and get rid of what's distracting
• Front-line strategies from Welcov, a large-scale provider successfully using data analytics to improve reimbursement and compliance

Guest Speakers:

• Welcov Healthcare – Paul Balhorn, SVP of Information Technology & CSO
• BKD CPAs & Advisors – Chris Murphy, Partner & CPA
• McKnight's Long-Term Care News – Jim Berklan, Editor

On-Demand Webinar: 

Join us Tuesday, August 23, 2016 at 1:00 PM ET for a McKnight's Super Tuesday Webinar – "The Key to Unlocking Your Value: Your Data."

Agenda:

• Where regulatory and payment policies are headed, and why
• How providers can better devise and use data reports, in both short-term and long-term
• Ways to cost-effectively access needed data – and get rid of what's distracting
• Front-line strategies from Welcov, a large-scale provider successfully using data analytics to improve reimbursement and compliance

Guest Speakers:

• Welcov Healthcare – Paul Balhorn, SVP of Information Technology & CSO
• BKD CPAs & Advisors – Chris Murphy, Partner & CPA
• McKnight's Long-Term Care News – Jim Berklan, Editor

Register Now:

https://www.primecaretech.com/resource-library-prime-care-technologies

With a Claims Management Solution - The gift that keeps on paying

Admittedly, the reimbursement process is complicated. Not only must billers identify who is to pay the bill, they have to know how to bill the payer and get paid as quickly as possible. This is especially the case when billing third party payers, such as Medicare, Medicaid, Managed Care, and private insurances. Each has its own requirements as far as coding, bill timing, and claims processing quirks are concerned which seem to change frequently. If billers are having to prepare, process, track, and follow up with claims manually using spreadsheets, phone calls, emails, letters, logs, and on and on, it is no wonder that billers are stressed and overwhelmed, that dollars are left on the table and claims are lost or misplaced. Reimbursement, or revenue cycle management, does not have to be complicated, however. In fact, it can be relatively simple with an automated claims management solution through a claims clearinghouse. But, buyers beware. Let’s take a closer look.

Keeping it simple – clearinghouse musts

Let’s assume that the strengths of automating claims management are a given. Specific clearinghouse features can considerably contribute to claims management simplicity. To help simplify and accelerate converting revenue to cash, a clearinghouse, like primeCLAIMS, should be able to do the following:

• In the event a claim is rejected, the clearinghouse should be able to isolate specific claims, not reject the entire batch of claims.
• The solution should give billers the ability to edit, scrub, monitor, and manage claims throughout the process.
• The clearinghouse must be able to stay on top of the almost daily changes to submission requirements, even the most obscure.

Visibility and control – an AR manager’s dream

Visibility and control with an enterprise-class claims solution also contributes to process simplification. With one log-in:

• Billers can connect directly to all Medicare payers via CMS-approved NSVs (Network Services Providers)
• Billers should have access to tools needed to manage claims, DDE, ADR status tracking, eligibility, secondary billing, and claims denied.
• AR managers can view each facility’s claims status and provide assistance where necessary.

Such simple tools to help speed cash flow with fewer rejections and cleaner claims. They also reduce costs by:

• Eliminating unnecessary paperwork
• Reducing transaction fees
• Reducing labor through elimination of such labor-intensive inefficiencies as:

• Log-ins to multiple systems to view all locations, determine eligibility, edit, and track all claims
• Manually compiling and submitting secondary payer claims

Simplicity in claims processing and managing also delivers peace of mind with:

• HIPAA checks
• Up to 10 years of data stored online

The bottom line

Using a clearinghouse to process, submit, and monitor claims yields numerous cost savings and improved cash flow. It’s much simpler and it just make cents.